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Association of Acute Increases in Plasma Creatinine after Renin-Angiotensin Blockade with Subsequent Outcomes | American Society of Nephrology

Background and objectives Data from observational and interventional studies provide discordant results regarding the relationship between creatinine increase after renin-angiotensin system inhibition (RASi) and adverse outcomes. We compared health outcomes among patients with different categories of increase in creatinine upon initiation of RASi in a large population-based cohort. Design, setting, participants, & measurements We performed a retrospective analysis of the Stockholm CREAtinine Measurements database, which contains complete information on diagnoses, medication dispensation claims, and laboratory test results for all Stockholm citizens accessing health care. Included were 31,951 adults initiating RASi during 2007–2011 with available pre- and postinitiation creatinine monitoring. Multivariable Cox regression was used to compare mortality, cardiovascular and ESKD events among individuals with different ranges of creatinine increases within 2 months after starting treatment. Results In a median follow-up of 3.5 years, acute increases in creatinine were associated with mortality (3202 events) in a graded manner: compared with creatinine increases <10%, a 10%–19% increase

Sorgente: Association of Acute Increases in Plasma Creatinine after Renin-Angiotensin Blockade with Subsequent Outcomes | American Society of Nephrology

 

The Use of Erythropoiesis-Stimulating Agents in Patients With CKD and Cancer: A Clinical Approach – American Journal of Kidney Diseases

Erythropoiesis-stimulating agents (ESAs) have been used to manage anemia in chronic kidney disease (CKD) to reduce transfusion requirements and anemia symptoms. Lack of objective benefit of normalizing hemoglobin (Hb) levels and increased evidence of ESA-induced complications in persons with anemia has resulted in clinicians generally attempting to maintain Hb levels in the 10- to 11-g/dL range. In 2000, concerns in patients with cancer arose attributable to associations of ESA use with increased mortality, thrombotic complications, and cerebrovascular accidents led to a change in US Food and Drug Administration oncology guidelines regarding limitation of ESA use for chemotherapy-induced anemia.

Sorgente: The Use of Erythropoiesis-Stimulating Agents in Patients With CKD and Cancer: A Clinical Approach – American Journal of Kidney Diseases

 

Rapporto OsMed 2018: indicatori di aderenza e persistenza | AIFA Agenzia Italiana del Farmaco

Sorgente: Rapporto OsMed 2018: indicatori di aderenza e persistenza | AIFA Agenzia Italiana del Farmaco

 

Sorgente: Rapporto OsMed 2018: l’uso dei farmaci nelle popolazioni fragili | AIFA Agenzia Italiana del Farmaco

Sorgente: Rapporto OsMed 2018: il consumo di farmaci in Italia | AIFA Agenzia Italiana del Farmaco

 

 

Rapporto OsMed 2018: il consumo di farmaci in Italia | AIFA Agenzia Italiana del Farmaco

Sorgente: Rapporto OsMed 2018: il consumo di farmaci in Italia | AIFA Agenzia Italiana del Farmaco

 

Ipertensione: semplificare la terapia favorisce l’aderenza e il controllo della pressione – Senioritalia

I risultati dello studio Senior Italia FederAnziani presentati al Ministero della Salute

Sorgente: Ipertensione: semplificare la terapia favorisce l’aderenza e il controllo della pressione – Senioritalia

 

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Ipertensione Arteriosa in CKD: suggerimenti di pratica clinica e di applicazione delle Linee Guida · Nephromeet

NephroMEET, la rete delle conoscenze nefrologiche

Sorgente: Ipertensione Arteriosa in CKD: suggerimenti di pratica clinica e di applicazione delle Linee Guida · Nephromeet

 

Il dibattito sull’omeopatia è finito. Usarla per curarsi non serve a niente.

Secondo gli Ordini dei medici italiani l’omeopatia non ha che un effetto placebo.

Sorgente: Il dibattito sull’omeopatia è finito. Usarla per curarsi non serve a niente.

 
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Pubblicato da su 6 giugno 2019 in appopriatezza, farmaci, farmacoeconomia

 
 
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