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- Title
Use of non-steroidal anti-inflammatory drugs and risk of chronic kidney disease in people with Type 2 diabetes mellitus, a nationwide longitudinal cohort study.
- Authors
Tsai, H.‐J.; Hsu, Y.‐H.; Huang, Y.‐W.; Chang, Y.‐K.; Liu, J.‐S.; Hsu, C.‐C.
- Abstract
Aims To investigate the temporal relationship between non-steroidal anti-inflammatory drug use and the development of chronic kidney disease in people with Type 2 diabetes mellitus. Methods We conducted a retrospective cohort study and followed up a population with Type 2 diabetes who were chronic kidney disease-free ( n = 48 715) using national health insurance claims data in Taiwan. Exposure status to non-steroidal anti-inflammatory drugs in 2007 was measured. A total of 6406 subjects with incident chronic kidney disease were identified from the period 2008 to 2011. Multivariable proportional hazards models were applied to determine the temporal relationship between non-steroidal anti-inflammatory drug use and the development of chronic kidney disease. Results We observed a significant temporal relationship between non-steroidal anti-inflammatory drug use and the development of chronic kidney disease in people with Type 2 diabetes. Compared with people not taking any non-steroidal anti-inflammatory drug in 2007, those who were taking such drugs for at least 90 days in 2007 had a higher risk of chronic kidney disease development (adjusted hazard ratio 1.37, 95% CI 1.26-1.49). In subgroup analyses, those people (irrespective of age, sex, various comorbidities and use of anti-hypertensive drugs, aspirin or acetaminophen) who were taking non-steroidal anti-inflammatory drugs for at least 90 days were more likely to develop chronic kidney disease than people who were not taking any non-steroidal anti-inflammatory drug. Conclusions The results suggest that there is a positive temporal relationship between non-steroidal anti-inflammatory drug use and increased risk of chronic kidney disease in people with Type 2 diabetes. The use of non-steroidal anti-inflammatory drugs should be based on clinical evaluations of benefits and risks, and should be prescribed with caution for people with Type 2 diabetes.
- Subjects
CHRONIC kidney failure; TYPE 2 diabetes complications; CONFIDENCE intervals; DATABASES; DEMOGRAPHY; PEOPLE with diabetes; LONGITUDINAL method; TYPE 2 diabetes; NONSTEROIDAL anti-inflammatory agents; NOSOLOGY; PROFESSIONAL associations; SERIAL publications; T-test (Statistics); DATA analysis; PROPORTIONAL hazards models; DISEASE risk factors
- Publication
Diabetic Medicine, 2015, Vol 32, Issue 3, p382
- ISSN
0742-3071
- Publication type
Article
- DOI
10.1111/dme.12610