64 results match your criteria: "Kaetsu Hospital[Affiliation]"

Purpose: Although there is concern about the association of sodium-glucose cotransporter-2 inhibitor (SGLT2i) use with musculoskeletal pain, hypovolemia, and urinary tract infection in patients with severe chronic kidney disease (CKD), information on these adverse events is insufficient. The aim of this systematic review and meta-analysis was to assess whether SGLT2i increases the risk of urinary tract infection, hypovolemia, and musculoskeletal pain in these patients.

Methods: MEDLINE via PubMed, the Cochrane Central Register of Controlled Trials, and the ClinicalTrials.

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  • A systematic review and meta-analysis were conducted to determine the impact of mineralocorticoid receptor antagonists (MRAs) on the risk of acute kidney injury (AKI), sourcing data from various medical databases.
  • The analysis included 33 randomized controlled trials (RCTs) that involved patients with heart or kidney disease, showing no significant increase in AKI risk when using MRAs (RR 1.13), but did find an increased risk of kidney injury overall (RR 1.52).
  • Specific MRAs like canrenone and spironolactone were linked to a higher risk of kidney injury, while eplerenone and finerenone did not appear to increase this risk, suggesting that the choice
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  • Concomitant use of NSAIDs and PPIs may increase the risk of acute kidney injury (AKI), but the impact of other gastroprotective agents like misoprostol hasn't been fully studied.
  • The study analyzed data from over 11,600 patients on NSAIDs to compare the incidence of AKI among those using histamine-2 receptor antagonists (H2RAs), misoprostol, and PPIs, considering various patient factors.
  • Results indicated that while AKI occurred in 0.5% of H2RA users and 1.1% of PPI users, none in the misoprostol group, suggesting that PPIs may carry a higher AKI risk than H2
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  • Tofacitinib, a drug for rheumatoid arthritis, has a significant side effect risk of herpes zoster, particularly at a 10 mg/day dosage, but its safety at a 5 mg/day dose for patients with chronic kidney disease was unclear.
  • A study analyzed data from the Japanese Adverse Drug Event Report to compare herpes zoster incidence in rheumatoid arthritis patients on 5 mg/day versus 10 mg/day of tofacitinib.
  • Results indicated that 5 mg/day significantly reduced the risk of herpes zoster compared to 10 mg/day, with additional risk factors identified such as being female or using methotrexate.
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Objectives: To determine whether concomitant use of ceftriaxone and oral or intravenous lansoprazole increases the risk of ventricular arrhythmia and cardiac arrest in the real-world setting in Japan.

Methods: The data analyzed were obtained from the JMDC hospital-based administrative claims database for the period April 2014 to August 2022. Patients who received a proton pump inhibitor (PPI) while receiving ceftriaxone or sulbactam/ampicillin were identified.

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Association between roxadustat use and suppression of thyroid function: a systematic review and meta-analysis.

J Pharm Health Care Sci

June 2024

Division of Nephrology and Rheumatology, Department of Internal Medicine, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.

Background: Based on several case reports and observational studies, there is a growing concern regarding the potential association between roxadustat, a hypoxia-inducible factor prolyl-hydroxylase inhibitor, and suppression of thyroid function. In this systematic review and meta-analysis (PROSPERO: CRD42023471516), we aimed to evaluate the relationship between roxadustat use and suppression of thyroid function.

Methods: We conducted a comprehensive search of MEDLINE via PubMed, ClinicalTrials.

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This network meta-analysis of randomized controlled trials aimed to determine whether any individual dipeptidyl peptidase-4 (DPP-4) inhibitors increase the risk of acute kidney injury (AKI). The Medical Literature Analysis and Retrieval System Online via PubMed, the Cochrane Central Register of Controlled Trials and ClinicalTrials.gov were systematically searched to identify relevant studies.

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Although diuretics play an important role in triple-whammy acute kidney injury (AKI), it is unclear whether the type of diuretic influences the risk of triple-whammy AKI. The aim of this study was to evaluate whether vasopressin receptor antagonists affect triple-whammy AKI. This cross-sectional study used disproportionality analysis of VigiBase data to assess the risk of AKI with various diuretics.

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Study Objective: Few data are available on the association between the use of oxycodone in patients with chronic kidney disease (CKD) and acute respiratory conditions. The aim of this study was to investigate whether oxycodone is associated with an increased risk of acute respiratory conditions in patients with cancer and CKD compared with other opioids.

Design And Setting: The data were obtained from a claims database in Japan.

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Several urate-lowering drugs have been linked to muscle injury. This study investigated the association of oral urate-lowering drugs with the risk of muscle injury by performing a network meta-analysis of randomized and non-randomized controlled trials. A systematic search of MEDLINE, via PubMed, the ClinicalTrials.

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Aims: Misoprostol is a prostaglandin E1 analogue that is used to prevent nonsteroidal anti-inflammatory drug (NSAID)-induced gastrointestinal disorders. The aim of this systematic review and meta-analysis was to evaluate whether use of misoprostol also decreases the risk of NSAID-induced kidney injury.

Methods: Randomized controlled trials that compared misoprostol vs.

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Although an association has been reported between diuretics and myocarditis, it is unclear whether the risk of immune checkpoint inhibitor (ICI)-induced myocarditis is affected by concomitant diuretics. Thus, the aim of this work was to evaluate the impact of concomitant diuretics on ICI-induced myocarditis. This cross-sectional study used disproportionality analysis and a pharmacovigilance database to assess the risk of myocarditis with various diuretics in patients receiving ICIs via the analysis of data entered into the VigiBase database through December 2022.

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Introduction: Recently, cases of cardiovascular toxicities, such as pericarditis, caused by anaplastic lymphoma kinase (ALK) inhibitors have been reported; however, whether these adverse events are common among all ALK inhibitors remains unclear.

Aims: This study aimed to clarify the cardiovascular toxicity profile of ALK inhibitors using an adverse event spontaneous report database.

Methods: We analyzed data from VigiBase, the WHO global database of individual safety reports, from its inception in 1968 to December 2021.

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Article Synopsis
  • The study examines the effectiveness of disproportionality analysis in the JADER database for identifying vaccine adverse events before updates to package inserts are made.
  • Researchers extracted data from the Pharmaceuticals and Medical Devices Agency to observe revisions of vaccine adverse event information from January 2013 to March 2023.
  • Results showed that 80% of identified adverse events were significant disproportionalities before the revisions and 60% of those were detected at least 12 months earlier, highlighting the potential of JADER for timely vaccine safety monitoring.
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In this study, we compared the mechanisms of brain recovery in intracerebral hemorrhage and ischemia, focusing on synapses, glial cells, and dopamine expression, which are considered fundamental for neural recovery after stroke. Male Wistar rats were divided into intracerebral hemorrhage, ischemia, and sham surgery (SHAM) groups. The intracerebral hemorrhage group was injected with a collagenase solution, the ischemia group was injected with an endothelin-1 solution, and the SHAM group was injected with physiological saline.

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Objective: The purpose of this study is to report the clinical characteristics of dysautonomia associated with immune checkpoint inhibitors (ICIs).

Methods: We reported two patients with autoimmune autonomic ganglionopathy (AAG) occurring as immune-related adverse events (irAEs). We also performed a review of previous case reports presenting dysautonomia during ICI therapy.

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  • A study examined whether proton pump inhibitors (PPIs) are linked to a higher risk of rhabdomyolysis using data from two sources: the Medical Data Vision (MDV) database in Japan and the FDA's Adverse Event Reporting System (FAERS).
  • Findings indicated a significant association between PPI use and increased risk of rhabdomyolysis, with odds ratios ranging from 1.74 to 1.95, while histamine-2 receptor antagonists showed no significant risk.
  • Although PPIs were associated with rhabdomyolysis, the analyses indicated that they did not further increase this risk when used alongside statins, suggesting the need for more safety studies on these medications.
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Romosozumab is associated with an increased risk of cardiac or cerebrovascular events. Identifying the risk factors for these events could contribute to the safe use of romosozumab. This study aimed to investigate risk factors for cardiac or cerebrovascular events in romosozumab users.

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Aims: Several reports have suggested an association between febuxostat and muscle injury. The purpose of this study was to determine whether febuxostat increases the risk of muscle injury. This study included an analysis of the US Food and Drug Administration Adverse Event Reporting System (FAERS) database and a systematic review/meta-analysis of randomized controlled trials.

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Myasthenia gravis (MG) is a rare but fatal adverse event of immune checkpoint inhibitors (ICIs). We assessed whether patient characteristics differed between those with ICI-related myasthenia gravis and those with idiopathic myasthenia gravis. Reports from the US Food and Drug Administration Adverse Event Reporting System were analyzed.

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Distigmine sometimes causes severe adverse events, and the serum butyrylcholinesterase (BChE) level is reduced by distigmine. However, limited data are available on the association between serum BChE level and the risk of distigmine-induced adverse events. To clarify the association between the risk of distigmine-induced adverse events and serum BChE level, we retrospectively reviewed 371 patients with 2199 measurements of serum BChE levels at three hospitals, of whom 24 (6.

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