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. 2009 Feb;4(2):419–427. doi: 10.2215/CJN.04080808

Table 1.

Prevalence, incidence, mortality, progression to ESRD, effect of therapy, and test characteristics

Probabilities Age (yr) Base Case (%/yr) Range Source
Annual incidence of CKD 50-64 0.71 Estimated from Coresh (1)
65+ 2.29
Annual mortality in the United States 60 0.97 Arias (23)
70 2.36
Annual mortality of patients with ESRD 62 14.9 USRDS ADR (24)
67 18.9
74.5 26.0
Prevalence of CKD at age 60 0.149 0.075 to 0.224 Coresh (1)
Annual mortality of patients with CKD 0.050 0.0076 to 0.17 Foley, Go, Gerstein, Jafar, Sarnak (3, 18, 19, 20, 21)
Annual probability of progressing from CKD to ESRD 0.076 0.023 to 0.160 Foley, Jafar, Sarnak (1921)
Effect of therapy on mortality and progression
Effect of therapy on annual mortality of CKD patients (CKD mortality coefficient) 1 0.76 to 1.00 Gerstein, Sarnak, Jafar (18, 20, 21)
Effect of therapy on annual progression from CKD to ESRD (CKD progression coefficient) 0.728 0.637 to 0.819 Jafar, Sarnak (20, 21)
Test characteristics of eGFR and serum creatinine
    sensitivity of eGFR in detecting CKD 0.924 0.919 to 0.928 Rigalleau, Froissart (25, 26)
    specificity of eGFR in detecting CKD 0.835 0.784 to 0.885 Rigalleau, Froissart (25, 26)
    sensitivity of serum creatinine in detecting CKD 0.559 0.385 to 0.90 Newman, Xia, Oddoze (27, 28, 29)
    specificity of serum creatinine in detecting CKD 0.950 0.90 to 0.975 Newman, Xia, Oddoze (27, 28, 29)

eGFR was derived using the abbreviated MDRD equation. ESRD, end stage renal disease (glomerular filtration rate < 15 ml/min/1.73 m2); CKD, chronic kidney disease, stages 3 to 4 (glomerular filtration rate 15 to 59 ml/min/1.73 m2); USRDS ADR, United States Renal Data Service, Annual Data Report.