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Increased risk of osteoporosis in patients with peptic ulcer: a follow-up study using a national sample cohort

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Abstract

Summary

We performed a nationwide, population-based cohort study to investigate the risk of osteoporosis in patients with peptic ulcer disease in South Korea and concluded that peptic ulcer disease is associated with an increased risk of osteoporosis.

Purpose

This study aimed to evaluate the association between peptic ulcer disease (PUD) and the occurrence of osteoporosis using a national sample cohort from South Korea.

Methods

Using the national cohort study from the Korean National Health Insurance Service, we extracted data for patients with PUD (n = 50,002) and for 1:1 matched control participants (n = 50,002); we then analyzed the occurrence of osteoporosis from 2002 to 2013. The patients were matched according to age, sex, income, region of residence, and past medical history. A stratified Cox proportional hazards model was used to analyze the hazard ratios (HRs) and the 95% confidence intervals (CIs). Subgroup analyses were performed based on age and sex.

Results

The adjusted HR for osteoporosis was 1.36 (95% CI = 1.33–1.40, P < 0.001) in the PUD group. In the subgroup analysis based on age and sex, the respective adjusted HRs of PUD for osteoporosis were 1.33 (95% CI = 1.21–1.47) in the < 65-year-old group of men and 1.42 (95% CI = 1.30–1.56) in the ≥ 65-year-old group of men (each P < 0.001). The respective adjusted HRs of PUD for osteoporosis were 1.34 (95% CI = 1.29–1.39) in the < 65-year-old group of women and 1.38 (95% CI = 1.33–1.47) in the ≥ 65-year-old group of women (each P < 0.001).

Conclusion

In the current nationwide cohort study, we found that PUD is associated with an increased risk of osteoporosis regardless of sex.

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Funding

This work was supported in part by a research grant (NRF-2015-R1D1A1A01060860) from the National Research Foundation (NRF) of Korea.

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Authors and Affiliations

  1. Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine, Anyang, Republic of Korea

    Hyo Geun Choi & Bum Jung Park

  2. Hallym Data Science Laboratory, Hallym University College of Medicine, Anyang, Republic of Korea

    Hyo Geun Choi & Chan Yang Min

  3. Department of Obstetrics and Gynecology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, 22, Gwanpyeong-ro 170beon-gil, Dongan-gu, Anyang-si, Gyeonggi-do, 14068, Republic of Korea

    Chae Chun Rhim, Ji Young Yoon & Suk Woo Lee

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  1. Hyo Geun Choi
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Correspondence to Suk Woo Lee.

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The ethics committee of Hallym University (2017–I102) approved the use of these data. A written informed consent was exempted by the Institutional Review Board.

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Choi, H.G., Rhim, C.C., Yoon, J.Y. et al. Increased risk of osteoporosis in patients with peptic ulcer: a follow-up study using a national sample cohort. Arch Osteoporos 14, 105 (2019). https://doi.org/10.1007/s11657-019-0659-1

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