國家衛生研究院 NHRI:Item 3990099045/9524
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    題名: Risk of liver injury after alpha-glucosidase inhibitor therapy in advanced chronic kidney disease patients
    其他題名: Risk of liver injury after α-glucosidase inhibitor therapy in advanced chronic kidney disease patients
    作者: Kao, CC;Wu, PC;Wu, CH;Chen, LK;Chen, HH;Wu, MS;Wu, VC
    貢獻者: Division of Health Services and Preventive Medicine
    摘要: Although alpha-glucosidase inhibitors (AGIs) are commonly used for controlling postprandial blood glucose, AGIs-induced liver injuries have been reported. However, the relationship between AGIs and liver injuries in advanced chronic kidney disease (CKD) patients remains unexplored. In this nationwide case-control study, we recruited 1765 advanced diabetic CKD patients, who received AGIs therapy from January 1, 2000 to December 31, 2010 as the study sample and 5295 matched controls. Recent and former AGIs users were defined as patients who received the AGIs prescription for 30-60 d and 30-210 d before the event of liver injury. The risk of AGIs-induced liver injury was examined using time-dependent Cox proportional hazards model. Liver injury occurred in 3.9% of patients in the study group and 3.3% of patients in the control group. AGIs use did not increase the risk of liver injury in advanced CKD patients (P = 0.19). The stratified analysis indicated no increased risk of liver injury in all AGIs-using subgroups (all P > 0.05). The available evidence supports extending the use of AGIs without increasing the risk of liver injury in patients with advanced CKD. Additional randomized controlled trials are warranted to confirm our results.
    日期: 2016-01-11
    關聯: Scientific Reports. 2016 Jan 11;6:Article number 18996.
    Link to: http://dx.doi.org/10.1038/srep18996
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=2045-2322&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000368126200001
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=84954181723
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