Donadio, JV, Dart RA, Grande JP, Bergstralh EJ, Spencer DC
Long-term treatment with fish oil reduces renal progressionn in
patients with IgA nephropathy (IgAN)
ASN 30th Annual Meeting, San Antonio
J Am Soc Nephrol
(Sep) 8:85A 1997
The authors summarize the long term (6.2 yrs) follow-up findings in the
original
cohort of patients with IgA nephropathy who were treated with fish oil
(N Engl J Med 331:1194, 1994).
Forty four of the 55 patients in the original group opted
to continue taking fish oil after 2 yrs. The cumulative occurrence of renal
failure defined as a serum creatinine of > 50% over the baseline at 5 yrs
of
followup was 21% and that of ESRD/death was 17% at 7 yrs compared to 40% at
4
yrs in the placebo group. As the authors point out, the value of these
findings
is limited by the absence of follow-up data in the placebo group followed for
the
same length of time. However, the data show that even in the treated group
the
outcome is not benign with nearly one in six patients dying or developing
ESRD.
(B.S. Kasinath, M.D., University of Texas at San Antonio)
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ASN 30th Annual Meeting, San Antonio
Proteinuria/Hematuria :
IgA Nephropathy