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NSAIDs: Risk of acute MI compared with remote use Largest NSAID database study ever casts doubt on entire coxib controvers [Rheumawire > News; Jun 10,

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Presentation on theme: "NSAIDs: Risk of acute MI compared with remote use Largest NSAID database study ever casts doubt on entire coxib controvers [Rheumawire > News; Jun 10,"— Presentation transcript:

1 NSAIDs: Risk of acute MI compared with remote use Largest NSAID database study ever casts doubt on entire coxib controvers [Rheumawire > News; Jun 10, 2005] Singh G, et al. EULAR 2005; June 8-11, 2005; Vienna, Austria. NSAIDUnadjusted odds ratio Adjusted odds ratio 95% CIp Indomethacin1.651.711.35-2.17<0.0001 Sulindac1.461.411.01-1.960.04 Meloxicam1.341.371.05-1.780.02 Rofecoxib1.341.321.22-1.42<0.0001 Piroxicam1.141.180.90-1.540.22 Other NSAIDs1.221.180.94-1.460.15

2 NSAIDs: Risk of acute MI compared with remote use Largest NSAID database study ever casts doubt on entire coxib controvers [Rheumawire > News; Jun 10, 2005] Singh G, et al. EULAR 2005; June 8-11, 2005; Vienna, Austria. NSAIDUnadjusted odds ratio Adjusted odds ratio 95% CIp Ibuprofen1.081.111.01-1.220.02 Celecoxib1.111.091.02-1.150.008 Naproxen1.031.080.95-1.220.22 Diclofenac1.041.050.93-1.190.43 Valdecoxib1.080.990.72-1.370.97 Ketoprofen0.880.860.63-1.180.35 Nabumetone0.860.830.60-1.140.26

3 NSAID use in cohort study Singh G, et al. EULAR 2005; June 8-11, 2005; Vienna, Austria. Largest NSAID database study ever casts doubt on entire coxib controvers [Rheumawire > News; Jun 10, 2005] Drug usePatientsPatient- years Percentage of cohort Celecoxib299 550220 20146.04 Diclofenac109 40244 48816.82 Ibuprofen371 051109 66657.03 Indomethacin40 16892666.17 Ketoprofen18 57575772.86 Meloxicam26 12384134.02 Nabumetone25 28683683.89 Naproxen172 29551 64526.48

4 NSAID use in cohort study Singh G, et al. EULAR 2005; June 8-11, 2005; Vienna, Austria. Largest NSAID database study ever casts doubt on entire coxib controvers [Rheumawire > News; Jun 10, 2005] Drug usePatientsPatient-yearsPercentage of cohort Other NSAIDs90 53932 83213.92 Piroxicam22 21292433.41 Rofecoxib209 974112 76032.27 Sulindac15 90660872.44 Valdecoxib26 52661614.08 Total650 5902 356 884.5 Aspirin203 233241 81631.24


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