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. 2016 Dec 22;10(2):257–262. doi: 10.1093/ckj/sfw112

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.

a

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.

b

Defined as history of coronary artery disease, cerebrovascular disease and/or peripheral vascular disease.

c

All patients with active urine sediment had associated Hepatitis C.

d

Biopsy results: one patient had BK nephropathy in transplant kidney; one patient had membranoproliferative glomerulonephritis with cryoglobulinemia and background diabetic changes.

e

Biopsy results: consistent with diabetic nephropathy.