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2015 ; 94
(32
): e1334
Nephropedia Template TP
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A Taiwanese Nationwide Cohort Study Shows Interferon-Based Therapy for Chronic
Hepatitis C Reduces the Risk of Chronic Kidney Disease
#MMPMID26266379
Chen YC
; Hwang SJ
; Li CY
; Wu CP
; Lin LC
Medicine (Baltimore)
2015[Aug]; 94
(32
): e1334
PMID26266379
show ga
Hepatitis C virus (HCV) infection is a risk factor for chronic kidney disease
(CKD). However, it remains unclear whether interferon-based therapy (IBT) for HCV
was associated with reduced risk of CKD.From the Taiwan National Health Insurance
Research Database, we identified 919 patients who received 3 months or more of
IBT as our treated cohort. This cohort was propensity score-matched 1:4 with 3676
controls who had never received IBT for HCV infection (untreated cohort).
Cumulative incidences of and hazard ratios (HRs) for CKD were calculated after
adjusting for competing mortality.In the matched HCV cohort, the risk of CKD was
significantly lower in the treated cohort (7-year cumulative incidence, 2.6%; 95%
confidence interval [CI], 0.7%-6.9%) than in the untreated cohort (4%; 95% CI,
3.5%-5.2%) (P?0.001), with an adjusted HR of 0.42 (95% CI, 0.20-0.92;
P?=?0.03). The results also held in the overall HCV cohort. The number needed to
treat for 1 fewer CKD at 7 years was 58. The reduced risk of CKD was greatest
(0.35; 0.14-0.87; P?=?0.024) in HCV-infected patients who received 6 months or
more of IBT. Multivariable stratified analysis verified that greater risk
reduction of CKD was present in HCV-infected patients with hyperlipidemia,
diabetes, hypertension, and those without coronary heart disease.In conclusion,
IBT, especially for 6 or more months, is associated with reduced risk of CKD in
HCV-infected patients. Hyperlipidemia, diabetes, hypertension, and coronary heart
disease can modify this association.
|Adult
[MESH]
|Antiviral Agents/administration & dosage/*therapeutic use
[MESH]