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PLoS One. 2014;9(4):e94120.

Glomerular filtration rate and proteinuria: association with mortality and renal progression in a prospective cohort of a community-based elderly population.

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제1저자 오세일 · 교신저자 진호준

소속 (4)
  1. Department of Internal Medicine, Inje University College of Medicine, Goyang City, Gyeonggi-do, Korea.
  2. Department of Internal Medicine, Seoul National University Bundang Hopsital, Seong-Nam, Korea.
  3. Department of Internal Medicine, Seoul National University Bundang Hopsital, Seong-Nam, Korea; Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
  4. Department of Psychiatry, Seoul National University College of Medicine, Seoul, Korea.

Abstract

Limited prospective data are available on the importance of estimated glomerular filtration rate (GFR) and proteinuria in the prediction of all-cause mortality (ACM) in community-based elderly populations. We examined the relationship between GFR or proteinuria and ACM in 949 randomly selected community-dwelling elderly subjects (aged ≥65 years) over a 5-year period. A spot urine sample was used to measure proteinuria by the dipstick test, and GFR was estimated using the chronic kidney disease-epidemiology collaboration (CKD-EPI) equation. Information about mortality and causes of death was collected by direct enquiry with the subjects and from the national mortality data. Compared to subjects without proteinuria, those with proteinuria of grade ≥1+ had a 1.725-fold (1.134-2.625) higher risk of ACM. Compared to subjects with GFR ≥90 ml/min/1.73 m2, those with GFR<45 ml/min/1.73 m2 had a 2.357 -fold (1.170-4.750) higher risk for ACM. Among the 403 subjects included in the analysis of renal progression, the annual rate of GFR change during follow-up period was -0.52±2.35 ml/min/1.73 m2/year. The renal progression rate was 7.315-fold (1.841-29.071) higher in subjects with GFR<60 ml/min/1.73 m2 than in those with GFR ≥60 ml/min/1.73 m2. Among a community-dwelling elderly Korean population, decreased GFR of <45 ml/min/1.73 m2 and proteinuria were independent risk factors for ACM.

Figures

Figure 1
Figure 1 Participants in KLoSHA study. *Mortality was detected by direct contact and the national database. **Mortality was identified by the national database.
Figure 2
Figure 2 The survival rate according to GFR and proteinuria. A. GFR group for all-caused mortality. B. Proteinuria group for all-caused mortality *p-value by Log-rank test.

그림 출처: PubMed Central 공개 논문 (PMC3978007)

Conflict of interest statement

Competing Interests:This study was supported by Pfizer Global Pharmaceuticals. There are no patents, products in development or marketed products to declare. This does not alter the authors’ adherence to all the PLOS ONE policies on sharing data and materials.

그 밖의 정보
출판 형태
Journal Article, Research Support, Non-U.S. Gov't
저널
PloS one · eISSN 1932-6203
전자 출판
2014-04-07
MeSH
Aged · Aged, 80 and over · Cohort Studies · Disease Progression* · Female · Follow-Up Studies · Glomerular Filtration Rate* · Humans · Kidney Diseases / complications / physiopathology · Male · Prospective Studies · Proteinuria / complications / mortality / physiopathology · Residence Characteristics*
참고문헌
29편