Prescription of drugs blocking the renin-angiotensin system in Italian children

Bianchetti, MG; Ammenti, A; Avolio, L; Bettinelli, A; Bosio, M; Fossali, E; La Manna, A; Maringhini, S; Pela, I; Ratsch, IM; Viganò, S; Ardissino, G; Italkid, Project; CHIld, Project (2007). Prescription of drugs blocking the renin-angiotensin system in Italian children. Pediatric nephrology, 22(1), pp. 144-8. Berlin: Springer 10.1007/s00467-006-0293-1

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Little is known about the prescription pattern of antihypertensive drugs for children with impaired kidney function. We have therefore documented the use of antihypertensive drugs in this patient group by evaluating the Italian pediatric population-based registry of patients with chronic kidney disease on conservative treatment (ItalKid) from 1995 to 2003. In 1995, prescriptions written for antihypertensive drugs for use by children were approximately equally divided among drugs blocking the renin-angiotensin system and calcium channel blockers (38 vs. 43% of all prescriptions), followed by beta-blockers and diuretics (15 and 4%, respectively). During subsequent years the proportion of prescriptions for drugs blocking the renin-angiotensin system increased (2003: 61%; p<0.001) and that of calcium channel blockers decreased (2003: 18%, p<0.001). In 1995, blockers of the renin-angiotensin system were prescribed, either as monotherapy or in combination, in 53% of the patients, but the relative frequency of the patients prescribed these drugs increased up to 83% in 2003 (p<0.0005). In conclusion, physicians caring for Italian children with impaired kidney function are increasingly prescribing drugs blocking the renin-angiotensin system.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine

UniBE Contributor:

Bianchetti, Mario Giovanni

ISSN:

0931-041X

ISBN:

17089178

Publisher:

Springer

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:55

Last Modified:

04 May 2014 23:16

Publisher DOI:

10.1007/s00467-006-0293-1

PubMed ID:

17089178

Web of Science ID:

000242513200026

URI:

https://boris.unibe.ch/id/eprint/23399 (FactScience: 41703)

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