Adverse event profiles of microscopic colitis in the Japanese Adverse Drug Event Report (JADER) database

Abstract Microscopic colitis (MC) is a chronic inflammatory bowel disease that is characterized by nonbloody watery diarrhea. The epidemiology in Japan differs from that in Europe and the United States, but little information is available from epidemiological surveys of MC in Japan. This study aimed...

Full description

Bibliographic Details
Main Authors: Kaito Yamashiro, Mika Jouta, Kouichi Hosomi, Satoshi Yokoyama, Yuu Ozaki, Atsushi Hirata, Fumihiko Ogata, Takehiro Nakamura, Shigeharu Tanei, Naohito Kawasaki
Format: Article
Language:English
Published: Nature Portfolio 2022-10-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-22257-2
_version_ 1798028623864659968
author Kaito Yamashiro
Mika Jouta
Kouichi Hosomi
Satoshi Yokoyama
Yuu Ozaki
Atsushi Hirata
Fumihiko Ogata
Takehiro Nakamura
Shigeharu Tanei
Naohito Kawasaki
author_facet Kaito Yamashiro
Mika Jouta
Kouichi Hosomi
Satoshi Yokoyama
Yuu Ozaki
Atsushi Hirata
Fumihiko Ogata
Takehiro Nakamura
Shigeharu Tanei
Naohito Kawasaki
author_sort Kaito Yamashiro
collection DOAJ
description Abstract Microscopic colitis (MC) is a chronic inflammatory bowel disease that is characterized by nonbloody watery diarrhea. The epidemiology in Japan differs from that in Europe and the United States, but little information is available from epidemiological surveys of MC in Japan. This study aimed to provide a new hypothesis regarding the factors associated with MC by using the Japanese Adverse Drug Event Report (JADER) database. “Colitis microscopic” (preferred term code: 10056979) cases entered into the JADER database between 2004 and 2021 were analyzed. Of the 246,997 cases in the JADER database, 161 cases were observed to be associated with MC. A Weibull analysis revealed that the median onset duration of MC (interquartile range) was 72.5 (36.0‒125.5) days in lansoprazole users and 116.0 (60.3‒1089.0) days in aspirin users. A multiple logistic regression analysis revealed that MC was significantly associated with the female sex, as well as ages ≥ 60 years and drugs including lansoprazole, aspirin, and nicorandil. A subset analysis revealed that MC was positively associated with obesity in female cases. Our study cannot demonstrate a causal inference between MC and each drug; however, the findings suggest that MC was associated with nicorandil as well as with lansoprazole and aspirin.
first_indexed 2024-04-11T19:10:55Z
format Article
id doaj.art-94ac86af468741699211efdcecc14029
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-04-11T19:10:55Z
publishDate 2022-10-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-94ac86af468741699211efdcecc140292022-12-22T04:07:37ZengNature PortfolioScientific Reports2045-23222022-10-011211810.1038/s41598-022-22257-2Adverse event profiles of microscopic colitis in the Japanese Adverse Drug Event Report (JADER) databaseKaito Yamashiro0Mika Jouta1Kouichi Hosomi2Satoshi Yokoyama3Yuu Ozaki4Atsushi Hirata5Fumihiko Ogata6Takehiro Nakamura7Shigeharu Tanei8Naohito Kawasaki9Laboratory of Public Health, Faculty of Pharmacy, Kindai UniversityDepartment of Pharmacy, Kindai University Nara HospitalDivision of Drug Informatics, Faculty of Pharmacy, Kindai UniversityDivision of Drug Informatics, Faculty of Pharmacy, Kindai UniversityDepartment of Pharmacy, Kindai University Nara HospitalDepartment of Pharmacy, Kindai University Nara HospitalLaboratory of Public Health, Faculty of Pharmacy, Kindai UniversityLaboratory of Public Health, Faculty of Pharmacy, Kindai UniversityFaculty of Pharmaceutical Sciences, Nihon Pharmaceutical UniversityLaboratory of Public Health, Faculty of Pharmacy, Kindai UniversityAbstract Microscopic colitis (MC) is a chronic inflammatory bowel disease that is characterized by nonbloody watery diarrhea. The epidemiology in Japan differs from that in Europe and the United States, but little information is available from epidemiological surveys of MC in Japan. This study aimed to provide a new hypothesis regarding the factors associated with MC by using the Japanese Adverse Drug Event Report (JADER) database. “Colitis microscopic” (preferred term code: 10056979) cases entered into the JADER database between 2004 and 2021 were analyzed. Of the 246,997 cases in the JADER database, 161 cases were observed to be associated with MC. A Weibull analysis revealed that the median onset duration of MC (interquartile range) was 72.5 (36.0‒125.5) days in lansoprazole users and 116.0 (60.3‒1089.0) days in aspirin users. A multiple logistic regression analysis revealed that MC was significantly associated with the female sex, as well as ages ≥ 60 years and drugs including lansoprazole, aspirin, and nicorandil. A subset analysis revealed that MC was positively associated with obesity in female cases. Our study cannot demonstrate a causal inference between MC and each drug; however, the findings suggest that MC was associated with nicorandil as well as with lansoprazole and aspirin.https://doi.org/10.1038/s41598-022-22257-2
spellingShingle Kaito Yamashiro
Mika Jouta
Kouichi Hosomi
Satoshi Yokoyama
Yuu Ozaki
Atsushi Hirata
Fumihiko Ogata
Takehiro Nakamura
Shigeharu Tanei
Naohito Kawasaki
Adverse event profiles of microscopic colitis in the Japanese Adverse Drug Event Report (JADER) database
Scientific Reports
title Adverse event profiles of microscopic colitis in the Japanese Adverse Drug Event Report (JADER) database
title_full Adverse event profiles of microscopic colitis in the Japanese Adverse Drug Event Report (JADER) database
title_fullStr Adverse event profiles of microscopic colitis in the Japanese Adverse Drug Event Report (JADER) database
title_full_unstemmed Adverse event profiles of microscopic colitis in the Japanese Adverse Drug Event Report (JADER) database
title_short Adverse event profiles of microscopic colitis in the Japanese Adverse Drug Event Report (JADER) database
title_sort adverse event profiles of microscopic colitis in the japanese adverse drug event report jader database
url https://doi.org/10.1038/s41598-022-22257-2
work_keys_str_mv AT kaitoyamashiro adverseeventprofilesofmicroscopiccolitisinthejapaneseadversedrugeventreportjaderdatabase
AT mikajouta adverseeventprofilesofmicroscopiccolitisinthejapaneseadversedrugeventreportjaderdatabase
AT kouichihosomi adverseeventprofilesofmicroscopiccolitisinthejapaneseadversedrugeventreportjaderdatabase
AT satoshiyokoyama adverseeventprofilesofmicroscopiccolitisinthejapaneseadversedrugeventreportjaderdatabase
AT yuuozaki adverseeventprofilesofmicroscopiccolitisinthejapaneseadversedrugeventreportjaderdatabase
AT atsushihirata adverseeventprofilesofmicroscopiccolitisinthejapaneseadversedrugeventreportjaderdatabase
AT fumihikoogata adverseeventprofilesofmicroscopiccolitisinthejapaneseadversedrugeventreportjaderdatabase
AT takehironakamura adverseeventprofilesofmicroscopiccolitisinthejapaneseadversedrugeventreportjaderdatabase
AT shigeharutanei adverseeventprofilesofmicroscopiccolitisinthejapaneseadversedrugeventreportjaderdatabase
AT naohitokawasaki adverseeventprofilesofmicroscopiccolitisinthejapaneseadversedrugeventreportjaderdatabase