2 research outputs found

    Supplementary data: Characteristics of patients with chronic kidney disease and Type 2 diabetes initiating finerenone in the USA: a multi-database, cross-sectional study

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    These are peer-reviewed supplementary materials for the article 'Characteristics of patients with chronic kidney disease and Type 2 diabetes initiating finerenone in the USA: a multi-database, cross-sectional study' published in the Journal of Comparative Effectiveness Research.Supplementary cohort definitions (json)Supplementary concept sets expressionsAim: Finerenone is safe and efficacious for treating patients with chronic kidney disease (CKD) and Type 2 diabetes (T2D). Evidence on the use of finerenone in clinical practice is lacking. Objective: To describe demographic and clinical characteristics of early adopters of finerenone in the United States, according to sodium-glucose cotransporter 2 inhibitor (SGLT2i) use and urine albuminā€“creatinine ratio (UACR) levels. Methods: Multi-database, observational, cross-sectional study, using data from two US databases (Optum Claims and Optum EHR). Three cohorts were included: finerenone initiators with prior CKD-T2D, finerenone initiators with prior CKD-T2D and concomitant SGLT2i use, finerenone initiators with prior CKD-T2D stratified according to UACR. Results: In total, 1015 patients were included, 353 from Optum Claims and 662 from Optum EHR. Mean age was 72.0 and 68.4 years in Optum claims and EHR, respectively. Median eGFR was 44 and 44 ml/min/1.73 m2; and median UACR was 132 (28ā€“698)/365 (74ā€“1185.4) mg/g, in Optum Claims and EHR, respectively. 70.5/70.4% were taking renin-angiotensin system inhibitors, 42.5/53.3% SGLT2i. Overall, 9.0/6.3% of patients had baseline UACR 300 mg/g. Conclusion: Current management of patients with CKD-T2D reflects use of finerenone independently from background therapies and clinical characteristics, suggesting implementation of therapeutic strategies based on different modes of action.</p

    In Quest of Strong Beā€“Ng Bonds among the Neutral Ngā€“Be Complexes

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    The global minimum geometries of BeCN<sub>2</sub> and BeNBO are linear BeNā€“CN and BeNā€“BO, respectively. The Be center of BeCN<sub>2</sub> binds He with the highest Beā€“He dissociation energy among the studied neutral Heā€“Be complexes. In addition, BeCN<sub>2</sub> can be further tuned as a better noble gas trapper by attaching it with any electron-withdrawing group. Taking BeO, BeS, BeNH, BeNBO, and BeCN<sub>2</sub> systems, the study at the CCSDĀ­(T)/def2-TZVP level of theory also shows that both BeCN<sub>2</sub> and BeNBO systems have higher noble gas binding ability than those related reported systems. Ī”<i>G</i> values for the formation of NgBeCN<sub>2</sub>/NgBeNBO (Ng = Arā€“Rn) are negative at room temperature (298 K), whereas the same becomes negative at low temperature for Ng = He and Ne. The polarization plus the charge transfer is the dominating term in the interaction energy
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