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This study will be conducted as a retrospective study of exposed and unexposed cohort of the French population included all beneficiaries aged 65 and older. Exposed patients will be matched to non exposed controls according age, gender and area of residence (ratio 1/4). Two exposed arms and two non exposed control arms will be planned. Triptan arm will be user of triptan defined as at least one recorded dispensing of any drug during the follow up, with no recorded of any of these drugs during the previous 6 months ("new or incident users"). Ergot arm will be user of ergot derivative defined as at least one recorded dispensing of any drug during the follow up, with no recorded of any of these drugs during the previous 6 months ("new or incident users"). This study involved data from the French National Health Insurance Information System (Système National d"Information Inter-Régimes de l"Assurance Maladie ; SNIIRAM) linked with the French hospital discharge database (Programme de Médicalisation des Systèmes d"Informations, PMSI).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Triptan Arm | Users of triptan defined as at least one recorded dispensing of any drug during the follow up, with no recorded of any of these drugs during the previous 6 months ("new or incident users") |
| |
| Ergot Arm | Users of ergot derivative defined as at least one recorded dispensing of any drug during the follow up, with no recorded of any of these drugs during the previous 6 months ("new or incident users") |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exposure to Triptan | Drug |
| ||
| Exposure to Ergot |
| Measure | Description | Time Frame |
|---|---|---|
| Occurence of the first vascular event leading to a hospitalization within the exposure period following the first dispensation of a triptan. | Up to 4 years |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of the mortality: number of all deaths | Assessment of the deaths, whatever the cause | Up to 4 years |
| Assessment of the mortality with an underlying cardiovascular cause occuring in hospital |
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Inclusion Criteria:
Exclusion Criteria: no exclusion criteria
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Both exposed cohorts will include all beneficiaries recorded in the SNIIR-AM aged 65 and older, who had an incident dispensation of any triptans (or ergot derivatives) over the study period.
An incident dispensation is defined by the lack of dispensation for triptan (or ergot derivatives) for the first six months of the study period.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Joelle MICALLEF, MD-PhD | Contact | 0491384642 | +33 | joelle.micallef@ap-hm.fr |
| Kahena AMICHI | Contact | 0491381966 | +33 | kahena.amichi@ap-hm.fr |
| Name | Affiliation | Role |
|---|---|---|
| Catherine GEINDRE | Assitance Publique - Hôpitaux de Marseille | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Assistance Publique Hôpitaux de Marseille | Recruiting | Marseille | 13005 | France |
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| ID | Term |
|---|---|
| D008881 | Migraine Disorders |
| D019966 | Substance-Related Disorders |
| D002318 | Cardiovascular Diseases |
| ID | Term |
|---|---|
| D051270 | Headache Disorders, Primary |
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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|
| Up to 4 years |
| D009422 | Nervous System Diseases |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |