Drug-Drug Interactions, Medication Adherence, and Stroke Should Be Considered When Approaching the Impact of Acid Suppression Therapy on Chronic Kidney Disease Patients. Comment on Chen et al. Impact of Acid Suppression Therapy on Renal and Survival Outcomes in Patients with Chronic Kidney Disease: A Taiwanese Nationwide Cohort Study. J. Clin. Med. 2022, 11, 5612

Ai-Hsien Li; Yen-Ling Chiu

doi:10.3390/jcm12010072

Drug-Drug Interactions, Medication Adherence, and Stroke Should Be Considered When Approaching the Impact of Acid Suppression Therapy on Chronic Kidney Disease Patients. Comment on Chen et al. Impact of Acid Suppression Therapy on Renal and Survival Outcomes in Patients with Chronic Kidney Disease: A Taiwanese Nationwide Cohort Study. J. Clin. Med. 2022, 11, 5612

J Clin Med. 2022 Dec 22;12(1):72. doi: 10.3390/jcm12010072.

Authors

Ai-Hsien Li^{1

2}, Yen-Ling Chiu^{1

2}

Affiliations

¹ Health Management Center, Far Eastern Memorial Hospital, New Taipei City 220, Taiwan.
² Graduate Institute of Medicine, Yuan Ze University, Tao Yuan City 320315, Taiwan.

Abstract

Chen et al. have published a report in this journal comparing the prognostic impact of a Histamine-2-receptor antagonist (H2RA) and a proton pump inhibitor (PPI) in patients with chronic renal disease. Based on Taiwan's National Insurance Database, they concluded that those patients treated with the H2RA demonstrated a dose-response relationship of H2RA to reduced risk of ESRD and overall cardiovascular and non-cardiovascular mortality. In contrast, the CKD patients treated with the PPI were associated with an increased risk of overall mortality. However, from our point of view, there are some methodological and research concerns that need to be clarified by the authors. Otherwise, it would be too early to make a convincing conclusion.

Keywords: Histamine-2-receptor antagonist; chronic kidney disease; proton pump inhibitor.