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. 2020 Sep 28;10(9):e040970. doi: 10.1136/bmjopen-2020-040970

Table 1.

Summary of study characteristics (n=3)

Study characteristics Study
Chinnadurai et al40 Jang et al41 Paik et al42
Country UK South Korea USA
Median follow-up 5.4 years 6.5 years 19.2 years
Years Liver USS (01 January 2000–31 December 2014), end of analysis period 31 December 2015 January 2003–December 2013 Third National Health and Nutrition Examination Survey (NHANES-III) 1988–1994
Linked mortality files up to 2011 or date of death
Population source Salford Kidney Study Individuals who had health screening at the Samsung Medical Centre, South Korea NHANES-III & linked mortality database
Study size 852 patients with CKD 1 525 patients with CKD 1413 patients with CKD
(11 695 adults overall: (i) CKD+NAFLD+ 2.6%, (ii) CKD+NAFLD− 6.8%, (iii) CKD−NAFLD+ 16.1%, (iv) CKD−NAFLD− 74.6%)
Demographics Mean age 66 years, males 60.7%, mean BMI 28, DM 34%, HTN 78%, hyperlipidaemia 49%, median eGFR 33.5 mL/min/1.73 m2 Mean age 61 years, males 69.8%, mean BMI 25, DM 24%, HTN 60%, hyperlipidaemia 41%, median eGFR 59.1 mL/min/1.73 m2 CKD with NAFLD: mean age 54 years, males 45.6%, obesity 52.2%, DM 43.2%, HTN 77.4%, hyperlipidaemia 86.9%
CKD without NAFLD: mean age 53 years, males 36.1%, obesity 30.0%, DM 16.8%, HTN 66.4%, hyperlipidaemia 81.7%
NAFLD prevalence 21% (183/852) 41% (902/1525) 29% (410/1413)
NAFLD definition Liver USS Liver USS Liver USS (moderate/severe steatosis only)
CKD definition eGFR <60 mL/min/1.73 m2 eGFR <60 mL/min/1.73 m2 or proteinuria ≥2+ eGFR <60 mL/min/1.73 m2±albuminuria
Covariate adjustments Propensity matching (n=276) for: age, gender, BMI, SBP, DBP, baseline HTN, DM, hypercholesterolaemia, IHD, MI, CCF, CVA, PVD, malignancy, use of statin and renin–angiotensin blocking agents, eGFR Stratified analyses according to predefined subgroups: age (<60 vs ≥60 years), gender, smoking (never/former vs current), alcohol (none vs moderate), BMI ≥25, HTN (SBP ≥140 mm Hg/DBP ≥90 mm Hg/use antihypertensives), DM (fasting glucose ≥126 mg/dL/HbA1c≥6.5 %/use antidiabetic drugs), hyperlipidaemia (HDL <40 mg/dL men, <50 mg/dL women/TG ≥150 mg/dL/use lipid-lowering drugs) & baseline eGFR (<45 vs ≥45 mL/min/1.73 m2) Age-adjustment based on the direct method to the Census 2000 population using the age groups 20–39, 40–59 and 60–74
Groups adjusted for the following in multivariable analysis: age category, gender, race, current smoker and the metabolic syndrome

BMI, body mass index; CCF, congestive cardiac failure; CKD, chronic kidney disease; CVA, cerebrovascular accident; DBP, diastolic blood pressure; DM, diabetes mellitus; eGFR, estimated glomerular filtration rate; HbA1c, haemoglobin A1c; HDL, high-density lipoprotein; HTN, hypertension; IHD, ischaemic heart disease; MI, myocardial infarction; NAFLD, non-alcoholic fatty liver disease; PVD, peripheral vascular disease; SBP, systolic blood pressure; TG, triglycerides; USS, ultrasound scan.