PMID- 25774362 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150316 LR - 20201001 IS - 2287-6375 (Print) IS - 2287-7029 (Electronic) IS - 2287-6375 (Linking) VI - 22 IP - 1 DP - 2015 Feb TI - Risk of hip fractures in men with alpha-blockers: a nationwide study base on claim registry. PG - 29-32 LID - 10.11005/jbm.2015.22.1.29 [doi] AB - BACKGROUND: Alpha-blocker can result in falling and fractures because of adverse effect such as orthostatic hypotension due to vasodilatory effect. We investigated the association between the alpha-blocker and the risk of osteoporotic hip fractures using a nationwide claim database. METHODS: We identified 1,051,651 men 65 years of age or older who had prescription records of alpha-blocker from nationwide medical claim database, from 2007 to 2012. Alpha-blockers were classified as non-specific general (NSG), non-specific slow-release (NSSR), uro-specific general (USG), and uro-specific slow release (USSR). RESULTS: Total of 6,553 hip fractures were observed. The incidences of hip fracture within 1 year were higher than those of the reference periods in all type of alpha-blocker. Hazard ratio peaked at early period of alpha-blocker, and decreased with time, regardless of type of alpha-blocker. CONCLUSIONS: Use of alpha-blocker is associated with increased risk of hip fracture, especially in early use. FAU - Seo, Gi-Hyeon AU - Seo GH AD - Health Insurance Review and Assessment Service, Seoul, Korea. FAU - Lee, Young-Kyun AU - Lee YK AD - Department of Orthopaedic Surgery, Seoul National University Bundang Hospital, Seongnam, Korea. FAU - Ha, Yong-Chan AU - Ha YC AD - Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea. LA - eng PT - Journal Article DEP - 20150228 PL - Korea (South) TA - J Bone Metab JT - Journal of bone metabolism JID - 101599927 PMC - PMC4357634 OTO - NOTNLM OT - Alpha-blocker OT - Hip fracture OT - Registries COIS- No potential conflict of interest relevant to this article was reported. EDAT- 2015/03/17 06:00 MHDA- 2015/03/17 06:01 PMCR- 2015/02/01 CRDT- 2015/03/17 06:00 PHST- 2015/02/10 00:00 [received] PHST- 2015/02/22 00:00 [revised] PHST- 2014/02/23 00:00 [accepted] PHST- 2015/03/17 06:00 [entrez] PHST- 2015/03/17 06:00 [pubmed] PHST- 2015/03/17 06:01 [medline] PHST- 2015/02/01 00:00 [pmc-release] AID - 10.11005/jbm.2015.22.1.29 [doi] PST - ppublish SO - J Bone Metab. 2015 Feb;22(1):29-32. doi: 10.11005/jbm.2015.22.1.29. Epub 2015 Feb 28.