Most Read Articles
31 May 2016
Tacrolimus is safe and effective in inducing and maintaining remission in paediatric patients with biologic refractory inflammatory bowel disease (IBD), according to a study presented at the 49th Annual Meeting of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition in Athens, Greece.
Rachel Soon, 12 Dec 2018

MIMS Pharmacist presents an overview of superoxide dismutase (SOD) and its role in resisting the effects of oxidative stress and aging.

Rachel Soon, 25 Jul 2018

MIMS Pharmacist presents an overview of Lactobacillus plantarum 299v's physiological role, as well as contemporary research on its pharmacology and effects.

01 Mar 2018
Lifetime prevalence of acute pain leading to the use of analgesics approaches 100% in the general population, and pharmacists are a pivotal first point of contact for patients in their journey to better pain management. Noting the need for pharmacists to be more aware of their evolving role as a community pharmacist, GlaxoSmithKline Consumer Healthcare partnered with MIMS Education to organize a workshop that served as a platform for robust knowledge-sharing. Below are highlights from the workshop.

Glucocorticoids up risk of vertebral fractures in RA patients

07 May 2018

The risk of vertebral fractures increases with longer duration and higher dose of oral glucocorticoids (GCs) in patients with rheumatoid arthritis (RA), but the dose and duration of GC do not contribute to the risk of hip and nonvertebral/nonhip fractures, reports a recent study.

The investigators observed 11,599 fracturs in 9,964 out of 138,240 patients with RA. Of these, 68.2 percent used oral GC for >3 months during follow-up.

Based on adjusted analysis, the risk of vertebral fractures was increased by duration of GC ≥6 months (odds ratio [OR], 1.76; p<0.01), mean dose of GC ≥2.5 mg (OR range, 1.37–1.71; p<0.01) and highest daily dose of GC ≥10 mg (OR range, 1.23–1.75; p<0.03). However, duration and dose of oral GC did not increase the risk of hip and nonvertebral/nonhip fractures in patients with RA.

Results were consistent in RA patients without osteoporosis.

To establish a retrospective cohort of patients with RA ≥19 years old, the investigators used the Korean National Healthcare Claims database from 2010. They followed these patients through December 2013 and calculated the incidence rates of total and major fractures.

Multivariable logistic regression analyses were used to evaluate the effects of GC dose and duration on fractures. The investigators also examined the influence of GC on fractures in RA patients without a history of osteoporosis.

In a 2004 study, researchers observed a dose dependence of fracture risk for hip, vertebral, nonvertebral and any fractures. Longer duration and continuous pattern of GC use showed a fivefold increased risk of hip fracture and nearly sixfold increased risk of vertebral fracture. Hip and vertebral fracture risks further increased by sevenfold and 17-fold, respectively, with the combined effect of higher dose, longer duration and continuous pattern of GC use. [Osteoporos Int 2004;15:323-328]

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Most Read Articles
31 May 2016
Tacrolimus is safe and effective in inducing and maintaining remission in paediatric patients with biologic refractory inflammatory bowel disease (IBD), according to a study presented at the 49th Annual Meeting of the European Society for Paediatric Gastroenterology, Hepatology and Nutrition in Athens, Greece.
Rachel Soon, 12 Dec 2018

MIMS Pharmacist presents an overview of superoxide dismutase (SOD) and its role in resisting the effects of oxidative stress and aging.

Rachel Soon, 25 Jul 2018

MIMS Pharmacist presents an overview of Lactobacillus plantarum 299v's physiological role, as well as contemporary research on its pharmacology and effects.

01 Mar 2018
Lifetime prevalence of acute pain leading to the use of analgesics approaches 100% in the general population, and pharmacists are a pivotal first point of contact for patients in their journey to better pain management. Noting the need for pharmacists to be more aware of their evolving role as a community pharmacist, GlaxoSmithKline Consumer Healthcare partnered with MIMS Education to organize a workshop that served as a platform for robust knowledge-sharing. Below are highlights from the workshop.