reported that the incidence of CIN from 48 to 72 h after CAG
was higher in patients receiving HD. Lee et al. examined the effect of HD on preventing the development of CIN after CAG. Ccr of patients receiving HD decreased more than in those without HD (0.4 ± 0.9 vs. 2.2 ± 2.8 ml/min/1.73 m2). Additionally, the number of patients requiring temporary dialysis was lower in the dialysis group. However, these results need to be interpreted cautiously, because this was a single study and there have been no other studies with similar results; moreover, this study included relatively advanced CKD patients with a mean creatinine level of 4.9 mg/dL. Bibliography 1. Vogt B, et al. Am J Med. 2001;111:692–8. selleck chemicals llc AZD5153 datasheet (Level 2) 2. Sterner G, et al. Scand J Urol Nephrol. 2000;34:323–6. (Level 2) 3. Lehnert T, et al. Nephrol Dial Transplant. 1998;13:358–62. (Level 2) 4. Frank H, et al. Clin Nephrol. 2003;60:176–82. (Level 2) 5. Reinecke H, et al. Clin Res Cardiol. 2007; 96:130–9. (Level 2) 6. Shiragami K, et al. Circ J. 2008;72:427–33. (Level 2) 7. Lee PT, et al. J Am Coll Cardiol. 2007;50:1015–20. (Level 2) 8. click here Marenzi G, et al. N Engl J Med. 2003;349:1333–40. (Level 2) 9. Marenzi G, et al. Am J Med. 2006;119:155–62. (Level 2) 10. Song K, et al. Am J Nephrol. 2010;32:497–504. (Level 1) Do NSAIDs affect
the progression of CKD? Some reports have shown significant relationships between renal disorder and COX non-selective NSAIDs, or COX-2 selective NSAIDs that have been introduced to reduce renal disorder or gastrointestinal mucosal disorder, while other reports do not, and currently there is no consensus on the safety of these drugs. In the first edition of the CKD guideline, we commented that the use of NSAIDs should be minimal, because all NSAIDs carry the risk of
kidney disorder. Subsequently, there has been no evidence to establish the safety of these drugs. A recent report from the United States Orotidine 5′-phosphate decarboxylase showed that many CKD patients were potential users of NSAIDs, including commercially available drugs, and the awareness of CKD did not affect the amounts of NSAIDs consumed. It is important to enlighten patients with CKD regarding the use of NSAIDs. Bibliography 1. Perneger TV, et al. N Engl J Med. 1994;331:1675–9. (Level 4) 2. Rexrode KM, et al. JAMA. 2001;286:315–21. (Level 4) 3. Fored CM, et al. N Engl J Med. 2001;345:1801–8. (Level 4) 4. Temple AR, et al. Clin Ther. 2006;28:222–35. (Level 2) 5. Evans M, et al. Nephrol Dial Transplant. 2009;24:1908–18. (Level 4) 6. Murray MD, et al. Am J Med Sci. 1995;310:188–97. (Level 2) 7. Whelton A, et al. Ann Intern Med. 1990;112:568–76. (Level 2) 8. Cook ME, et al. J Rheumatol. 1997;24:1137–44. (Level 2) 9. Gooch K, et al. Am J Med. 2007;120:280.e1–7. (Level 4) 10. Swan SK, et al. Ann Intern Med. 2000;133:1–9. (Level 2) 11.