Table 1.
Demographic and clinical features of patients coded as 250.40 (Type 2 diabetes with renal manifestations) as cause of ESRD on CMS2728 (those meeting KDOQI 2007 guideline criteria for Type 2 DN versus those who did not meet KDOQI criteria are compareda)
Met KDOQI 2007 criteria for Type 2 DN as cause of ESRD | P-value | ||
---|---|---|---|
Yes | No | ||
(N = 44) | (N = 12) | ||
Age (years) | 66.8 ± 9.5 | 61.8 ± 10.3 | 0.12 |
Sex | 0.33 | ||
Male | 29 (65.9%) | 6 (50.0%) | |
Female | 15 (34.1%) | 6 (50.0%) | |
Race | |||
White | 6 (13.6%) | 0 (0%) | 0.32 |
African–American | 30 (68.2%) | 8 (66.7%) | 1.00 |
Asian | 0 (0%) | 2 (16.7%) | 0.04 |
Other | 8 (18.2%) | 2 (16.7%) | 1.00 |
RRT type | 43 (98%) HD | 12 (100%) HD | 1.00 |
Body mass index, kg/m2 | 31.4 ± 7.3 | 29.8 ± 4.2 | 0.48 |
History of hypertension | 44 (100%) | 12 (100%) | 1.00 |
History of cardiovascular diseaseb | 30 (68%) | 9 (75%) | 0.73 |
History of smoking | 13 (30%) (N = 43) | 5 (42%) | 0.50 |
Years since diagnosis of Type 2 DM | 19 (8–40) (N =33) (N = 11 unknown) | 11 (3–20) (N = 8) (N = 3 unknown, N = 1 Type 1 DM) | 0.007 |
Active urine sediment | 0 (0%) | 3c (27%) (N = 11) | 0.006 |
Developed macroalbuminuria prior to ESRD | 44 (100%) | 9 (82%) (N = 11) | 0.037 |
Microalbuminuria only prior to ESRD | 0 (0%) | 0 (0%) | 1.00 |
Retinopathy | 38 (86%) | 4 (36%) (N = 11) | 0.002 |
Biopsy | 1d | 2e (N = 11) | 0.099 |
HD, hemodialysis.
Data are presented as mean ± standard deviation, as median (range) or as number (percentage). Patient records were reviewed by a primary and secondary provider, with a third provider in the event of disagreement, as per Materials and methods.
Defined as history of coronary artery disease, cerebrovascular disease and/or peripheral vascular disease.
All patients with active urine sediment had associated Hepatitis C.
Biopsy results: one patient had BK nephropathy in transplant kidney; one patient had membranoproliferative glomerulonephritis with cryoglobulinemia and background diabetic changes.
Biopsy results: consistent with diabetic nephropathy.