Is your decision to prescribe empagliflozin for CKD patients without albuminuria influenced by a recent cost-utility analysis showing that empagliflozin was not cost-effective for this group?
Odawara et al., Clinical Journal of the American Society of Nephrology 2024
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Is your decision to prescribe empagliflozin for CKD patients without albuminuria influenced by a recent cost-utility analysis showing that empagliflozin was not cost-effective for this group?
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2 Answers
Mednet MemberInvited Expert
Nephrology · Penn Medicine Cherry Hill
Answered on
I have not been in the habit of prescribing these medications in the absence of proteinuria.
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Mednet MemberInvited Expert
Nephrology · University Of California San Francisco Medical Center At Parnassus
Answered on
I have not been a proponent of using SGLT2 for patients who do not have proteinuria to begin with. I don't think these patients would benefit much, just as the data for ACE/ARB in these groups of patients is not great. Usually, they progress fairly slowly anyway.
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