Table 2

Lifetime dose of analgesic use1 and risk of ESRD.


Exposure
Range grams
Cases
Controls
Adjusted OR2 (95% CI)

All phenacetin-free analgesics
Low

546
2030
1.0 (referent)

Tertile 1,2
< 217
213
1067
0.75 (0.63–0.90)

Tertile 3
> = 217
148
525
1.02 (0.81–1.28)
MONOS (single substance)
Tertile 1,2
< 185
185
975
0.72 (0.59–0.87)
All monos
Tertile 3
> = 185
129
479
0.98 (0.77–1.24)

Other

47
138
1.21 (0.84–1.74)
All- no ASA & paracetamol
Tertile 1,2
< 65
62
322
0.70 (0.51–0.94)

Tertile 3
> = 65
43
159
0.90 (0.61–1.31)

Other

256
1111
0.87 (0.73–1.03)
COMBIS (combined products)





All combis together
Tertile 1,2
< 91
93
469
0.73 (0.56–0.93)

Tertile 3
> = 91
75
235
1.05 (0.77–1.44)

Other

193
888
0.84 (0.69–1.02)
All combis with paracetamol
Tertile 1,2
< 83
87
401
0,78 (0.59–1.01)

Tertile 3
> = 83
57
197
0.95 (0.67–1.35)

Other

217
994
0.84 (0.70–1.01)
All combis without paracetamol
Tertile 1,2
< 68
27
131
0.75 (0.49–1.16)

Tertile 3
> = 68
26
64
1.41 (0.85–2.35)

Other

308
1397
0.82 (0.69–0.97)
All combis with caffeine
Tertile 1,2
< 87
67
342
0.70 (0.52–0.94)

Tertile 3
> = 87
55
169
1.01 (0.71–1.44)

Other

239
1081
0.85 (0.71–1.02)
All combis without caffeine
Tertile 1,2
< 57
44
237
0.69 (0.49–0.99)

Tertile 3
> = 57
37
118
1.15 (0.76–1.73)

Other

280
1237
0.84 (0.70–0.99)

1 Lifetime dose of analgesic use: medium = tertile1 and 2; high = tertile 3 vs. referent = no or very low analgesic use (exposure to less than one tablet or unit dose of any phenacetin-free analgesic compound per month across all 12-months periods in the observed lifetime) at index date 3 (5 years before first dialysis). The category "other" means: other analgesics than those considered in the specific sub-analysis. The numbers don't add up because participants were classified into the category "other" analgesic, which is not exclusive.

2 Unmatched analysis; adjusted odds ratios (OR) and 95% confidence intervals (95% CI). Adjustment for age group, sex, country, family history chronic renal diseases, exposure with welding/soldering fumes, solvents, and education

van der Woude et al. BMC Nephrology 2007 8:15   doi:10.1186/1471-2369-8-15