Home > Publications Database > Association between fluoroquinolones and retinal detachment: insights from a large German health claims-based cohort study. > print |
001 | 280258 | ||
005 | 20250904102143.0 | ||
024 | 7 | _ | |a 10.1186/s12886-025-04284-5 |2 doi |
024 | 7 | _ | |a pmid:40775308 |2 pmid |
037 | _ | _ | |a DZNE-2025-00936 |
041 | _ | _ | |a English |
082 | _ | _ | |a 610 |
100 | 1 | _ | |a Wicherski, Julia |b 0 |
245 | _ | _ | |a Association between fluoroquinolones and retinal detachment: insights from a large German health claims-based cohort study. |
260 | _ | _ | |a London |c 2025 |b BioMed Central |
336 | 7 | _ | |a article |2 DRIVER |
336 | 7 | _ | |a Output Types/Journal article |2 DataCite |
336 | 7 | _ | |a Journal Article |b journal |m journal |0 PUB:(DE-HGF)16 |s 1754895022_31915 |2 PUB:(DE-HGF) |
336 | 7 | _ | |a ARTICLE |2 BibTeX |
336 | 7 | _ | |a JOURNAL_ARTICLE |2 ORCID |
336 | 7 | _ | |a Journal Article |0 0 |2 EndNote |
520 | _ | _ | |a Real-world evidence on fluoroquinolone-associated retinal detachment is contradictory. Therefore, we aim to examine the association between newly prescribed fluoroquinolones and the occurrence of retinal detachment with recent data from a large central European country.A cohort study with an active comparator new user design was conducted. Dispensings of fluoroquinolone episodes were compared to a group of reference antibiotic episodes (amoxicillin, amoxicillin clavulanic acid, azithromycin, cefuroxime, cephalexin, clindamycin, sulfamethoxazole-trimethoprim, and doxycycline). Data from one of the largest statutory health insurances in Germany, the AOK, were used to follow up individuals with new antibiotic dispensing during the years 2014-2018 for the occurrence of retinal detachment. Piece-wise exponential additive mixed models adjusted for person-time, age, gender, comorbidities, year, and quarter at index were applied to estimate adjusted hazard ratios (aHR) with corresponding 95% confidence intervals (95% CI).In total, 15,232,585 antibiotic episodes were included in the cohort of which 0.05% episodes had an incident retinal detachment. The covariate-adjusted hazard ratio for fluoroquinolone episodes was 1.01 [0.95;1.08]. Likewise, in the propensity score-matched cohort the covariate-adjusted hazard ratio was 0.99 [0.92;1.07]. Moreover, there was little evidence for differences in age and gender subgroups, by follow-up time, selection of active comparator agent, dosage category, or censoring approach.This large German cohort study found no meaningful real-world evidence for the association between fluoroquinolones and retinal detachment compared to a group of active comparator antibiotics. |
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588 | _ | _ | |a Dataset connected to CrossRef, PubMed, , Journals: pub.dzne.de |
650 | _ | 7 | |a Active comparator new user design |2 Other |
650 | _ | 7 | |a Administrative cohort |2 Other |
650 | _ | 7 | |a Adverse drug reactions |2 Other |
650 | _ | 7 | |a Fluoroquinolones |2 Other |
650 | _ | 7 | |a Real-world data |2 Other |
650 | _ | 7 | |a Fluoroquinolones |2 NLM Chemicals |
650 | _ | 7 | |a Anti-Bacterial Agents |2 NLM Chemicals |
650 | _ | 2 | |a Humans |2 MeSH |
650 | _ | 2 | |a Fluoroquinolones: adverse effects |2 MeSH |
650 | _ | 2 | |a Germany: epidemiology |2 MeSH |
650 | _ | 2 | |a Female |2 MeSH |
650 | _ | 2 | |a Male |2 MeSH |
650 | _ | 2 | |a Retinal Detachment: epidemiology |2 MeSH |
650 | _ | 2 | |a Retinal Detachment: chemically induced |2 MeSH |
650 | _ | 2 | |a Middle Aged |2 MeSH |
650 | _ | 2 | |a Anti-Bacterial Agents: adverse effects |2 MeSH |
650 | _ | 2 | |a Aged |2 MeSH |
650 | _ | 2 | |a Adult |2 MeSH |
650 | _ | 2 | |a Incidence |2 MeSH |
650 | _ | 2 | |a Cohort Studies |2 MeSH |
650 | _ | 2 | |a Retrospective Studies |2 MeSH |
650 | _ | 2 | |a Follow-Up Studies |2 MeSH |
650 | _ | 2 | |a Young Adult |2 MeSH |
700 | 1 | _ | |a Peltner, Jonas |0 P:(DE-2719)9002192 |b 1 |u dzne |
700 | 1 | _ | |a Becker, Cornelia |b 2 |
700 | 1 | _ | |a Schüssel, Katrin |b 3 |
700 | 1 | _ | |a Brückner, Gabriela |b 4 |
700 | 1 | _ | |a Schlotmann, Andreas |b 5 |
700 | 1 | _ | |a Schröder, Helmut |b 6 |
700 | 1 | _ | |a Kern, Winfried V |b 7 |
700 | 1 | _ | |a Haenisch, Britta |0 P:(DE-2719)2810511 |b 8 |e Last author |u dzne |
773 | _ | _ | |a 10.1186/s12886-025-04284-5 |g Vol. 25, no. 1, p. 447 |0 PERI:(DE-600)2050436-6 |n 1 |p 447 |t BMC ophthalmology |v 25 |y 2025 |x 1471-2415 |
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856 | 4 | _ | |u https://pub.dzne.de/record/280258/files/DZNE-2025-00936%20SUP.docx |
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