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005     20250904102143.0
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037 _ _ |a DZNE-2025-00936
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082 _ _ |a 610
100 1 _ |a Wicherski, Julia
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245 _ _ |a Association between fluoroquinolones and retinal detachment: insights from a large German health claims-based cohort study.
260 _ _ |a London
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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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650 _ 7 |a Active comparator new user design
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650 _ 7 |a Administrative cohort
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650 _ 7 |a Adverse drug reactions
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650 _ 7 |a Fluoroquinolones
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650 _ 7 |a Real-world data
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650 _ 7 |a Fluoroquinolones
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650 _ 7 |a Anti-Bacterial Agents
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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
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650 _ 2 |a Adult
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650 _ 2 |a Incidence
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650 _ 2 |a Cohort Studies
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650 _ 2 |a Retrospective Studies
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650 _ 2 |a Follow-Up Studies
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650 _ 2 |a Young Adult
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700 1 _ |a Peltner, Jonas
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700 1 _ |a Becker, Cornelia
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700 1 _ |a Schüssel, Katrin
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700 1 _ |a Brückner, Gabriela
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700 1 _ |a Schlotmann, Andreas
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700 1 _ |a Schröder, Helmut
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700 1 _ |a Kern, Winfried V
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700 1 _ |a Haenisch, Britta
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773 _ _ |a 10.1186/s12886-025-04284-5
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