Perioperative medicine & outcomes

Nonsteroidal anti-inflammatory drug use and acute kidney injury in nephrectomies: A retrospective propensity score-matched cohort study

Anaesth Crit Care Pain MedPublished Retrospective cohort study

Main findingResult — go to the resultHazard ratio 0.98 95% CI 0.80–1.19

Authors' conclusion

Perioperative use of NSAIDs in patients having nephrectomies was not associated with a greater risk of AKI, and possibly reduced the duration of hospitalization.

Study context

Population
Adults ≥18 years having partial or radical nephrectomy
Participants
3,359 adults · 739 matched pairs
Exposure
Perioperative IV nonsteroidal anti-inflammatory drugs (NSAID) vs no NSAID
Outcome
Postoperative AKI (Kidney Disease: Improving Global Outcomes criteria)
Methodological detailspropensity-score matched
  • Propensity-score matched

Main finding

As reported in the abstract

Hazard ratio

0.98

95% CI 0.80–1.19

P = 0.90

By group

NSAID vs No NSAID
HR 0.98 (95% CI 0.80–1.19); P = 0.90

Observational data: associations, not effects.

Secondary outcomes

OutcomeOR (CI)P value
AKI stageAKI stages not worse · propensity-score-matched0.99 (0.79–1.24)P = 0.91
OutcomeP value
Duration of postoperative hospitalizationShorter postoperative hospitalization with NSAID · propensity-score-matchedP < 0.001

Safety

OutcomeOR (CI)P value
NSAID-related side effects1.50 (0.42–5.32)P = 0.53

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Nonsteroidal anti-inflammatory drug use and acute kidney injury in nephrectomies: A retrospective propensity score-matched cohort study. Anaesth Crit Care Pain Med. Published 26 June 2025. doi:10.1016/j.accpm.2025.101581

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