Vasculitis & polymyalgia rheumatica

Association Between Proton Pump Inhibitors and the Risk of Intestinal Behçet Disease

J RheumatolPublished Retrospective cohort study

Main finding · Incidence of intestinal BDResult — go to the resultAdjusted hazard ratio 2.48 95% CI 1.38–4.47

Authors' conclusion

This study demonstrates a significant association between PPI use and increased incidence of intestinal BD in patients with BD.

Study context

Population
Patients with Behçet disease (BD) diagnosed between April 2005 and November 2023, The University of Tokyo Hospitalmean follow-up 12 years
Participants
194 patients
Exposure
Proton pump inhibitor (PPI) users vs nonusers
Outcome
Incidence of intestinal BD
Methodological detailssingle-centre, Cox models, Kaplan-Meier analyses, propensity score-matched cohort
  • Single-centre
  • Cox models
  • Kaplan-Meier analyses
  • Propensity score-matched cohort

Main finding

As reported in the abstract

Adjusted hazard ratio

2.48

95% CI 1.38–4.47

P = 0.002

PPI usersvs Nonusers
aHR 2.48 (95% CI 1.38–4.47); P = 0.002

Observational data: associations, not effects.

Further findings

OutcomeP value
Cumulative incidence of intestinal BDMarkedly elevated in PPI userslog-rank P < 0.001

Intestinal BD in the whole cohort · mean follow-up of 12 years

Developed intestinal BD
25.3%

Original publication

Association Between Proton Pump Inhibitors and the Risk of Intestinal Behçet Disease. J Rheumatol. Published 1 August 2024. doi:10.3899/jrheum.2024-0442

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