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    Prevalence of chronic kidney disease in the elderly using the ASPirin in Reducing Events in the Elderly (ASPREE) study cohort

    Access Status
    Fulltext not available
    Authors
    Polkinghorne, K.
    Wolfe, R.
    Jachno, K.
    Wetmore, J.
    McNeil, J.
    Nelson, M.
    Reid, Christopher
    Murray, A.
    ASPREE Investigator Group
    Date
    2019
    Type
    Journal Article
    
    Metadata
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    Citation
    Polkinghorne, K. and Wolfe, R. and Jachno, K. and Wetmore, J. and McNeil, J. and Nelson, M. and Reid, C. et al. 2019. Prevalence of chronic kidney disease in the elderly using the ASPirin in Reducing Events in the Elderly (ASPREE) study cohort. Nephrology. 24 (12): pp. 1248-1256.
    Source Title
    Nephrology
    DOI
    10.1111/nep.13565
    ISSN
    1440-1797
    School
    School of Public Health
    URI
    http://hdl.handle.net/20.500.11937/74824
    Collection
    • Curtin Research Publications
    Abstract

    The prevalence of chronic kidney disease (CKD) in the elderly is controversial because age-related decline in kidney function may not truly reflect underlying kidney disease. We estimate the baseline prevalence and predictors of CKD using the CKD Epidemiology Collaboration (CKD-EPIeGFR ) and Berlin Initiative Study 1 (BIS1eGFR ) eGFR equations in the ASPirin in Reducing Events in the Elderly (ASPREE) trial cohort of healthy older participants. GFR was estimated using CKD-EPI and BIS1 equations. CKD was defined as eGFR <60 mL/min/1.73m2 or =60 mL/min/1.73m2 with urine albumin creatinine ratio (UACR) = 3 mg/mmol. Logistic regression was used to identify predictors of CKD prevalence defined by each eGFR equation. Data for analysis were complete for 17,762 participants. Mean age was 75.1 years (SD 5); 56.4% were female, 76.4% had hypertension, 9% had diabetes mellitus. Mean CKD-EPIeGFR was 73.0 (SD 14.2), compared with mean BIS1eGFR of 62.7 (11.4). Median UACR was 0.8 (IQR 0.5, 1.5) mg/mmol. Prevalence of CKD by CKD-EPIeGFR was 27% (predominantly due to normoalbuminuric stage 3a CKD), substantially lower than 47.1% by BIS1eGFR ; the difference was predominantly driven by reclassification of individuals from G1 and G2 CKD to stage G3a without albuminuria. Increased prevalence of CKD by either equation was related to older age, hypertension, diabetes, or higher body mass index. Prevalence of CKD with CKD-EPIeGFR was 27%, and doubled using the elderly specific BIS1eGFR , with most participants reclassified from stage 2 to stage 3a. Increased prevalence of CKD was related older age, hypertension, diabetes, or increased body mass index.

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