Effect of aspirin on cardiovascular events in patients undergoing hemodialysis with hyperphosphatemia: A post hoc analysis of the LANDMARK trial

Author:

Kato Masanori1,Ito Hidetoshi1,Yamakawa Akane2,Kagimura Tatsuo2,Fukagawa Masafumi3ORCID,Yamamoto Masahiro1,Saito Yoshinori1,Akizawa Tadao4ORCID,Ogata Hiroaki15ORCID

Affiliation:

1. Division of Nephrology, Department of Internal Medicine Showa University Northern Yokohama Hospital Yokohama Kanagawa Japan

2. The Translational Research Center for Medical Innovation Foundation for Biomedical Research and Innovation at Kobe Kobe Hyogo Japan

3. Division of Nephrology, Endocrinology and Metabolism, Department of Internal Medicine Tokai University School of Medicine Isehara Kanagawa Japan

4. Division of Nephrology, Department of Medicine Showa University Graduate School of Medicine Shinagawa Tokyo Japan

5. Department of Medical Education Showa University Graduate School of Medicine Shinagawa Tokyo Japan

Abstract

AbstractIntroductionThe clinical benefits of aspirin in patients undergoing hemodialysis remain unclear.MethodsThe secondary analysis of the LANDMARK trial investigated whether aspirin use was associated with cardiovascular events (CVEs) and all‐cause mortality was performed. A total of 2135 patients at risk for vascular calcification were analyzed using a Cox proportional hazards model with propensity score matching.ResultsThe risk of CVEs was comparable between participants with aspirin use at baseline and those without at baseline, between participants with aspirin use during the study period and those without during the study period, and between participants with new aspirin prescription and those without aspirin use during the study period.ConclusionAspirin use was not significantly associated with a lower risk of CVEs in participants undergoing hemodialysis patients at risk of vascular calcification.

Funder

Bayer Yakuhin

Japan Society for the Promotion of Science

Publisher

Wiley

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