Nonsteroidal anti-inflammatory drugs use in patients with chronic kidney disease are often prescribed from different clinicians than those who diagnosed them

摘要: Purpose When prescribing nonsteroidal anti-inflammatory drugs (NSAIDs) for chronic kidney disease (CKD), patients' pathology and concomitant medications should be considered. In our pharmaceutical experience, NSAIDs are often prescribed by departments that different from those diagnosed CKD. That is, may patients without the advice of clinicians who them. this study, we aimed to elucidate how frequently such cases occur. Methods We used large health insurance claims database constructed JMDC Inc., Tokyo. evaluated proportions CKD diagnosis NSAID prescription clinical institutions. Results A total 224 014 out-patients were included in analysis; they divided into (n = 1501) non-CKD groups 222 513). The internal medicine most (74.8% patients) surgical rarely However, proportion was high other departments, especially departments. group, 50.4% received departments; 72.8% a medical Conclusion Our study revealed with than