Risk of acute kidney injury after transarterial chemoembolisation in hepatocellular carcinoma patients: A nationwide population-based cohort study
Journal
European Radiology
Journal Volume
27
Journal Issue
11
Pages
4482-4489
Date Issued
2017
Author(s)
Abstract
Objective: This nationwide population-based cohort study evaluated the association between acute kidney injury (AKI) and transarterial chemoembolisation (TACE) in patients with hepatocellular carcinoma (HCC). Methods: The case cohort included patients with HCC who had undergone TACE treatment between 1 January 1998 and 31 March 2010. Patients with baseline chronic kidney disease, with baseline end-stage renal disease, and aged younger than 20 years were excluded. HCC patients with TACE and HCC patients without TACE were matched 1:1 in terms of propensity scores. Results: A total of 1132 HCC patients with TACE and 1132 HCC patients without TACE (controls) were enrolled, of which 72 and 66 patients developed AKI, respectively. After adjustment for age, sex, comorbidity, and other medications, the risk of AKI was higher in HCC patients with TACE [hazard ratio (HR) = 1.66, 95% CI = 1.17–2.34]. The HRs of post-TACE AKI were 1.56 (95% CI = 1.02–2.37) and 1.74 (95% CI = 1.23–2.48) for patients having at least one comorbidity and less frequent sessions of TACE (?3 times), respectively. Conclusions: Our study demonstrates that TACE increases the risk of AKI in patients with HCC without chronic kidney disease or end-stage renal disease. Key points: ? Seventy-two of1132 patients with TACE and 62/1132 patients without TACE developed AKI. ? AKI risk was higher in HCC patients with TACE. ? HRs were 1.56 and 1.74 for those with comorbidities and less frequent TACE. ? 2017, European Society of Radiology.
SDGs
Other Subjects
acute kidney failure; adult; aged; Article; cancer patient; chemoembolization; cohort analysis; comorbidity; controlled study; female; follow up; hazard ratio; high risk patient; human; incidence; liver cell carcinoma; major clinical study; male; population research; priority journal; propensity score; retrospective study; acute kidney failure; causality; chemoembolization; liver cell carcinoma; liver tumor; middle aged; proportional hazards model; risk factor; Taiwan; Acute Kidney Injury; Aged; Carcinoma, Hepatocellular; Causality; Chemoembolization, Therapeutic; Cohort Studies; Female; Humans; Liver Neoplasms; Male; Middle Aged; Proportional Hazards Models; Retrospective Studies; Risk Factors; Taiwan
Type
journal article