Change in Glomerular Filtration Rate with Febuxostat in Patients with Advanced Chronic Renal Failure
Ishtiaq Alam, Faheem Usman Sulehri, Muhammad Abdul Azim Baig, Maira Bhatti, Fouzia Perveen, Sabeen Arjumand
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ABSTRACT
Background: Chronic
kidney disease (CKD), is defined as progressive loss in kidney function. The
study evaluated the mean change in estimated glomerular filtration rate (eGFR)
with febuxostat in patients of advanced chronic kidney dysfunction with
hyperuricemia.
Methodology: A prospective
observational study was conducted at the department of Nephrology, Sheikh Zayed
Hospital, Lahore for 6 months, from January 2019 to October 2019. At baselines,
the blood sample was obtained and sent to the laboratory for assessment of
serum creatinine level. The eGFR was calculated by using the MDRD formula.
Patients were then advised to take one oral Febuxostat 40 mg daily for 6
months. After 6 months, the blood sample was obtained for assessment of serum
creatinine level.
Results: The mean age
of the patients was 40.72±14.90 years, male to female ratio was 1:1. The mean
value of eGFR at baseline was 23.53±11.09 and its mean value at 6th month was
34.28+12.31, which was significant (p<0.001).
Conclusion: Febuxostat
effectively improved estimated glomerular filtration rate (eGFR) in patients
presenting with advanced chronic kidney dysfunction with hyperuricemia.
Keywords:
Hyperuricemia, Kidney, Disease, Febuxostat, Dysfunction, Glomerular, Filtration