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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2017 ; 12
(5
): e0177654
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Comparative effectiveness of angiotensin-converting enzyme inhibitors versus
angiotensin II receptor blockers for major renal outcomes in patients with
diabetes: A 15-year cohort study
#MMPMID28505194
Wu HY
; Peng CL
; Chen PC
; Chiang CK
; Chang CJ
; Huang JW
; Peng YS
; Tu YK
; Chu TS
; Hung KY
; Chien KL
PLoS One
2017[]; 12
(5
): e0177654
PMID28505194
show ga
BACKGROUND: Angiotensin converting enzyme inhibitors (ACEIs) and angiotensin II
receptor blockers (ARBs) are considered to have similar renoprotective effects;
so far there has been no consensus about their priorities. This study aimed to
compare ACEIs and ARBs for major renal outcomes and survival in a 15-year cohort
of adults with diabetes. METHODS: This study utilized Taiwan's medical and
pharmacy claims data in the Longitudinal Cohort of Diabetes Patients. The primary
outcome was long-term dialysis, and secondary outcomes were hospitalization for
acute kidney injury, hospitalization for hyperkalemia, all-cause death,
cardiovascular death, and non-cardiovascular death. Cox proportional hazards
models were used to estimate the hazard ratios (HRs) and 95% confidence intervals
(CIs) for outcomes comparing ACEIs with ARBs. We conducted subgroup analyses and
interaction tests among patients with different age and comorbid diseases.
RESULTS: A total of 34,043 patients received ACEIs and 23,772 patients received
ARBs. No differences were found for primary or secondary outcomes in the main
analyses. ACEIs showed significantly lower hazard than ARBs for long-term
dialysis among patients with cardiovascular disease (HR 0.80, 95% CI 0.66-0.97,
interaction P = 0.003) or chronic kidney disease (0.81, 0.71-0.93, interaction P
= 0.001). CONCLUSIONS: Our analyses show similar effects of ACEIs and ARBs in
patients with diabetes. However, ACEIs might provide additional renoprotective
effects among patients who have cardiovascular disease or chronic kidney disease.
|Adult
[MESH]
|Aged
[MESH]
|Aged, 80 and over
[MESH]
|Angiotensin Receptor Antagonists/*pharmacology/therapeutic use
[MESH]
|Angiotensin-Converting Enzyme Inhibitors/*pharmacology/therapeutic use
[MESH]