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学科主题: 临床医学
题名:
Regular use of nephrotoxic medications is an independent risk factor for chronic kidney disease-results from a Chinese population study
作者: Su, Tao1,2; Zhang, LuXia1,2; Li, XiaoMei1,2; Zuo, Li1,2; Zhang, PuHong3; Wang, HaiYan1,2
关键词: chronic kidney disease ; nephrotoxic medication ; screening
刊名: NEPHROLOGY DIALYSIS TRANSPLANTATION
发表日期: 2011-06-01
DOI: 10.1093/ndt/gfq679
卷: 26, 期:6, 页:1916-1923
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Transplantation ; Urology & Nephrology
研究领域[WOS]: Transplantation ; Urology & Nephrology
关键词[WOS]: ANALGESIC NEPHROPATHY ; RENAL-FAILURE ; OUTCOMES ; THERAPY ; ADULTS ; ACETAMINOPHEN ; PREVALENCE ; PHENACETIN ; TAIWAN ; ABUSE
英文摘要:

Background. Prescription drug abuse is an important global health concern. Our previous survey in Beijing indicates that nephrotoxic medication use is independently associated with chronic kidney disease (CKD).

Methods. In the present study, the study population consisted of participants from our previous survey with a confirmed history of nephrotoxic medication use. Nephrotoxic mediations included three antipyretic analgesics (58.2%) and three Chinese traditional medicines containing aristolochic acids (CTM-AAs, 47.3%). Prevalence of CKD (de-fined by presence of albuminuria and/or reduced estimated glomerular filtration rate) as well as markers of tubular injury was analysed, and compared with 109 age-and sex-matched controls.

Results. The prevalence of CKD was higher among medication users compared with controls, which was 18.3% and 8.5%, respectively. Among participants with medication use without CKD, markers of tubular injury including N-acetyl-beta-D-glucosaminidase, transferrin and alpha(1)-micro-globulin, were present in 26.6%. CKD was associated with CTM-AA use (cumulative AA-I dose >0.5 g, OR = 5.625, P < 0.05) and antipyretic analgesic use (cumulative dose >2.0 kg, OR = 3.848, P = 0.063) in a dose-dependent manner. Albuminuria and tubular injury persisted among CTM-AA users, but not among analgesic users after cessation of drug.

Conclusions. Our study suggests that education about rational analgesic use and CTM-AA banning may constitute an effective CKD prevention strategy.

语种: 英语
所属项目编号: 2007BAI04B10 ; 2006B05
项目资助者: National Key Technology R&amp ; D Program in the 11th Five-Year Plan of China ; Beijing Municipal Science and Technology Commission
WOS记录号: WOS:000292329100024
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/55172
Appears in Collections:北京大学第一临床医学院_肾脏内科_期刊论文

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作者单位: 1.Peking Univ, Hosp 1, Inst Nephrol, Beijing 100034, Peoples R China
2.Peking Univ, Hosp 1, Div Nephrol, Beijing 100034, Peoples R China
3.Inst Chron & Noncommunicable Dis Control & Preven, Beijing, Peoples R China

Recommended Citation:
Su, Tao,Zhang, LuXia,Li, XiaoMei,et al. Regular use of nephrotoxic medications is an independent risk factor for chronic kidney disease-results from a Chinese population study[J]. NEPHROLOGY DIALYSIS TRANSPLANTATION,2011,26(6):1916-1923.
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