For patients with stage-3 CKD, risk of mortality was higher than for those without CKD, but the risk of progression was low. CKD registers provide an opportunity for GPs to assess the risk of patients developing CVD.
Equations more accurate than CKD stage alone, researchers said
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In a prospective, community-based study involving more than 10,000 adults followed for a median of 14 years, baseline use of a proton pump inhibitor (PPI) was independently associated with a 20% to 50% higher risk for incident chronic kidney disease (CKD).
I got heartburn reading this article.
CONCLUSIONS: AAs and Hispanics with diabetes have a higher prevalence of early CKD compared with whites, which is significantly associated with UAE and/or CRP.
In a prospective cohort study, patients whose eating habits were closer to the tenets of a Mediterranean diet had about a 50% reduced odds of developing chronic kidney disease (CKD) over 7 years compared with those whose diets didn\’t resemble the fruit-and-vegetable-rich, low-saturated-fat diet, according to Minesh Khatri, MD, of Columbia University Medical Center, and colleagues.
Clinical assessment of gait speed and ‘timed up and go’ performance — the time it takes to stand from a seated position, walk around a cone placed 4 meters away, and return — were more strongly predictive of 3-year mortality than kidney function or standard blood testing in the study, published this week in the Journal of the American Society of Nephrology.
Epidemiologic data suggest that individuals at all stages of CKD have a higher risk of developing cognitive disorders and dementia. This risk is generally explained by the high prevalence of both symptomatic and subclinical ischemic cerebrovascular lesions.
In a large cohort study, relative mortality risk for reduced eGFR was higher in every age category, but fell with increasing age (P<0.05), with similar albeit less evident findings for increased albuminuria, Josef Coresh, MD, PhD, of the Chronic Kidney Disease Prognosis Consortium Data Coordinating Center in Baltimore, and colleagues reported online in the Journal of the American Medical Association.
Overall, Coresh and colleagues found that death and ESRD risks were higher at lower eGFR and higher albuminuria in every age category.
Conclusions: Sleep apnea is common in patients with CKD and increases as kidney function declines. Almost 50% of patients with CKD and ESRD experience nocturnal hypoxia, which may contribute to loss of kidney function and increased cardiovascular risk.