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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Main Authors: Prabhat Agrawal, Apoorva Jain, Ashish Gautam, Ashwini Kumar Nigam, Nikhil Pursnani, Maaz Farooqui
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Perspectives in Clinical Research
Subjects:
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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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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