Long term time trends in use of medications associated with risk of developing osteoporosis: Nationwide data for Denmark from 1999 to 2016

Bone
M K SkjødtB Abrahamsen

Abstract

To evaluate the development in the use of medications associated with an increased risk of developing osteoporosis over the time period from 1999 to 2016. We extracted data on total sale, sales rate and usage rate for the medications of interest from www.medstat.dk, which is an online, open-source database reporting the monthly sale of both over-the-counter and prescription-based medications in Denmark. The dataset covers both the primary and secondary health sectors. Most medications exhibited an increasing use from 1999 to 2016, though some had stable (e.g. glucocorticoids) or declining use. Notably, some medications showed widespread and increasing use, including proton pump inhibitors (PPI), selective serotonine reuptake inhibitors (SSRI) and venlafaxine. For PPI, sales rates increased by 461% from 1999 to 2016, with 9% of men and 11.4% of women filling at least one prescription in 2016. The use of SSRI and venlafaxine increased by 114% and 613%, respectively. This was more pronounced in women and for SSRI also in the elderly (80+ years). The sale of aromatase inhibitors was moderate (1-10 DDD per 1000 capita per day) in 2016, yet grew by 2400% from 1999, almost exclusively in women aged 80 years or older. We found a trend ...Continue Reading

Citations

May 3, 2019·Current Opinion in Rheumatology·Giovanni Adami, Kenneth G Saag
Mar 21, 2020·Journal of Orthopaedic Trauma·Robert B ConleyDouglas P Kiel
Sep 21, 2019·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·Robert B ConleyDouglas P Kiel
Oct 1, 2019·Therapeutic Advances in Musculoskeletal Disease·Giovanni AdamiKenneth G Saag
Jan 19, 2021·Annals of the Rheumatic Diseases·Salvatore MinisolaCristiana Cipriani

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