دورية أكاديمية
Renal hyperfiltration is independently associated with increased all-cause mortality in individuals with type 2 diabetes. a prospective cohort study
| العنوان: | Renal hyperfiltration is independently associated with increased all-cause mortality in individuals with type 2 diabetes. a prospective cohort study |
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| المؤلفون: | Penno, Giuseppe, Orsi, Emanuela, Solini, Anna, Bonora, Enzo, Fondelli, Cecilia, Trevisan, Roberto, Vedovato, Monica, Cavalot, Franco, Gruden, Gabriella, Laviola, Luigi, Nicolucci, Antonio, Pugliese, Giuseppe |
| المساهمون: | Penno, Giuseppe, Orsi, Emanuela, Solini, Anna, Bonora, Enzo, Fondelli, Cecilia, Trevisan, Roberto, Vedovato, Monica, Cavalot, Franco, Gruden, Gabriella, Laviola, Luigi, Nicolucci, Antonio, Pugliese, Giuseppe |
| بيانات النشر: | BMJ Publishing Group |
| سنة النشر: | 2020 |
| المجموعة: | Sapienza Università di Roma: CINECA IRIS |
| مصطلحات موضوعية: | diabetes mellitus, type 2, kidney disease, mortality |
| الوصف: | Introduction In addition to favoring renal disease progression, renal ‘hyperfiltration’ has been associated with an increased risk of death, though it is unclear whether and how excess mortality is related to increased renal function. We investigated whether renal hyperfiltration is an independent predictor of death in patients with type 2 diabetes from the Renal Insufficiency And Cardiovascular Events Italian multicenter study. Research design and methods This observational, prospective cohort study enrolled 15 773 patients with type 2 diabetes consecutively attending 19 Italian diabetes clinics in 2006–2008. Serum creatinine, albuminuria, cardiovascular risk factors, and complications/comorbidities were assessed at baseline. Vital status on 31 October 2015 was retrieved for 15 656 patients (99.26%). Patients were stratified (A) by absolute estimated glomerular filtration rate (eGFR) values in eGFR deciles or Kidney Disease: Improving Global Outcomes (KDIGO) categories and (B) based on age-corrected thresholds or age and gender-specific 95th and 5th percentiles in hyperfiltration, hypofiltration, and normofiltration groups. Results The highest eGFR decile/category and the hyperfiltration group included (partly) different individuals with similar clinical features. Age and gender-adjusted death rates were significantly higher in deciles 1, 9, and 10 (≥103.9, 50.9–62.7, and <50.9 mL/min/1.73 m2, respectively) versus the reference decile 3 (92.9–97.5 mL/min/1.73 m2). Mortality risk, adjusted for multiple confounders, was also increased in deciles 1 (HR 1.461 (95% CI 1.175 to 1.818), p=0.001), 9 (1.312 (95% CI 1.107 to 1.555), p=0.002), and 10 (1.976 (95% CI 1.673 to 2.333), p<0.0001) versus decile 3. Similar results were obtained by stratifying patients by KDIGO categories Death rates and adjusted mortality risks were significantly higher in hyperfiltering and particularly hypofiltering versus normofiltering individuals. Conclusions In type 2 diabetes, both high-normal eGFR and hyperfiltration are associated ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/32665314; info:eu-repo/semantics/altIdentifier/wos/WOS:000573837600022; volume:8; issue:1; firstpage:1; lastpage:13; numberofpages:13; journal:BMJ OPEN DIABETES RESEARCH AND CARE; http://hdl.handle.net/11573/1430355Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85088045984 |
| DOI: | 10.1136/bmjdrc-2020-001481 |
| الإتاحة: | https://doi.org/10.1136/bmjdrc-2020-001481Test http://hdl.handle.net/11573/1430355Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.11E64575 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1136/bmjdrc-2020-001481 |
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