Table 4. Subgroup analysis of the pooled prevalence of CKD stage 3–5 in low- and middle-income countries in Asia.
Subgroup | Pooled prevalence (95% CI) | I2, p-value | p-value for difference |
---|---|---|---|
Geographical subregion in Asia | |||
East Asia | 8.64 (7.17–10.24) | 99.94%, <0.001 | 0.039 |
Southeast Asia | 11.95 (7.71–16.95) | 99.80%, <0.001 | |
Western Asia | 13.09 (8.68–18.25) | 99.71%, <0.001 | |
South Asia | 13.51 (9.54–18.05) | 99.84%, <0.001 | |
Economic group (classified by the World Bank) | |||
Upper-middle income countries | 9.82 (8.30–11.46) | 99.94%, <0.001 | <0.001 |
Lower-middle income countries | 13.83 9.93–18.26) | 99.83%, <0.001 | |
Low income countries | 6.44 (5.67–7.25) | N/A, <0.001 | |
Study design | |||
Cross-sectional study | 11.42 (9.45–13.55) | 99.97%, <0.001 | 0.378 |
Cohort study | 8.24 (3.06–15.61) | 99.82%, <0.001 | |
Methods for measurement of eGFR | |||
CKD-EPI | 10.87 (7.76–14.43) | 99.98%, <0.001 | <0.001 |
MDRD 186 | 12.27 (9.33–15.55) | 99.66%, <0.001 | |
eMDRD 175 | 10.33 (7.70–13.30) | 99.88%, <0.001 | |
Cockcroft-Gault | 19.69 (16.14–23.49) | N/A, <0.001 | |
Not reported | 10.20 (6.63–14.43) | 99.31%, <0.001 | |
Quality of study | |||
High-quality study | 10.98 (8.24–14.07) | 99.96%, <0.001 | 0.836 |
Moderate-quality study | 11.37 (9.24–13.70) | 99.92%, <0.001 | |
Gender of study populations | |||
Male | 9.09 (7.08–11.31) | 99.87%, <0.001 | 0.563 |
Female | 9.98 (7.94–12.23) | 99.84%, <0.001 | |
Proportions of hypertension patients in study populations | |||
≤ 36.9% | 9.37 (7.63–11.27) | 99.92%, <0.001 | 0.055 |
> 36.9% | 14.07 (10.72–17.79) | 99.88%, <0.001 | |
Not reported | 10.48 (3.95–19.64) | 99.98%, <0.001 | |
Proportions of diabetes patients in study populations | |||
≤ 8.1% | 6.41 (4.82–8.21) | 99.91%, <0.001 | <0.001 |
> 8.1% | 14.11 (11.65–16.77) | 99.86%, <0.001 | |
Not reported | 10.95 (5.11–18.64) | 99.98%, <0.001 |
* estimated prevalence calculated using random-effect models; eGFR, estimated glomerular filtration rate; CKD, chronic kidney disease; EPI, epidemiology collaboration equation; MDRD186, Modification of Diet in Renal Disease Study with constant factor of 186; eMDRD175, estimated Modification of Diet in Renal Disease Study with constant factor of 175