Lithium (n = 242) | Valproate (n = 524) | p | |
---|---|---|---|
Age | 37.0 ± 14.6 | 40.4 ± 16.5 | 0.005 |
Sex (%) | |||
Women | 134 (55.4) | 276 (52.7) | 0.536 |
Men | 108 (44.6) | 248 (47.3) | |
Baseline hypertension (%) | 23 (9.5) | 42 (8.1) | 0.605 |
Baseline diabetes (%) | 10 (4.1) | 17 (3.2) | 0.683 |
Primary psychiatric diagnoses, ICD-10 (%) | |||
F20–29 (schizophrenia or psychotic disorders) | 40 (16.5) | 115 (21.9) | < 0.001 |
F30–F31 (bipolar disorders) | 173 (71.5) | 252 (48.1) | |
F32–F33 (depressive disorders) | 29 (12.0) | 157 (30.0) | |
eGFR < 60 mL/min/1.73 m2 (%) | 2 (0.8) | 8 (1.5) | 0.733 |
Follow-up duration (year) | 4.2 ± 4.2 | 5.3 ± 5.2 | 0.002 |
Cumulative years on lithium treatment | 3.5 ± 3.5 | – | – |
Cumulative years on valproate treatment | – | 4.3 ± 4.2 | – |
Average TDM | |||
Lithium TDM | 0.6 ± 0.2 | – | |
Valproate TDM | – | 56.7 ± 20.5 | |
Episodes of lithium toxicity (≥ 1 episode) | |||
Lithium TDM > 0.8 mmol/L (%) | 112 (46.3) | – | – |
Lithium TDM > 1.0 mmol/L (%) | 54 (22.3) | – | – |
Lithium TDM > 1.2 mmol/L (%) | 17 (7.0) | – | – |
Daily dosing schedulea | |||
Lithium once-daily dosing | 0.9 ± 0.2 | – | – |
Valproate once-daily dosing | – | 0.8 ± 0.4 | – |
Yearly median eGFR change (mL/min/1.73 m2) | − 1.3 (IQR − 6.8, 1.7) | 1.1 (IQR − 4.5, 1.5) | 0.389 |
Baseline eGFR (mL/min/1.73 m2) | 103.9 ± 18.2 | 103.1 ± 18.4 | 0.533 |
Last eGFR (mL/min/1.73 m2) | 100.9 ± 18.4 | 100.6 ± 19.0 | 0.851 |
Second to last eGFR (mL/min/1.73 m2) | 101.9 ± 18.5 | 101.3 ± 18.2 | 0.629 |
Average eGFR values by year (mL/min/1.73 m2) | |||
Year 1 eGFR | 104.6 ± 16.9 | 103.8 ± 18.1 | 0.549 |
Year 3 eGFR | 104.8 ± 15.6 | 101.4 ± 17.6 | 0.208 |
Year 5 eGFR | 99.5 ± 17.2 | 102.1 ± 17.7 | 0.507 |
Year 7 eGFR | 98.0 ± 16.1 | 98.0 ± 16.2 | 0.995 |
Year 10 eGFR | 96.4 ± 15.7 | 96.9 ± 18.1 | 0.945 |
Year 12 eGFR | 95.2 ± 11.5 | 96.5 ± 15.9 | 0.842 |
Year 15 eGFR | 73.7 ± 21.1 | 99.6 ± 15.6 | 0.085 |
Year 20 eGFR | – | 81.5 ± 21.9 | – |