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Epidemiology
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Second-generation antipsychotics and the risk of chronic kidney disease: a population-based case-control study
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  • Published on: 21 December 2020
    Second-generation antipsychotics and chronic kidney disease: a risk assessment

    Højlund et al. conducted a 1:4 matching case-control study to examine the association between use of second-generation antipsychotics (SGA) and the risk of chronic kidney disease (CKD) (1). They defined CKD as an estimated glomerular filtration rate below 60 mL/min/1.73 m2 for 3 months or more. The adjusted odds ratios (ORs) (95% confidence intervals [CIs]) of ever and current SGA users for the risk of CKD were 1.24(1.12 to 1.37) and 1.26 (1.12 to 1.42), although there was no dose-response relationship. In addition, the adjusted ORs (95% CIs) of short-term and long-term SGA users for the risk of CKD were 1.22 (1.01 to 1.48) and 1.45 (1.19 to 1.76), respectively. Furthermore, clozapine presented the highest risk of CKD, and aripiprazole presented no significant risk of CKD. I have a comment about their study with special reference for the psychiatric diseases.

    Wang et al. conducted a risk assessment of CKD between patients with schizophrenia using first and second-generation antipsychotics (2). They defined CKD as a kidney damage as albumin-to-creatinine ratio >30 mg/g or glomerular filtration rate below 60 mL/min/1.73 m2 for 3 months or more. The risks for CKD were significantly higher in patients with SGA, although the risk did not increase as the patients used SGA for longer period. As the information in the risk of CKD in patients with SGA is limited, further studies are recommended by specifying the psychiatric diseases and CKD-related comorbidities.

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    Conflict of Interest:
    None declared.