Prevalence of Chronic Kidney Disease in Patients with Diabetes in Extremadura (Spain) during the Years 2012, 2013 and 2014: An Observational Study

Autor:	Félix Suárez-González, José Carlos Risco-Solanilla, Javier Sánchez-Vega, Leandro Fernández-Fernández, Francisco Buitrago, Alfonso Barquilla-García
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	renal impairment medicine.medical_specialty type 2 diabetes mellitus Population Prevalence Renal function 030209 endocrinology & metabolism urologic and male genital diseases Article albuminuria 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Internal medicine Epidemiology medicine 030212 general & internal medicine education education.field_of_study business.industry Type 2 Diabetes Mellitus General Medicine medicine.disease female genital diseases and pregnancy complications primary health care Albuminuria Medicine medicine.symptom business chronic kidney disease Kidney disease
Zdroj:	Journal of Clinical Medicine Volume 10 Issue 13 Journal of Clinical Medicine, Vol 10, Iss 2886, p 2886 (2021)
ISSN:	2077-0383
DOI:	10.3390/jcm10132886
Popis:	Diabetes mellitus (DM) is one of the leading causes of chronic kidney disease (CKD). We analyzed the prevalence of CKD in the population with diabetes in Extremadura (Spain). retrospective observational study was carried in the diabetic population attended in the Extremadura Health System in 2012–2014. A total of 38,253 patients, ≥18 years old were included. Estimated glomerular filtration rate (eGFR) was calculated using the CKD Epidemiology Collaboration equation. CKD was defined as follow: an eGFR < 60 mL/min/1.73 m2 in a time period ≥ of three months or the presence of renal damage, with or without reduced eGFR, if the urine albumin-creatinine ratio (UACR) was ≥30 mg/g, also in a time period ≥ of three months. The prevalence rate of CKD was 25.3% (27.6% in women 23.0% in men) and increases with age (34.0% in ≥65 years-olds). 24.9% of patients with CKD were in the very-high risk category for cardiovascular events (6.3% of the diabetic population). If CKD were diagnosed without requiring sustained eGFR < 60 mL/min/1.73 m2 and/or sustained UACR ≥30 mg/g (as it is frequently found in the literature) this would overestimate the prevalence of CKD by 23%.
Databáze:	OpenAIRE
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