scholarly journals Albuminuria and Serum Creatinine in Predicting Renal Function Decline in Patients with Diabetic Nephropathy: A Systematic Literature Review

2016 ◽  
Vol 19 (7) ◽  
pp. A520 ◽  
Author(s):  
E Grubb ◽  
J Van der Vaart ◽  
K Norris ◽  
KE Smoyer ◽  
C Rolland
PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252186
Author(s):  
Hayne Cho Park ◽  
AJin Cho ◽  
Do Hyoung Kim ◽  
Kyu-sang Yun ◽  
Juhee Kim ◽  
...  

Renamezin® is a modified capsule-type oral spherical adsorptive carbon which lowers indoxyl sulfate levels in patients with advanced chronic kidney disease (CKD). This 24-week prospective observational cohort study was performed to evaluate the effect of Renamezin® upon attenuation of renal function decline. A total of 1,149 adult patients with baseline serum creatinine 2.0–5.0 mg/dL were enrolled from 22 tertiary hospital in Korea from April 2016 to September 2018. Among them, a total of 686 patients completed the study and were included in the intention-to-treat analysis. A total of 1,061 patients were included in the safety analysis. The mean age was 63.5 years and male patients were predominant (63.6%). Most of the patients (76.8%) demonstrated high compliance with study drug (6g per day). After 24 week of treatment, serum creatinine was increased from 2.86±0.72 mg/dL to 3.06±1.15 mg/dL (p<0.001), but estimated glomerular filtration rate was not changed significantly during observation period (22.3±6.8 mL/min/1.73m2 to 22.1±9.1 mL/min/1.73m2, p = 0.243). Patients with age over 65 years old and those under good systolic blood pressure control <130 mmHg were most likely to get benefit from Renamezin® treatment to preserve renal function. A total of 98 (9.2%) patients out of 1,061 safety population experienced 134 adverse events, of which gastrointestinal disorders were the most common. There were no serious treatment-related adverse events. Renamezin® can be used safely to attenuate renal function decline in moderately advanced CKD patients.


2019 ◽  
Vol 34 (Supplement_1) ◽  
Author(s):  
Daniel Sugrue ◽  
Heleen Van Haalen ◽  
Juan Jose Garcia Sanchez ◽  
Oliver Darlington ◽  
Phil Mcewan

2014 ◽  
Vol 92 (0) ◽  
pp. 48-54 ◽  
Author(s):  
I. A. van Echteld ◽  
C. van Durme ◽  
L. Falzon ◽  
R. B. Landewe ◽  
D. M. van der Heijde ◽  
...  

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Paraish S. Misra ◽  
Stephen G. Szeto ◽  
Adriana Krizova ◽  
Richard E. Gilbert ◽  
Darren A. Yuen

2021 ◽  
Vol 13 (3) ◽  
pp. 241-249
Author(s):  
Seyyed Reza Sobhani ◽  
Mojgan Mortazavi ◽  
Mahsa Kazemifar ◽  
Leila Azadbakht

Introduction: Fast food consumption (FFC) has been raised as a risk factor for cardiometabolic outcomes and renal function disorders. The present study aimed to investigate the association between FFC and cardiovascular disease (CVD) risk factors and renal function among patients with diabetic nephropathy (DN). Methods: This cross-sectional study was conducted among 397 randomly enrolled patients with DN. A validated 168 food items food frequency questionnaire was used for measuring FFC. Weight, waist,height, fasting blood sugar (FBS), hemoglobin A1C (HbA1C), serum creatinine, blood urea nitrogen(BUN), hs-CRP, systolic blood pressure(SBP), diastolic blood pressure (DBP), and lipid profile concentrations were measured. Generalized linear model analysis of covariance was used to compare means of BP, biochemical and anthropometric factors across tertiles of FFC adjusted for potential confounders. Results: The mean weekly intakes of fast food were 130 ± 60 grams. Patients in the highest compared to the lowest tertiles of FFC were more likely to be overweight and obese, had higher levels of creatinine, SBP, and DBP in the unadjusted model (P<0.05). In the adjusted models, DN patients in the highest vs lowest tertiles of FFC had higher levels of SBP and DBP (P=<0.001). Conclusion: Higher consumption of fast food is associated with higher levels of both systolic and diastolic blood pressure in DN patients. The present study observed no significant differences between the highest versus the lowest tertiles of FFC for waist, FBS, HbA1C, serum creatinine, BUN, hs-CRP, and lipid profile concentrations.


2017 ◽  
Vol 31 (12) ◽  
pp. 1704-1709 ◽  
Author(s):  
Subin Hwang ◽  
Jeeeun Park ◽  
Jinhae Kim ◽  
Hye Ryoun Jang ◽  
Ghee Young Kwon ◽  
...  

2021 ◽  
Vol 93 (1) ◽  
pp. 9-14
Author(s):  
Alessandro Tafuri ◽  
Katia Odorizzi ◽  
Giacomo Di Filippo ◽  
Clara Cerrato ◽  
Giulia Fassio ◽  
...  

Objective: The aim of our study was to investigate frequency and predictors both of postoperative acute kidney injury (AKI) and renal function decline in a population of consecutive upper tract urothelial carcinoma (UTUC) patients who underwent radical nephroureterectomy (RNU). Materials and methods: Between October 2014 and February 2020, 93 patients underwent RNU at our Institution. After considered exclusion criteria, 89 patients were selected. Perioperative clinical factors were retrospectively collected. Estimated glomerular filtration rate (eGFR) was calculated using the Chronic Kidney Disease Epidemiology Collaboration (CKDEPI) equation. We defined AKI as an increase in serum creatinine by ≥ 0.3 mg/dl or a 1.5-1.9-fold increase in serum creatinine from baseline to I post-operative day (POD). A significant renal function reduction was defined as an eGFR reduction of 40% from baseline at discharge and at last clinical evaluation. Frequency of AKI and eGFR decline was investigated. Association between perioperative clinical factors and AKI and eGFR reduction at discharged and last follow-up was studied using univariate and multivariate models. Results: AKI was detected at I POD in 45 patients. On multivariate analysis, pre-operative eGFR was an independent predictor of AKI (OR 1.03; p = 0.042). Further, AKI was found to be a significant predictor of eGFR reduction ≥ 40% at discharge at univariate analysis (OR 19.42; p = 0.005) and at multivariate analysis (OR 12.49; p = 0.02). In a multivariate logistic regression model post-operative AKI (OR 5.18; p = 0.033), lack of ipsilateral preoperative hydronephrosis (OR 0.17; p = 0.016), preoperative eGFR (OR 1.04; p = 0.047) and antiplatelet therapy (OR 5.14; p = 0.018) were found to be independent predictors of an eGFR reduction higher than 40% at last clinical evaluation made at a median of 15 (IQR 5-30) months. Conclusions: In our cohort, AKI was present in almost 50% of patients after RNU and it was a strong predictor of renal function decline after RNU.


2010 ◽  
Vol 39 (5) ◽  
pp. 542-548 ◽  
Author(s):  
G. Van Pottelbergh ◽  
L. Van Heden ◽  
C. Mathei ◽  
J. Degryse

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