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Tendon Disorders in Chronic Liver Disease: A Retrospective Cohort Study in Taiwan

Author

Listed:
  • Ching-Yueh Lin

    (Department of Physical Medicine and Rehabilitation, Kaohsiung Armed Forces General Hospital, Kaohsiung 802301, Taiwan
    Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei 114202, Taiwan)

  • Shih-Chung Huang

    (Division of Cardiology, Department of Internal Medicine, Kaohsiung Armed Forces General Hospital, Kaohsiung 802301, Taiwan
    Institute of Medical Science and Technology, National Sun Yat-sen University, Kaohsiung 804201, Taiwan
    Division of Cardiology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei 114202, Taiwan)

  • Shiow-Jyu Tzou

    (Institute of Medical Science and Technology, National Sun Yat-sen University, Kaohsiung 804201, Taiwan
    Teaching and Researching Center, Kaohsiung Armed Forces General Hospital, Kaohsiung 802301, Taiwan)

  • Chun-Hao Yin

    (Department of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung 813414, Taiwan
    Institute of Health Care Management, National Sun Yat-sen University, Kaohsiung 804201, Taiwan)

  • Jin-Shuen Chen

    (Department of Administration, Kaohsiung Veterans General Hospital, Kaohsiung 813414, Taiwan)

  • Yao-Shen Chen

    (Department of Administration, Kaohsiung Veterans General Hospital, Kaohsiung 813414, Taiwan)

  • Shin-Tsu Chang

    (Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei 114202, Taiwan
    Department of Physical Medicine and Rehabilitation, Kaohsiung Veterans General Hospital, Kaohsiung 813414, Taiwan)

Abstract

To investigate the relationship between chronic liver disease and tendon disorder, a retrospective cohort study was conducted using the Kaohsiung Veterans General Hospital database. Patients >18 years with newly diagnosed liver disease and with at least a two-year follow-up in the hospital were included. An equal number of 20,479 cases were enrolled in both the liver-disease and non-liver-disease groups using a propensity score matching method. Disease was defined using ICD-9 or ICD-10 codes. The primary outcome was the development of tendon disorder. Demographic characteristics, comorbidities, use of tendon-toxic drugs, and status of HBV/HCV infection were included for analysis. The results showed 348 (1.7%) and 219 (1.1%) individuals developed tendon disorder in the chronic liver disease group and non-liver-disease group. Concomitant use of glucocorticoids and statins may have further raised the risk of tendon disorder in the liver disease group. The co-existence of HBV/HCV infection did not increase the risk of tendon disorder in the patients with liver disease. Considering these findings, physicians should be more aware of tendon issues in advance, and a prophylactic strategy should be adopted in patients with chronic liver disease.

Suggested Citation

  • Ching-Yueh Lin & Shih-Chung Huang & Shiow-Jyu Tzou & Chun-Hao Yin & Jin-Shuen Chen & Yao-Shen Chen & Shin-Tsu Chang, 2023. "Tendon Disorders in Chronic Liver Disease: A Retrospective Cohort Study in Taiwan," IJERPH, MDPI, vol. 20(6), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:6:p:4983-:d:1094797
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    References listed on IDEAS

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    1. Ching-Yueh Lin & Shih-Chung Huang & Shiow-Jyu Tzou & Chun-Hao Yin & Jin-Shuen Chen & Yao-Shen Chen & Shin-Tsu Chang, 2022. "A Positive Correlation between Steroid Injections and Cuff Tendon Tears: A Cohort Study Using a Clinical Database," IJERPH, MDPI, vol. 19(8), pages 1-10, April.
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