Drugs associated with incident fragility fractures in kidney transplant recipients Article Swipe
Benjamin Batteux
,
Alban Nowak
,
Alice Séjourné
,
Clémence Penet
,
Kamel Masmoudi
,
François Brazier
,
Solène M. Laville
,
Youssef Bennis
,
Valérie Gras‐Champel
,
Gabriel Choukroun
,
Sophie Liabeuf
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/ckj/sfac265
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/ckj/sfac265
Background The risk of fragility fractures is high in kidney transplant recipients, and steroids are reportedly a major cause. Other drugs known to induce fragility fractures have been studied in the general population but not in kidney transplant recipients. Here, we investigated the association between exposure over time to drugs that can injure bone (namely vitamin K antagonists, insulin, loop diuretics, proton pump inhibitors, opioids, selective serotonin reuptake inhibitors, antiepileptics and benzodiazepines) and incident fractures and changes over time in T-scores in this population. Methods A total of 613 consecutive kidney transplant recipients were included between 2006 and 2019. Drug exposures and incident fractures during the study period were comprehensively documented, and dual-energy X-ray absorptiometry was performed regularly. The data were analyzed using Cox proportional hazards models with time-dependent covariates and linear mixed models. Results Incident fractures occurred in 63 patients, giving a fracture incidence of 16.9 per 1000 person-years. Exposures to loop diuretics [hazard ratio (95% confidence interval) 2.11 (1.17–3.79)] and opioids [5.94 (2.14–16.52)] were associated with incident fractures. Exposure to loop diuretics was associated with a decrease over time in the T-score for the lumbar spine (P = .022) and for the wrist (P = .028). Conclusions This study suggests that the exposure to loop diuretics and opioids increases the risk of fracture in kidney transplant recipients.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/ckj/sfac265
- https://academic.oup.com/ckj/advance-article-pdf/doi/10.1093/ckj/sfac265/49099617/sfac265.pdf
- OA Status
- gold
- Cited By
- 4
- References
- 55
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4312059822
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4312059822Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/ckj/sfac265Digital Object Identifier
- Title
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Drugs associated with incident fragility fractures in kidney transplant recipientsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2022Year of publication
- Publication date
-
2022-12-07Full publication date if available
- Authors
-
Benjamin Batteux, Alban Nowak, Alice Séjourné, Clémence Penet, Kamel Masmoudi, François Brazier, Solène M. Laville, Youssef Bennis, Valérie Gras‐Champel, Gabriel Choukroun, Sophie LiabeufList of authors in order
- Landing page
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https://doi.org/10.1093/ckj/sfac265Publisher landing page
- PDF URL
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https://academic.oup.com/ckj/advance-article-pdf/doi/10.1093/ckj/sfac265/49099617/sfac265.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://academic.oup.com/ckj/advance-article-pdf/doi/10.1093/ckj/sfac265/49099617/sfac265.pdfDirect OA link when available
- Concepts
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Medicine, Population, Internal medicine, Hazard ratio, Proportional hazards model, Kidney transplantation, Incidence (geometry), Confidence interval, Acute kidney injury, Transplantation, Optics, Physics, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
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4Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2024: 3Per-year citation counts (last 5 years)
- References (count)
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55Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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