CKD prevalence estimation is central to CKD management and prevention planning at the population level. This study estimated CKD prevalence in the European adult general population and investigated international variation in CKD prevalence by age, sex, and presence of diabetes, hypertension, and obesity. We collected data from 19 general-population studies from 13 European countries. CKD stages 1-5 was defined as eGFR<60 ml/min per 1.73 m2, as calculated by the CKD-Epidemiology Collaboration equation, or albuminuria >30 mg/g, and CKD stages 3-5 was defined as eGFR<60 ml/min per 1.73 m2. CKD prevalence was age- and sex-standardized to the population of the 27 Member States of the European Union (EU27). We found considerable differences in both CKD stages 1-5 and CKD stages 3-5 prevalence across European study populations. The adjusted CKD stages 1-5 prevalence varied between 3.31% (95% confidence interval [95% CI], 3.30% to 3.33%) inNorway and 17.3% (95% CI, 16.5% to 18.1%) in northeastGermany. The adjusted CKDstages 3-5 prevalence varied between 1.0% (95% CI, 0.7% to 1.3%) in central Italy and 5.9% (95% CI, 5.2% to 6.6%) in northeast Germany. The variation in CKD prevalence stratified by diabetes, hypertension, and obesity status followed the same pattern as the overall prevalence. In conclusion, this large-scale attempt to carefully characterize CKD prevalence in Europe identified substantial variation in CKD prevalence that appears to be due to factors other than the prevalence of diabetes, hypertension, and obesity.

Brück, K., Stel, V. S., Gambaro, G., Hallan, S., Völzke, H., Ärnlöv, J., Kastarinen, M., Guessous, I., Vinhas, J., Stengel, B., Brenner, H., Chudek, J., Romundstad, S., Tomson, C., Gonzalez, A. O., Bello, A. K., Ferrieres, J., Palmieri, L., Browne, G., Capuano, V., Van Biesen, W., Zoccali, C., Gansevoort, R., Navis, G., Rothenbacher, D., Ferraro, P. M., Nitsch, D., Wanner, C., Jager, K. J., CKD prevalence varies across the European general population, <<JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY>>, 2016; 27 (7): 2135-2147. [doi:10.1681/ASN.2015050542] [http://hdl.handle.net/10807/93200]

CKD prevalence varies across the European general population

Gambaro, Giovanni;Ferraro, Pietro Manuel;
2016

Abstract

CKD prevalence estimation is central to CKD management and prevention planning at the population level. This study estimated CKD prevalence in the European adult general population and investigated international variation in CKD prevalence by age, sex, and presence of diabetes, hypertension, and obesity. We collected data from 19 general-population studies from 13 European countries. CKD stages 1-5 was defined as eGFR<60 ml/min per 1.73 m2, as calculated by the CKD-Epidemiology Collaboration equation, or albuminuria >30 mg/g, and CKD stages 3-5 was defined as eGFR<60 ml/min per 1.73 m2. CKD prevalence was age- and sex-standardized to the population of the 27 Member States of the European Union (EU27). We found considerable differences in both CKD stages 1-5 and CKD stages 3-5 prevalence across European study populations. The adjusted CKD stages 1-5 prevalence varied between 3.31% (95% confidence interval [95% CI], 3.30% to 3.33%) inNorway and 17.3% (95% CI, 16.5% to 18.1%) in northeastGermany. The adjusted CKDstages 3-5 prevalence varied between 1.0% (95% CI, 0.7% to 1.3%) in central Italy and 5.9% (95% CI, 5.2% to 6.6%) in northeast Germany. The variation in CKD prevalence stratified by diabetes, hypertension, and obesity status followed the same pattern as the overall prevalence. In conclusion, this large-scale attempt to carefully characterize CKD prevalence in Europe identified substantial variation in CKD prevalence that appears to be due to factors other than the prevalence of diabetes, hypertension, and obesity.
Inglese
Brück, K., Stel, V. S., Gambaro, G., Hallan, S., Völzke, H., Ärnlöv, J., Kastarinen, M., Guessous, I., Vinhas, J., Stengel, B., Brenner, H., Chudek, J., Romundstad, S., Tomson, C., Gonzalez, A. O., Bello, A. K., Ferrieres, J., Palmieri, L., Browne, G., Capuano, V., Van Biesen, W., Zoccali, C., Gansevoort, R., Navis, G., Rothenbacher, D., Ferraro, P. M., Nitsch, D., Wanner, C., Jager, K. J., CKD prevalence varies across the European general population, <<JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY>>, 2016; 27 (7): 2135-2147. [doi:10.1681/ASN.2015050542] [http://hdl.handle.net/10807/93200]
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10807/93200
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