Risk of adverse events in psoriasis patients receiving classic systemic drugs and biologics in a 5-year observational study of clinical practice: 2008-2013 results of the Biobadaderm registry
| Autor: | G, Carretero, C, Ferrandiz, E, Dauden, F, Vanaclocha Sebastián, F J, Gómez-García, E, Herrera-Ceballos, P, De la Cueva-Dobao, I, Belinchón, J L, Sánchez-Carazo, M, Alsina-Gibert, J L, López-Estebaranz, M, Ferrán, R, Torrado, J M, Carrascosa, C, Carazo, R, Rivera, R, Jiménez-Puya, I, García-Doval, Sagrario, Galiano Mejias |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Male medicine.medical_specialty Dermatology Antibodies Monoclonal Humanized Lower risk Risk Assessment Receptors Tumor Necrosis Factor Etanercept Keratolytic Agents Internal medicine Ustekinumab medicine Humans Psoriasis Prospective Studies Registries Adverse effect Prospective cohort study Aged Proportional Hazards Models Biological Products Proportional hazards model business.industry Incidence (epidemiology) Anti-Inflammatory Agents Non-Steroidal Hazard ratio Adalimumab Antibodies Monoclonal Middle Aged Acitretin Infliximab Surgery Methotrexate Infectious Diseases Spain Immunoglobulin G Relative risk Cyclosporine Female business Immunosuppressive Agents medicine.drug |
| Zdroj: | Journal of the European Academy of Dermatology and Venereology. 29:156-163 |
| ISSN: | 0926-9959 |
| DOI: | 10.1111/jdv.12492 |
| Popis: | Background Biobadaderm is the Spanish registry of psoriasis patients receiving systemic treatment in clinical practice. Objective To compare the safety of biologics and classic systemic treatment. Methods Prospective cohort of patients receiving biologics and classic systemic therapies between 2008 and 2013 in 12 hospitals are included. We registered demographic data, diagnoses, comorbidities, treatments and adverse events (AE). We obtained raw relative risks (RR) for specific AE. Multivariate analysis consisted of Cox models adjusting for age, gender, chronic hepatic disease and previous cancer. Results A total of 1030 patients received biologics (2061 AE in 3681 person-years), 926 patients classic systemic drugs (1015 AE in 1517 person-years). Ninety-three per cent of AE in both groups were non-serious, 6% serious and 0.003% fatal. The age- and gender-adjusted hazard ratio of AE was lower in the biologics group [hazard ratio 0.6 (95% CI: 0.5–0.7)].We found no differences in rates of serious and mortal AE. Some system organ class AE rates differed between both groups. As limitations: Prescription bias might affect the incidence of AE in both groups. Association of drug and AE was based on timing: associations might not be causal. Conclusion Patients receiving biologics had lower risk of AE. We did not find differences in the risk of serious or fatal AE. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text