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- W4366816384 abstract "As a genetic disease, there has been a long-standing effort to identify therapeutic options for autosomal dominant polycystic kidney disease (ADPKD). Following the development of tolvaptan, a vasopressin 2 receptor antagonist, the treatment strategy for ADPKD patients with rapid disease progression has been changed with a disease-targeted approach. Tolvaptan showed significant efficacy in preserving kidney function and reducing the total kidney volume (TKV) growth rate. These effects were especially pronounced in patients with more severe clinical phenotypes, such as higher TKV and rapidly declining kidney function. Despite the therapeutic effects of tolvaptan, aquaretic symptoms are unavoidable side effects related to the mechanism of the drug and are also directly related to the quality of life. A shared decision-making process could be a valuable strategy for reducing the incidence of side effects and improving medication adherence. Herein, we aimed to review overall clinical trials for applying tolvaptan and suggest important factors during the shared decision-making process." @default.
- W4366816384 created "2023-04-25" @default.
- W4366816384 creator A5005659905 @default.
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- W4366816384 date "2023-05-01" @default.
- W4366816384 modified "2023-10-14" @default.
- W4366816384 title "Recent updates in therapeutic approach using tolvaptan for autosomal dominant polycystic kidney disease" @default.
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- W4366816384 doi "https://doi.org/10.3904/kjim.2022.376" @default.
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