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The effect of immune checkpoint inhibitors (ICIs) treatment on renal function in patients with cancer of the genitourinary system is unclear
immunity
This study is a retrospective cohort study that included patients with renal cell carcinoma (RCC) and urothelial carcinoma who received ICI treatment at two major cancer centers from 2012 to 2018
Cumulative incidence of reduced eGFR in patients with two cancers> 20%
Cumulative incidence of reduced eGFR in patients with two cancers> 20%A total of 637 patients were enrolled: 320 (50%) patients were RCC, and 317 (50%) were urothelial carcinoma
irAE, AKI, and persistent eGFR reduction are common, with incidences of 33%, 25%, and 16%, respectively
Cumulative incidence of persistent eGFR reduction in patients with irAE within 12 months
Cumulative incidence of persistent eGFR reduction in patients with irAE within 12 monthsAmong patients who survived for 1 year or more, the occurrence of non-renal irAEs was associated with a significantly higher risk of persistent eGFR reduction (aHR 1.
The occurrence of non-renal irAE is associated with a significantly higher risk of persistent eGFR reduction.
AKI and sustained eGFR reduction are common in patients with genitourinary cancer who are treated with ICI
Original source:
Seethapathy Harish,Street Sarah,Strohbehn Ian et al.
Immune-related adverse events and kidney function decline in patients with genitourinary cancers treated with immune checkpoint inhibitors
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