Details

Autor(en) / Beteiligte

• Jin, Qiao
• Luk, Andrea O.
• Lau, Eric S.H.
• Tam, Claudia H.T.
• Ozaki, Risa
• Lim, Cadmon K.P.
• Wu, Hongjiang
• Chow, Elaine Y.K.
• Kong, Alice P.S.
• Fan, Baoqi
• Lee, Ka Fai
• Siu, Shing Chung
• Hui, Grace
• Tsang, Chiu Chi
• Lau, Kam Piu
• Leung, Jenny Y.
• Tsang, Man-wo
• Kam, Grace
• Lau, Ip Tim
• Li, June K.
• Yeung, Vincent T.
• Lau, Emmy
• Lo, Stanley
• Fung, Samuel
• Cheng, Yuk Lun
• Chow, Chun Chung
• Huang, Yu
• Szeto, Cheuk Chun
• So, Wing Yee
• Chan, Juliana C.N.
• Ma, Ronald C.W.
• Tsang, Man Wo
• Cheung, Elaine
• Li, June Kam-yin
• Yeung, Vincent T.F.
• Fung, Samuel K.S.
• Tsui, Stephen Kwok-wing
• Lan, Hui-yao
• Yu, Weichuan
• Tomlinson, Brian
• Lok, Si
• Chan, Ting Fung
• Yip, Kevin Yuk-lap
• Fan, Xiaodan
• Tang, Nelson L.S.
• Tian, Xiaoyu
• Jiang, Guozhi
• Mai, Shi
• Lau, Eric S.
• Xie, Fei
• Zhang, Sen
• Yu, Pu
• Wang, Meng
• Xie, Fangying
• Ng, Alex C.W.
• Cheung, Grace
• Yeung, Ming Wai
• Cheung, Kitty K.T.
• Wong, Rebecca Y.M.
• Cheong, So Hon
• Chan, Katie K.H.
• Law, Chin-san
• Yuen Lock, Anthea Ka
• Ying Tsang, Ingrid Kwok
• Pun Chan, Susanna Chi
• Chan, Yin Wah
• Hung, Chi Sang
• Yee Ng, Ivy Hoi
• Chun Fok, Juliana Mun
• Lee, Kai Man
• Candy Leung, Hoi Sze
• Lee, Ka Wah
• Chan, Hui Ming
• Lau, Tracy
• Law, Rebecca
• Lau, Candice
• Tsang, Pearl
• Chan, Vince
• Ho, Lap Ying
• Wong, Eva
• Chan, Josephine
• Lam, Sau Fung
• Pang, Jessy
• Lee, Yee Mui

Titel

Nonalbuminuric Diabetic Kidney Disease and Risk of All-Cause Mortality and Cardiovascular and Kidney Outcomes in Type 2 Diabetes: Findings From the Hong Kong Diabetes Biobank

Ist Teil von

• American journal of kidney diseases, 2022-08, Vol.80 (2), p.196-206.e1

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2022

Quelle

MEDLINE

Beschreibungen/Notizen

• Nonalbuminuric diabetic kidney disease (DKD) has become the prevailing DKD phenotype. We compared the risks of adverse outcomes among patients with this phenotype compared with other DKD phenotypes. Multicenter prospective cohort study. 19,025 Chinese adults with type 2 diabetes enrolled in the Hong Kong Diabetes Biobank. DKD phenotypes defined by baseline estimated glomerular filtration rate (eGFR) and albuminuria: no DKD (no decreased eGFR or albuminuria), albuminuria without decreased eGFR, decreased eGFR without albuminuria, and albuminuria with decreased eGFR. All-cause mortality, cardiovascular disease (CVD) events, hospitalization for heart failure (HF), and chronic kidney disease (CKD) progression (incident kidney failure or sustained eGFR reduction ≥40%). Multivariable Cox proportional or cause-specific hazards models to estimate the relative risks of death, CVD, hospitalization for HF, and CKD progression. Multiple imputation was used for missing covariates. Mean participant age was 61.1 years, 58.3% were male, and mean diabetes duration was 11.1 years. During 54,260 person-years of follow-up, 438 deaths, 1,076 CVD events, 298 hospitalizations for HF, and 1,161 episodes of CKD progression occurred. Compared with the no-DKD subgroup, the subgroup with decreased eGFR without albuminuria had higher risks of all-cause mortality (hazard ratio [HR], 1.59 [95% CI, 1.04-2.44]), hospitalization for HF (HR, 3.08 [95% CI, 1.82-5.21]), and CKD progression (HR, 2.37 [95% CI, 1.63-3.43]), but the risk of CVD was not significantly greater (HR, 1.14 [95% CI, 0.88-1.48]). The risks of death, CVD, hospitalization for HF, and CKD progression were higher in the setting of albuminuria with or without decreased eGFR. A sensitivity analysis that excluded participants with baseline eGFR <30 mL/min/1.73 m2 yielded similar findings. Potential misclassification because of drug use. Nonalbuminuric DKD was associated with higher risks of hospitalization for HF and of CKD progression than no DKD, regardless of baseline eGFR. [Display omitted]