J 2022

Impact of Imatinib Treatment on Renal Function in Chronic Myeloid Leukemia Patients

SINGH, Avinash Kumar, Mohammad Salman HUSSAIN, Rayaz AHMED, Narendra AGRAWAL, Dinesh BHURANI et. al.

Základní údaje

Originální název

Impact of Imatinib Treatment on Renal Function in Chronic Myeloid Leukemia Patients

Autoři

SINGH, Avinash Kumar, Mohammad Salman HUSSAIN (356 Indie, domácí), Rayaz AHMED, Narendra AGRAWAL, Dinesh BHURANI, Miloslav KLUGAR (203 Česká republika, domácí) a Manju SHARMA

Vydání

Nephrology, Hoboken, Wiley, 2022, 1320-5358

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30217 Urology and nephrology

Stát vydavatele

Spojené státy

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 2.500

Kód RIV

RIV/00216224:14110/22:00125092

Organizační jednotka

Lékařská fakulta

UT WoS

000739713300001

Klíčová slova anglicky

cancer; chronic kidney disease; chronic myeloid leukaemia;imatinib; meta-analysis; tyrosine kinase inhibitors

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 20. 7. 2022 09:20, Mgr. Tereza Miškechová

Anotace

V originále

Background Recently, multiple epidemiological studies have linked imatinib with the alteration of kidney function in chronic myeloid leukemia (CML) patients. This meta-analysis aimed to summarize the impact of Imatinib use on renal function in CML patients. Methods A systematic search was conducted on MEDLINE and Embase to identify articles assessing the impact of imatinib exposure on renal function in CML patients. The risk of bias was assessed using the Newcastle-Ottawa scale (NOS). Two authors independently performed literature screening, risk of bias, and data extraction. The risk of renal dysfunction (chronic kidney disease or acute kidney injury) among imatinib users was computed as the primary outcome of interest. The certainty of findings was assessed using the GRADE criteria. Results A total of nine articles qualified for inclusion in the systematic review, of which four articles were eligible for meta-analysis. Based on the scoring on NOS, majority of the included studies were found to be of moderate risk of bias. Majority of the studies (n = 6) reported significantly (p <0.05) decrease in estimated glomerular filtration rate (eGFR) after imatinib treatment. The risk of developing renal dysfunction (CKD or AKI) was found to be significantly higher in imatinib users as compared to other TKI (tyrosine kinase inhibitor) users with a pooled relative risk of 2.70 (95% CI: 1.49 – 4.91). Sensitivity analysis also revealed a consistently high risk of renal dysfunction with imatinib use. GRADE criteria revealed low certainty of evidence. Conclusion This meta-analysis found an increased risk of renal dysfunction in imatinib users compared to other TKI users.

Návaznosti

EF18_053/0016952, projekt VaV
Název: Postdoc2MUNI
LTC20031, projekt VaV
Název: Towards an International Network for Evidence-based Research in Clinical Health Research in the Czech Republic
Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Towards an International Network for Evidence-based Research in Clinical Health Research in the Czech Republic, INTER-COST