Chronic kidney disease progression in a large prevention program in Colombia: A cohort study
Background: Estimating morbidity outcomes and the rate of progression of chronic kidney disease (CKD) patients is of great importance for the health systems. Objective: The objective of this study is to estimate the incidence of dialysis initiation and the rate of CKD progression in 2 years follow-u...
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doaj-632d354a6d2d470bb80cb285518552672021-06-18T17:43:26ZengPermanyerNefrología Latinoamericana2444-90322021-01-0118110.24875/NEFRO.20000055Chronic kidney disease progression in a large prevention program in Colombia: A cohort studyMauricio Sanabria0Diana Espinosa1Luz A. Quintero2Izcay Ronderos3Jasmin Vesga4Delia Perea5Nelcy Rodriguez6Carlos J. Rincon7Lina J. Herrera8Leyder Corzo9Baxter Renal Care Services Latinoamerica, Bogota, ColombiaCompensar EPS, Bogota, ColombiaCompensar EPS, Bogota, ColombiaBaxter Renal Care Services Colombia, Clinica de Salud Renal, Bogota, ColombiaBaxter Renal Care Services Latinoamerica, Bogota, ColombiaBaxter Renal Care Services Colombia, Clinica de Salud Renal, Bogota, ColombiaPontificia Universidad Javeriana, Departamento de Epidemiologia y bioestadística, Facultad de medicina, Bogota, ColombiaPontificia Universidad Javeriana, Departamento de Epidemiologia y bioestadística, Facultad de medicina, Bogota, ColombiaPontificia Universidad Javeriana, Departamento de Epidemiologia y bioestadística, Facultad de medicina, Bogota, ColombiaBaxter Renal Care Services Colombia, Instituto Nacional del Riñon, Bogota, ColombiaBackground: Estimating morbidity outcomes and the rate of progression of chronic kidney disease (CKD) patients is of great importance for the health systems. Objective: The objective of this study is to estimate the incidence of dialysis initiation and the rate of CKD progression in 2 years follow-up and identify factors associated with dialysis starts. Methods: A retrospective cohort study of adult with diagnosed CKD stages-G3, G4 (estimated glomerular filtration rate between 60 and 15 ml/min/1.73 m2) enrolled into a CKD prevention program in Bogotá-Colombia, since January 1, 2016, to June 30, 2017, with follow-up until June 30, 2019. Cohort’s outcomes were arrival to dialysis and stage G5, dropout of the program, hospitalization, and mortality. Repeated measurements of the estimation of glomerular filtration rate (eGFR) allowed us to estimate the change over time in 4-month periods using a mixed-effects model. An Extended Cox model was adjusted for the time to start dialysis. Results: One thousand four hundred forty-eight patients were included in the analysis; the incidence rate of dialysis initiation was 2.1 events per 100 patients-year (95% CI: 1.5 2.7). The mean of eGFR variation was +1.1 ml/min/1.73 m2/year; and for diabetics was −1.0 ml/min/m2/year. Being diabetic and having poorly controlled hypertension were significant risk factors for time to dialysis initiation. Conclusion: The incidence rates of dialysis initiation, dropout, and hospitalization are outcomes of significant interest in a CKD prevention program. Being diabetic and poor blood pressure control are risk factors for a more rapid progression to dialysis. https://www.nefrologialatinoamericana.com/frame_esp.php?id=47Chronic kidney disease. Progression. Prevention. Predialysis. Kidney failure. |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mauricio Sanabria Diana Espinosa Luz A. Quintero Izcay Ronderos Jasmin Vesga Delia Perea Nelcy Rodriguez Carlos J. Rincon Lina J. Herrera Leyder Corzo |
spellingShingle |
Mauricio Sanabria Diana Espinosa Luz A. Quintero Izcay Ronderos Jasmin Vesga Delia Perea Nelcy Rodriguez Carlos J. Rincon Lina J. Herrera Leyder Corzo Chronic kidney disease progression in a large prevention program in Colombia: A cohort study Nefrología Latinoamericana Chronic kidney disease. Progression. Prevention. Predialysis. Kidney failure. |
author_facet |
Mauricio Sanabria Diana Espinosa Luz A. Quintero Izcay Ronderos Jasmin Vesga Delia Perea Nelcy Rodriguez Carlos J. Rincon Lina J. Herrera Leyder Corzo |
author_sort |
Mauricio Sanabria |
title |
Chronic kidney disease progression in a large prevention program in Colombia: A cohort study |
title_short |
Chronic kidney disease progression in a large prevention program in Colombia: A cohort study |
title_full |
Chronic kidney disease progression in a large prevention program in Colombia: A cohort study |
title_fullStr |
Chronic kidney disease progression in a large prevention program in Colombia: A cohort study |
title_full_unstemmed |
Chronic kidney disease progression in a large prevention program in Colombia: A cohort study |
title_sort |
chronic kidney disease progression in a large prevention program in colombia: a cohort study |
publisher |
Permanyer |
series |
Nefrología Latinoamericana |
issn |
2444-9032 |
publishDate |
2021-01-01 |
description |
Background: Estimating morbidity outcomes and the rate of progression of chronic kidney disease (CKD) patients is of great importance for the health systems. Objective: The objective of this study is to estimate the incidence of dialysis initiation and the rate of CKD progression in 2 years follow-up and identify factors associated with dialysis starts. Methods: A retrospective cohort study of adult with diagnosed CKD stages-G3, G4 (estimated glomerular filtration rate between 60 and 15 ml/min/1.73 m2) enrolled into a CKD prevention program in Bogotá-Colombia, since January 1, 2016, to June 30, 2017, with follow-up until June 30, 2019. Cohort’s outcomes were arrival to dialysis and stage G5, dropout of the program, hospitalization, and mortality. Repeated measurements of the estimation of glomerular filtration rate (eGFR) allowed us to estimate the change over time in 4-month periods using a mixed-effects model. An Extended Cox model was adjusted for the time to start dialysis. Results: One thousand four hundred forty-eight patients were included in the analysis; the incidence rate of dialysis initiation was 2.1 events per 100 patients-year (95% CI: 1.5 2.7). The mean of eGFR variation was +1.1 ml/min/1.73 m2/year; and for diabetics was −1.0 ml/min/m2/year. Being diabetic and having poorly controlled hypertension were significant risk factors for time to dialysis initiation. Conclusion: The incidence rates of dialysis initiation, dropout, and hospitalization are outcomes of significant interest in a CKD prevention program. Being diabetic and poor blood pressure control are risk factors for a more rapid progression to dialysis.
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topic |
Chronic kidney disease. Progression. Prevention. Predialysis. Kidney failure. |
url |
https://www.nefrologialatinoamericana.com/frame_esp.php?id=47 |
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