A retrospective study to assess the risk of bladder cancer in type-2 diabetic patients treated with pioglitazone
Introduction: Pioglitazone has been a cornerstone of oral hypoglycemic therapy. Concerns have been raised about its association with urinary bladder cancer. Considering the wide usage of this drug, concrete and multiple population-based studies are needed to establish the safety of this drug. The pr...
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Wolters Kluwer Medknow Publications
2021-01-01
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Series: | Perspectives in Clinical Research |
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Online Access: | http://www.picronline.org/article.asp?issn=2229-3485;year=2021;volume=12;issue=1;spage=9;epage=13;aulast= |
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author | Prabhat Agrawal Apoorva Jain Ashish Gautam Ashwini Kumar Nigam Nikhil Pursnani Maaz Farooqui |
author_facet | Prabhat Agrawal Apoorva Jain Ashish Gautam Ashwini Kumar Nigam Nikhil Pursnani Maaz Farooqui |
author_sort | Prabhat Agrawal |
collection | DOAJ |
description | Introduction: Pioglitazone has been a cornerstone of oral hypoglycemic therapy. Concerns have been raised about its association with urinary bladder cancer. Considering the wide usage of this drug, concrete and multiple population-based studies are needed to establish the safety of this drug. The present retrospective study is aimed to assess the association of pioglitazone with urinary bladder cancer.
Materials and Methods: Clinical records of 4170 patients (2085 pioglitazone users and similar number of nonpioglitazone users) attending the diabetes clinic at a tertiary level teaching hospital were accessed, and the patients were subjected to symptom-directed questionnaire, urine examination, and cystoscopy and bladder biopsy (whenever clinically indicated). The risk of bladder cancer was also assessed with respect to cumulative dose and duration of pioglitazone.
Results: We did not observe any increased risk of bladder malignancy with pioglitazone exposure; furthermore, there was no association with cumulative dose and duration of pioglitazone therapy. Pioglitazone was found to be effective and safe in managing glycemic control in diabetic patients. |
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institution | Directory Open Access Journal |
issn | 2229-3485 |
language | English |
last_indexed | 2024-12-20T10:26:54Z |
publishDate | 2021-01-01 |
publisher | Wolters Kluwer Medknow Publications |
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series | Perspectives in Clinical Research |
spelling | doaj.art-c7e0ae52cc4d4b839b9a90d2adfcab862022-12-21T19:43:49ZengWolters Kluwer Medknow PublicationsPerspectives in Clinical Research2229-34852021-01-0112191310.4103/picr.PICR_192_18A retrospective study to assess the risk of bladder cancer in type-2 diabetic patients treated with pioglitazonePrabhat AgrawalApoorva JainAshish GautamAshwini Kumar NigamNikhil PursnaniMaaz FarooquiIntroduction: Pioglitazone has been a cornerstone of oral hypoglycemic therapy. Concerns have been raised about its association with urinary bladder cancer. Considering the wide usage of this drug, concrete and multiple population-based studies are needed to establish the safety of this drug. The present retrospective study is aimed to assess the association of pioglitazone with urinary bladder cancer. Materials and Methods: Clinical records of 4170 patients (2085 pioglitazone users and similar number of nonpioglitazone users) attending the diabetes clinic at a tertiary level teaching hospital were accessed, and the patients were subjected to symptom-directed questionnaire, urine examination, and cystoscopy and bladder biopsy (whenever clinically indicated). The risk of bladder cancer was also assessed with respect to cumulative dose and duration of pioglitazone. Results: We did not observe any increased risk of bladder malignancy with pioglitazone exposure; furthermore, there was no association with cumulative dose and duration of pioglitazone therapy. Pioglitazone was found to be effective and safe in managing glycemic control in diabetic patients.http://www.picronline.org/article.asp?issn=2229-3485;year=2021;volume=12;issue=1;spage=9;epage=13;aulast=adverse drug reactiondiabetesoral hypoglycemicpioglitazoneurinary bladder cancer |
spellingShingle | Prabhat Agrawal Apoorva Jain Ashish Gautam Ashwini Kumar Nigam Nikhil Pursnani Maaz Farooqui A retrospective study to assess the risk of bladder cancer in type-2 diabetic patients treated with pioglitazone Perspectives in Clinical Research adverse drug reaction diabetes oral hypoglycemic pioglitazone urinary bladder cancer |
title | A retrospective study to assess the risk of bladder cancer in type-2 diabetic patients treated with pioglitazone |
title_full | A retrospective study to assess the risk of bladder cancer in type-2 diabetic patients treated with pioglitazone |
title_fullStr | A retrospective study to assess the risk of bladder cancer in type-2 diabetic patients treated with pioglitazone |
title_full_unstemmed | A retrospective study to assess the risk of bladder cancer in type-2 diabetic patients treated with pioglitazone |
title_short | A retrospective study to assess the risk of bladder cancer in type-2 diabetic patients treated with pioglitazone |
title_sort | retrospective study to assess the risk of bladder cancer in type 2 diabetic patients treated with pioglitazone |
topic | adverse drug reaction diabetes oral hypoglycemic pioglitazone urinary bladder cancer |
url | http://www.picronline.org/article.asp?issn=2229-3485;year=2021;volume=12;issue=1;spage=9;epage=13;aulast= |
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