Association of statin use and development of renal dysfunction in type 2 diabetes--the Hong Kong Diabetes Registry.

Abstract:

AIM:Dyslipidaemia may be a risk factor for diabetic kidney disease. We examined prospectively association between the use of statins and development of renal dysfunction in type 2 diabetes. METHODS:A consecutive cohort of 5264 diabetic patient recruited between 1996 and 2005 underwent detailed assessments. Renal dysfunction was defined as first estimated glomerular filtration rate <60 ml/min/1.73 m(2), or, the first hospitalisation with a diagnosis of renal disease as coded by the International Classification of Disease, Ninth Revision. Drug use was quantified using the proportion of exposure time from baseline to event/death/censored time, as appropriate. RESULTS:In this cohort (male: 47.3%, median age: 55 years, median duration of diabetes: 6.0 years), none had renal dysfunction at baseline. During a median follow-up period of 4.9 (quartiles: 2.77, 7.04) years, 703 patients (13.4%) developed renal dysfunction, 1275 patients (22.2%) were exposed to statins. After controlling for baseline risk factors, multivariable adjusted hazard ratio of statin use for development of renal dysfunction was 0.32 (95% CI 0.21-0.50, p<0.0001). CONCLUSION:Use of statins was associated with reduced risk of developing renal dysfunction in type 2 diabetes and this association was independent of baseline risk factors.

authors

Luk AO,Yang X,Ma RC,Ng VW,Yu LW,Lau WW,Ozaki R,Chow FC,Kong AP,Tong PC,Chan JC,So W

doi

10.1016/j.diabres.2010.02.006

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

227-33

issue

3

eissn

0168-8227

issn

1872-8227

pii

S0168-8227(10)00082-3

journal_volume

88

pub_type

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