Gallstones were associated with the gastrointestinal adverse events of cinacalcet in hemodialysis patients with secondary hyperparathyroidism

This study aimed to investigate the association of gastrointestinal (GI) adverse events of cinacalcet with gallstones in the hemodialysis (HD) patients with secondary hyperparathyroidism (SHPT). A total of 23 HD patients under the treatment with cinacalcet and 101 control patients were enrolled in t...

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Main Authors: Keiichi Otsuka, Yoichi Ohno, Joji Oshima
Format: Article
Language:English
Published: Taylor & Francis Group 2018-10-01
Series:Renal Failure
Subjects:
Online Access:http://dx.doi.org/10.1080/0886022X.2017.1419971
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author Keiichi Otsuka
Yoichi Ohno
Joji Oshima
author_facet Keiichi Otsuka
Yoichi Ohno
Joji Oshima
author_sort Keiichi Otsuka
collection DOAJ
description This study aimed to investigate the association of gastrointestinal (GI) adverse events of cinacalcet with gallstones in the hemodialysis (HD) patients with secondary hyperparathyroidism (SHPT). A total of 23 HD patients under the treatment with cinacalcet and 101 control patients were enrolled in this cross-sectional study. We investigated the prevalence of gallstones and the association of GI adverse events of cinacalcet with gallstones. The prevalence of gallstones was significantly higher in the HD patients with cinacalcet compared with the controls (47.8% vs. 15.8%). The longer time on HD, hypercalcemia, hyperphosphatemia and elevated parathyroid hormone level were observed in the HD patients with cinacalcet. Besides, GI adverse events of cinacalcet were observed more frequently in the HD patients with gallstones compared with those without gallstones (odds ratio 13.5, 95% CI: 1.80–101). Therefore, screening for gallstones before dosing cinacalcet may reduce the risk of GI adverse events in SHPT patients.
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spelling doaj.art-8c7acf67ae034c23b64b55b35bb9aeb12022-12-22T03:58:43ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492018-10-01401384210.1080/0886022X.2017.14199711419971Gallstones were associated with the gastrointestinal adverse events of cinacalcet in hemodialysis patients with secondary hyperparathyroidismKeiichi Otsuka0Yoichi Ohno1Joji Oshima2Department of Internal Medicine, Oshima ClinicSaitama Medical SchoolDepartment of Internal Medicine, Oshima ClinicThis study aimed to investigate the association of gastrointestinal (GI) adverse events of cinacalcet with gallstones in the hemodialysis (HD) patients with secondary hyperparathyroidism (SHPT). A total of 23 HD patients under the treatment with cinacalcet and 101 control patients were enrolled in this cross-sectional study. We investigated the prevalence of gallstones and the association of GI adverse events of cinacalcet with gallstones. The prevalence of gallstones was significantly higher in the HD patients with cinacalcet compared with the controls (47.8% vs. 15.8%). The longer time on HD, hypercalcemia, hyperphosphatemia and elevated parathyroid hormone level were observed in the HD patients with cinacalcet. Besides, GI adverse events of cinacalcet were observed more frequently in the HD patients with gallstones compared with those without gallstones (odds ratio 13.5, 95% CI: 1.80–101). Therefore, screening for gallstones before dosing cinacalcet may reduce the risk of GI adverse events in SHPT patients.http://dx.doi.org/10.1080/0886022X.2017.1419971Cinacalcet hydrochloridegallstonesgastrointestinal adverse eventshemodialysissecondary hyperparathyroidism
spellingShingle Keiichi Otsuka
Yoichi Ohno
Joji Oshima
Gallstones were associated with the gastrointestinal adverse events of cinacalcet in hemodialysis patients with secondary hyperparathyroidism
Renal Failure
Cinacalcet hydrochloride
gallstones
gastrointestinal adverse events
hemodialysis
secondary hyperparathyroidism
title Gallstones were associated with the gastrointestinal adverse events of cinacalcet in hemodialysis patients with secondary hyperparathyroidism
title_full Gallstones were associated with the gastrointestinal adverse events of cinacalcet in hemodialysis patients with secondary hyperparathyroidism
title_fullStr Gallstones were associated with the gastrointestinal adverse events of cinacalcet in hemodialysis patients with secondary hyperparathyroidism
title_full_unstemmed Gallstones were associated with the gastrointestinal adverse events of cinacalcet in hemodialysis patients with secondary hyperparathyroidism
title_short Gallstones were associated with the gastrointestinal adverse events of cinacalcet in hemodialysis patients with secondary hyperparathyroidism
title_sort gallstones were associated with the gastrointestinal adverse events of cinacalcet in hemodialysis patients with secondary hyperparathyroidism
topic Cinacalcet hydrochloride
gallstones
gastrointestinal adverse events
hemodialysis
secondary hyperparathyroidism
url http://dx.doi.org/10.1080/0886022X.2017.1419971
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AT yoichiohno gallstoneswereassociatedwiththegastrointestinaladverseeventsofcinacalcetinhemodialysispatientswithsecondaryhyperparathyroidism
AT jojioshima gallstoneswereassociatedwiththegastrointestinaladverseeventsofcinacalcetinhemodialysispatientswithsecondaryhyperparathyroidism