Gallbladder disease in the general population: association with cardiovascular morbidity and therapy.
OBJECTIVE
Both gallbladder (GB) and cardiovascular disease are very common diagnoses that carry substantial economic costs. Prior studies suggest that personal history of ischaemic heart disease (IHD) could determine the occurrence of GB disease. Additionally the use of thiazide diuretics may also be a risk factor for this condition. We aimed to evaluate different cardiovascular conditions and related drugs that could be associated with GB disease.


METHODS
We identified all incident cases of gallbladder disease occurring during 1996 among patients aged 20-79 years old registered in the General Practitioner Research Database. We performed a nested case control analysis using 2353 cases and 10,000 controls frequency matched to the cases by age and sex.


RESULTS
After adjusting for potential confounders IHD was associated with a small increased risk of GB disease (1.29, 95%CI:1.08-1.55). When only cases requiring cholecystectomy were considered in the analysis, the resulting estimate was 1.06 (95%CI:0.83-1.35). Users of thiazide diuretics presented an OR of 1.36 (95%CI:1.08-1.71). Other antihypertensive drugs were not associated with GB disease.


CONCLUSIONS
Our results confirm the small increased risk of GB disease associated with thiazide diuretics. On the other hand, our data do not support a major association between IHD and GB disease.
González-Pérez
Antonio
A
Centro Español de Investigación Farmacoepidemiológica, Madrid, Spain. agonzalez@ceife.es
García Rodríguez
Luis A
LA
D000328:Adult; D000367:Age Factors; D017668:Age of Onset; D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology; D016022:Case-Control Studies; D002764:Cholecystitis / Q000139:chemically induced / Q000175:diagnosis / Q000453:epidemiology*; D015897:Comorbidity; D004232:Diuretics / Q000009:adverse effects / Q000627:therapeutic use; D006801:Humans; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000188:drug therapy / Q000453:epidemiology*; D009765:Obesity / Q000453:epidemiology; D011159:Population Surveillance / Q000379:methods; D018570:Risk Assessment; D012307:Risk Factors; D012737:Sex Factors; D012907:Smoking / Q000453:epidemiology; D049971:Thiazides / Q000009:adverse effects / Q000627:therapeutic use; D006113:United Kingdom / Q000453:epidemiology
D004232:Diuretics; D049971:Thiazides