Table 2.
2004–06 | 2007–09 | 2010–12 | P for trend | |
---|---|---|---|---|
Proteinuria quantification | ||||
Person-years follow-up | 1185 | 1308 | 1369 | |
# Screened patients | 211 | 289 | 449 | |
Screening rate (95% CI), per 100 py | 17.8 (15.6–20.4) | 22.1 (19.7–24.8) | 32.8 (29.9–36.0) | <0.001 |
Adjusted screening rate (95% CI), per 100 py | 30.8 (27.0–58.3) | 39.2 (35.0–43.9) | 50.7 (46.3–55.5) | <0.001 |
Statin treatment | ||||
Person-years follow-up | 1073 | 1229 | 1366 | |
# Treated patients | 371 | 480 | 590 | |
Treatment rate (95% CI), per 100 py | 34.6 (31.2–38.3) | 39.1 (35.7–42.7) | 43.2 (39.8–46.8) | 0.09 |
Adjusted treatment rate (95% CI), per 100 py | 52.6 (47.5–58.3) | 62.7 (57.3–68.5) | 63.5 (58.6–68.9) | <0.001 |
ACEI or ARB treatment | ||||
Person-years follow-up | 106 | 153 | 137 | |
# Treated patients | 68 | 80 | 84 | |
Treatment rate (95% CI), per 100 py | 64.3 (50.7–81.5) | 52.3 (42.0–65.1) | 61.3 (49.5–76.0) | 0.84 |
Adjusted treatment rate (95% CI), per 100 py | 88.2 (67.6–115.0) | 82.8 (64.3–106.8) | 79.9 (61.8–103.2) | 0.82 |
Nephrology referral | ||||
Person-years follow-up | 1378 | 1521 | 1748 | |
# Referred patients | 12 | 20 | 48 | |
Referral rate (95% CI), per 100 py | 0.9 (0.5–1.5) | 1.3 (0.8–2.0) | 2.7 (2.0–3.6) | <0.001 |
Adjusted referral rate (95% CI), per 100 py | 1.7 (1.0-3.0) | 2.6 (1.7–4.1) | 5.2 (3.9–6.9) | <0.001 |
Proteinuria screening and nephrology referral: n = 728, 788 and 956 during Periods 1, 2 and 3, respectively. Statin treatment was limited to those aged 50 years and older at entry: n = 713, 773 and 930 during Periods 1, 2 and 3, respectively. ACEI or ARB treatment was limited to those with an indication (proteinuria): n = 82, 102 and 115 during periods 1, 2 and 3, respectively. CI, confidence interval; py, person-years.
aStandardized to a 73-year-old male with baseline eGFR of 49 mL/min/1.73 m2.