Kidney Week

Abstract: PO1192

Electrolyte Disturbances Among Those with Malignancy on Anti-Neoplastic Agents

Session Information

• Mineral Homeostasis and Acid-Base Disorders: Clinical
  November 04, 2021 | Location: On-Demand, Virtual Only
  Abstract Time: 10:00 AM - 12:00 PM

Category: Fluid, Electrolyte, and Acid-Base Disorders

• 902 Fluid, Electrolyte, and Acid-Base Disorders: Clinical

Authors

• Murashima, Miho, Nagoya Shiritsu Daigaku, Nagoya, Aichi, Japan

Miho Murashima, MD, PhD

• Ide, Atsuki, Nagoya Shiritsu Daigaku, Nagoya, Aichi, Japan

Atsuki Ide,

• Ono, Minamo, Nagoya Shiritsu Daigaku, Nagoya, Aichi, Japan

Minamo Ono,

• Mizuno, Masashi, Nagoya Shiritsu Daigaku, Nagoya, Aichi, Japan

Masashi Mizuno,

• Suzuki, Taisei, Nagoya Shiritsu Daigaku, Nagoya, Aichi, Japan

Taisei Suzuki,

• Hamano, Takayuki, Nagoya Shiritsu Daigaku, Nagoya, Aichi, Japan

Takayuki Hamano,

Background

The clinical characteristics of electrolyte disturbances among patients with malignancy in contemporary cohorts are lacking.

Methods

This is a retrospective cohort study on 2644 patients with malignancy on anti-neoplastic agents from 2019 to 2020. Antineoplastic agents associated with electrolyte disturbances were examined by multi-level mixed-effects logistic regression analyses. The data were adjusted for age, sex, serum albumin, eGFR, kinds of malignancy, and other medications which potentially affect electrolytes.

Results

Mean age was 64.8 (15.8) years, 55.5% were male, and median eGFR was 72.9 (58.1-88.1) mL/min/1.73m². The prevalences of hyponatremia (Na ≤130 mEq/L), hypomagnesemia (Mg ≤1.5 mg/dL), hypophosphatemia (P ≤2.0 mg/dL), and hypokalemia (K≤3.0 mEq/L) were 2.1 (1.8-2.2), 2.0 (1.7-2.3), 1.7 (1.6-1.9), and 1.2 (1.1-1.4) events/100 patient-measurements, respectively. The use of bortezomib was associated with hyponatremia (OR: 3.04 [1.96-4.71]) and three immnue checkpoint inhibitors were significantly associated with hyponatremia. The use of cetuximab and gemccitabine were strongly associated with hypomagnesemia (OR 11.79 [7.56-18.38] and 5.95 [3.36-10.55], respectively). Other agents associated with electrolyte disturbances were shown in Table. Other than anti-neoplastic agents, lower albumin levels were consistently associated with development of electrolyte disturbances.

Conclusion

Electrolyte disturbances were common and associated with the use of novel anti-neoplastic agents among those with malignancy. Identifying the agents and patient population at high risk of developing electrolyte disturbances is important in taking appropriate preventive measures and monitoring for those undergoing treatments with anti-neoplastic agents.