| 논문분류 | 춘계학술대회 초록집 |
|---|---|
| 제목 | Chronic kidney disease(CKD) patients are exposed to more proton pump inhibitor(PPI)s compared to non-CKD patients; in a single center out-patient clinic |
| 저자 | Lee HEE JEONG, Haekyung LEE, Song hee OH, Joonbyung PARK, Jin seok JEON, Hyunjin NOH, Dong cheol HAN, *Soon hyo KWON |
| 출판정보 | 2017; 2017(1): |
| 키워드 | Proton-pump inhibitors, Chronic kidney disease, Prescription |
| 초록 | Objectives : Proton pump inhibitor (PPI) is associated with incident chronic kidney disease (CKD), CKD progression and end-stage renal disease (ESRD). However, the extent of PPI prescription in CKD patients is still unclear. Methods : We conducted a retrospective single center study on patients (>18 years old) who received PPI in the out-patient from 2014 through 2015. The PPI prescription patterns and their characteristics were analyzed according to individual kidney function of the patients. Results : Our sample consisted of 9,067 patients. 50.3% were females. CKD (eGFR<60mL/min) patients were 9.8%. Among them, 720 (7.9%) were categorized as stage 3 or 4, 174 (1.9%) were stage 5 or ESRD. Total 7 different kinds of PPIs were prescribed. During the study period, median duration of PPI usage was 120 days[interquartile range, 63-273] in CKD 3-4 group, 105 days[56-271] in CKD 5-ESRD group and 90 days[56-175] in non-CKD group. CKD stage 3 or 4 group took longer duration of PPI than non-CKD group (p<0.0001). Main departments of medicine which prescribed PPIs in CKD group were gastroenterology (39.4%), cardiology (28.2%), nephrology (15.1%) and neurology (4.3%). Compared to the non-CKD group, the CKD stage 3-4 and CKD stage 5-ESRD group was taking more drugs simultaneously (6.9 ± 4.2 vs 4.5 ± 2.4; p<0.001 , 5.6 ± 2.8 vs 4.5 ± 2.4 ; p<0.001, respectively). Conclusions : CKD patients are exposed to more PPIs compared to non-CKD patients. Physicians should pay careful attention when prescribing PPIs in patients with CKD. |
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