Evidence map›Paper›PMID 28002877›Full record

ArticleBritish journal of clinical pharmacology2017

The drugs that mostly frequently induce acute kidney injury: a case - noncase study of a pharmacovigilance database.

Marion Pierson-Marchandise, Valérie Gras, Julien Moragny, Joelle Micallef, Louise Gaboriau, Sylvie Picard, Gabriel Choukroun, Kamel Masmoudi, Sophie Liabeuf, French National Network of Pharmacovigilance Centres

Abstract read
In one paragraph

Article in British journal of clinical pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

61 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Drug Repurposing: An Emerging Strategy inJournal of microbiology and biotechnology · 2025
    Review
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1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Marion Pierson-MarchandiseRegional Pharmacovigilance Centre, Division of Clinical Pharmacology, Amiens University Hospital, Amiens, France.
Valérie GrasRegional Pharmacovigilance Centre, Division of Clinical Pharmacology, Amiens University Hospital, Amiens, France.
Julien MoragnyRegional Pharmacovigilance Centre, Division of Clinical Pharmacology, Amiens University Hospital, Amiens, France.
Joelle MicallefCentre Régional de Pharmacovigilance, Service de Pharmacologie clinique et pharmacovigilance Aix Marseille Université, Institut de Neurosciences Timone, CNRS 7289 - 264, rue Saint Pierre, 13385, Marseille, France.
Louise GaboriauRegional Pharmacovigilance Centre, Lille University Hospital, Lille, France.
Sylvie PicardRegional Pharmacovigilance Centre, Rennes University Hospital, Rennes, France.
Gabriel ChoukrounNephrology Department, Amiens University Hospital and Jules Verne University of Picardy, Amiens, France.
Kamel MasmoudiRegional Pharmacovigilance Centre, Division of Clinical Pharmacology, Amiens University Hospital, Amiens, France.
Sophie LiabeufRegional Pharmacovigilance Centre, Division of Clinical Pharmacology, Amiens University Hospital, Amiens, France.
French National Network of Pharmacovigilance Centres

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsAcute kidney injury (AKI) is associated with a high hospitalization rate, accelerated long-term decline in kidney function and a high mortality rate. Adverse drug reactions (ADRs) constitute one of the most important modifiable factors in the context of AKI. Most studies of drug-induced AKI have focused on a sole drug class. The objective of the present study was to establish a comprehensive overview of drug-induced AKI on the basis of spontaneously reported ADRs in the French national pharmacovigilance database (FPVD).

methodsWe performed a case-noncase study of drug-induced AKI. Cases corresponded to the reports of AKI recorded in the FPVD between 1 January 2015 and 31 December 2015. The noncases corresponded to all other spontaneously reported ADRs (excluding AKI) recorded in the FPVD during the same period. Data were expressed as the reporting odds ratio (ROR) and the 95% confidence interval.

resultsOf the 38 782 ADRs recorded in the FPVD during the study period, 3.2% were classified as cases of AKI. A total of 1254 patients experienced AKI (males: 55%; mean age ± standard deviation: 68.7 ± 15.0 years). Overall, 15.2% of the patients required renal replacement therapy. Two or more concomitantly administered drugs were involved in 66% of the cases of AKI. The most frequently implicated drug classes were antibacterial agents for systemic use (29.5%), diuretics (18.5%), agents acting on the renin-angiotensin system (16.3%), antineoplastic agents (10.2%) and anti-inflammatory agents (5.4%). Gentamicin, eplerenone, spironolactone, candesartan, cisplatin and acyclovir had the highest RORs (>10).

conclusionA comprehensive study of a national pharmacovigilance database enabled us to identify the drug classes that most frequently induced AKI. Even though most of the identified drugs were already known to induce AKI, the present work should raise physicians' awareness of the compounds responsible for triggering this potentially life-threatening condition.

Indexed as

PharmacovigilanceAcute Kidney InjuryAdolescentAdultAgedAged, 80 and overDatabases, FactualDrug-Related Side Effects and Adverse ReactionsFemaleFranceGlomerular Filtration RateHumansKidney Function TestsMaleMiddle AgedOdds Ratioacute kidney injurydrugnephrotoxicitypharmacovigilance database

Identifiers

PMID28002877
PMCPMC5427222

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.