Association between Benzodiazepine Use and Dementia: A Meta-Analysis.
The association between long-term benzodiazepine use and risk of dementia remains controversial. Therefore, current study aimed to quantify this association, and to explore a potential dose-response pattern.We searched PubMed, Embase and the Cochrane Library through August 17, 2014. We included nest...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2015-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC4446315?pdf=render |
| _version_ | 1818130894071791616 |
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| author | GuoChao Zhong Yi Wang Yong Zhang Yong Zhao |
| author_facet | GuoChao Zhong Yi Wang Yong Zhang Yong Zhao |
| author_sort | GuoChao Zhong |
| collection | DOAJ |
| description | The association between long-term benzodiazepine use and risk of dementia remains controversial. Therefore, current study aimed to quantify this association, and to explore a potential dose-response pattern.We searched PubMed, Embase and the Cochrane Library through August 17, 2014. We included nested case-control or prospective cohort studies that provided risk estimates on the association of benzodiazepine use with risk of dementia, and a clear definition of status of benzodiazepine use. Overall effect size was calculated using a random-effects model.Six studies were eligible for inclusion, involving 11,891 dementia cases and 45,391 participants. Compared with never users, pooled adjusted risk ratios (RRs) for dementia were 1.49 (95% confidence interval (CI) 1.30-1.72) for ever users, 1.55 (95% CI 1.31-1.83) for recent users, and 1.55 (95% CI 1.17-2.03) for past users. The risk of dementia increased by 22% for every additional 20 defined daily dose per year (RR, 1.22, 95%CI 1.18-1.25). When we restricted our meta-analyses to unadjusted RRs, all initial significant associations persisted.Long-term benzodiazepine users have an increased risk of dementia compared with never users. However, findings from our study should be treated with caution due to limited studies and potential reverse causation. Large prospective cohort studies with long follow-up duration are warranted to confirm these findings. |
| first_indexed | 2024-12-11T08:12:17Z |
| format | Article |
| id | doaj.art-7c63dcec569d43cb87aab029300217fd |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-11T08:12:17Z |
| publishDate | 2015-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-7c63dcec569d43cb87aab029300217fd2022-12-22T01:14:51ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01105e012783610.1371/journal.pone.0127836Association between Benzodiazepine Use and Dementia: A Meta-Analysis.GuoChao ZhongYi WangYong ZhangYong ZhaoThe association between long-term benzodiazepine use and risk of dementia remains controversial. Therefore, current study aimed to quantify this association, and to explore a potential dose-response pattern.We searched PubMed, Embase and the Cochrane Library through August 17, 2014. We included nested case-control or prospective cohort studies that provided risk estimates on the association of benzodiazepine use with risk of dementia, and a clear definition of status of benzodiazepine use. Overall effect size was calculated using a random-effects model.Six studies were eligible for inclusion, involving 11,891 dementia cases and 45,391 participants. Compared with never users, pooled adjusted risk ratios (RRs) for dementia were 1.49 (95% confidence interval (CI) 1.30-1.72) for ever users, 1.55 (95% CI 1.31-1.83) for recent users, and 1.55 (95% CI 1.17-2.03) for past users. The risk of dementia increased by 22% for every additional 20 defined daily dose per year (RR, 1.22, 95%CI 1.18-1.25). When we restricted our meta-analyses to unadjusted RRs, all initial significant associations persisted.Long-term benzodiazepine users have an increased risk of dementia compared with never users. However, findings from our study should be treated with caution due to limited studies and potential reverse causation. Large prospective cohort studies with long follow-up duration are warranted to confirm these findings.http://europepmc.org/articles/PMC4446315?pdf=render |
| spellingShingle | GuoChao Zhong Yi Wang Yong Zhang Yong Zhao Association between Benzodiazepine Use and Dementia: A Meta-Analysis. PLoS ONE |
| title | Association between Benzodiazepine Use and Dementia: A Meta-Analysis. |
| title_full | Association between Benzodiazepine Use and Dementia: A Meta-Analysis. |
| title_fullStr | Association between Benzodiazepine Use and Dementia: A Meta-Analysis. |
| title_full_unstemmed | Association between Benzodiazepine Use and Dementia: A Meta-Analysis. |
| title_short | Association between Benzodiazepine Use and Dementia: A Meta-Analysis. |
| title_sort | association between benzodiazepine use and dementia a meta analysis |
| url | http://europepmc.org/articles/PMC4446315?pdf=render |
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