Impact of Loop Diuretics on Long-Term Kidney Outcome

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Authors: Sunil Bhandari, Samir P. Mehta, Natalie J. Ives, John G.F. Cleland, Paul Cockwell
Cited by: 0

Abstract

KEY POINTS: Renin-angiotensin system inhibitors have less effect on decline in eGFR and no greater effect on delaying ESKD/KRT in patients receiving loop diuretics compared with those who do. Although loop diuretic use was not associated with higher rates of ESKD/KRT, it might be associated with a higher mortality. The decline in eGFR was slower in those taking loop diuretics. BACKGROUND: In the STOP-Angiotensin-Converting Enzyme Inhibitor trial, patients with advanced CKD were randomized to continue or stop renin-angiotensin system inhibitors (RASi) and showed no difference in kidney outcomes. This post hoc analysis investigates interactions with loop diuretic use. METHODS: Patients with eGFR

Fields of Study & Subjects

Chronic Kidney Disease and Diabetes Renin-Angiotensin System Studies Acute Kidney Injury Research

Publication details

Journal / source
Kidney360
Volume
7
Issue
4
Pages
777–785
Publication date
20 January 2026
Language
EN