Papers

International journal
Dec 3, 2020

Differences in risk factors for anticoagulant-related nephropathy between warfarin and direct oral anticoagulants: Analysis of the Japanese adverse drug event report database.

British journal of clinical pharmacology
  • Satoru Mitsuboshi
  • ,
  • Takahiro Niimura
  • ,
  • Yoshito Zamami
  • ,
  • Keisuke Ishizawa

Volume
87
Number
7
First page
2977
Last page
2981
Language
English
Publishing type
Research paper (scientific journal)
DOI
10.1111/bcp.14688

Limited information is available on anticoagulant-related nephropathy (ARN). We therefore reviewed the Japanese Adverse Drug Event Report database to investigate kidney injury (KI) in patients administered warfarin or direct oral anticoagulants (DOACs) and sought to clarify the risk factors for ARN. KI risk in warfarin users was associated with male sex (odds ratio [OR], 1.70; 95% confidence interval [CI], 1.35-2.13; P < .01) and age ≥80 years (OR, 1.35; 95% CI, 1.07-1.72; P = .01). KI risk in DOAC users was associated with body weight ≥80 kg (OR, 1.60; 95% CI, 1.01-2.53; P = .04) and use of dabigatran (OR, 1.61; 95% CI, 1.09-2.37; P < .01). Our findings suggest that risk factors for ARN differ between warfarin and DOACs and that these risk factors may be associated with bleeding risk. Therefore, the risk of ARN may be decreased by better managing bleeding risk in patients taking anticoagulants.

Link information
DOI
https://doi.org/10.1111/bcp.14688
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33270271
ID information
  • DOI : 10.1111/bcp.14688
  • Pubmed ID : 33270271

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