TABLE 2

Reported risk of adverse outcomes associated with exposure to systemic corticosteroids (SCS)

Adverse outcomeHR (95% CI) SCS versus non-SCS [20]OR (95% CI) incident new AEs# [33]Incident rate ratio (95% CI) [14]15-year cumulative incidence SCS versus non-SCS [34]
Osteoporosis diagnosis1.96 (1.63−2.34)1.44 (1.28−1.63)8.0 versus 2.0
Fractures3.11 (1.87−5.19)1.21 (1.04−1.40)1.87 (1.69−2.08)
Pneumonia2.68 (2.30−3.11)11.3 versus 3.5
Cardiovascular/cerebrovascular disease1.53 (1.36−1.72)9.9 versus 3.6
Myocardial infarction1.41 (1.15−1.73)7.3 versus 2.8
Venous thromboembolism3.33 (2.78−3.99)
Cataract1.50 (1.31−1.73)1.26 (1.03−1.52)11.0 versus 4.4
Sleep apnoea1.40 (1.04−1.86)
Renal impairment1.36 (1.26−1.47)
Depression/anxiety1.31 (1.21−1.41)
Type II diabetes1.26 (1.15−1.37)1.30 (1.13−1.50)
BMI increase1.14 (1.10−1.18)
Obesity1.28 (1.13−1.45)
Gastrointestinal ulcer/bleeds1.33 (1.15−1.54)
Sepsis5.30 (3.80−7.41)

Data are presented as %, unless otherwise stated. BMI: body mass index; AEs: adverse events. #: patients with ≥4 prescriptions for SCS in the current year; : 5−30 days from date when corticosteroid prescription was filled, reference period was 5−180 days before prescription date.