Home Bratislava Medical Journal 2024 Bratislava Medical Journal Vol.125, No.12, p 759–765, 2024

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

Impact factor 1.5

 

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Bratislava Medical Journal Vol.125, No.12, p 759–765, 2024

Title: The sodium-glucose cotransporter-2 inhibitors in patients with chronic kidney disease with or without kidney transplantation – a single centre study
Author: Patricia KLEINOVA, Karol GRANAK, Matej VNUCAK, Monika BELIANCINOVA, Timea BLICHOVA, Ivana DEDINSKA
Abstract: INTRODUCTION: The sodium-glucose cotransporter-2 inhibitors (SGLT2i) represent the first-line treatment for chronic kidney disease. The question remains of their benefit and safety for patients after kidney transplantation. The study aimed to show the renoprotective effect and safety of use in patients with chronic kidney disease with or without kidney transplantation.
MATERIAL: This is a prospective monocentric study of the Transplant-Nephrology Department in Martin in which patients with chronic kidney disease with or without kidney transplant in therapy with dapagliflozin were included (n=79). The changes in glomerular filtration rate, albuminuria and side effects associated with SGLT2i were studied in patients with chronic kidney disease with or without kidney transplantation and in patients with or without diabetes mellitus.
RESULTS: Patients without diabetes mellitus achieved a significantly higher decrease in albuminuria at the time of the third month of follow-up (p=0.0396), with the continuation of the decrease until the average follow-up (10.9 months) (p=0.7866) than patients with diabetes mellitus. During the observed period, we recorded the cessation of the primary decrease in glomerular filtration with a return to the baseline values. In our group, we did not confirm a significant occurrence of adverse effects associated with dapagliflozin.
CONCLUSION: SGLT2i significantly reduces albuminuria and stabilizes glomerular filtration in patients with chronic kidney disease. Based on our analysis, treatment with gliflozins is effective and safe for patients after kidney transplantation (Tab. 4, Fig. 6, Ref. 16).
Keywords: chronic kidney disease, kidney transplant recipients, side effects, SGLT2i
Year: 2024, Volume: 125, Issue: 12 Page From: 759, Page To: 765
doi:10.4149/BLL_2024_116


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