Understanding the Risk Factors and Long-Term Consequences of Cisplatin-Associated Acute Kidney Injury: An Observational Cohort Study

Autor: Milani Sivagnanam, Zeenat Bhat, Kevin Ginsburg, Mona D. Doshi, Corey K. Treadway, Pravit Cadnapaphornchai, Shamit Chopra, Ammar Sukari, Ho-Sheng Lin, George H. Yoo
Rok vydání: 2015
Předmět:
Zdroj: PLoS ONE
PLoS ONE, Vol 10, Iss 11, p e0142225 (2015)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0142225
Popis: Acute kidney injury (AKI) is a well-known complication of cisplatin-based chemotherapy; however, its impact on long-term patient survival is unclear. We sought to determine the incidence and risk factors for development of cisplatin-associated AKI and its impact on long-term renal function and patient survival. We identified 233 patients who received 629 cycles of high-dose cisplatin (99±9mg/m2) for treatment of head and neck cancer between 2005 and 2011. These subjects were reviewed for development of AKI. Cisplatin nephrotoxicity (CN) was defined as persistent rise in serum creatinine, with a concomitant decline in serum magnesium and potassium, in absence of use of nephrotoxic agents and not reversed with hydration. All patients were hydrated per protocol and none had baseline glomerular filtration rate (GFR) via CKD-EPI
Databáze: OpenAIRE