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 (19–21) |
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.