Table 1.
Parameter | All |
Brazil |
France |
Germany |
US |
|||||
---|---|---|---|---|---|---|---|---|---|---|
Men | Women | Men | Women | Men | Women | Men | Women | Men | Women | |
Patients, n | 4811 | 3426 | 398 | 366 | 1944 | 1024 | 1480 | 1110 | 989 | 926 |
Demographics | ||||||||||
Age, yr | 71 [63–78] | 71 [61–79] | 67 [58–75] | 66 [55–76] | 69 [62–77] | 67 [58–76] | 74 [66–79] | 76 [69–82] | 71 [62–78] | 70 [61–78] |
Black race, % | 7 | 10 | 25 | 27 | 3 | 2 | – | – | 17 | 26 |
Marital status, % | ||||||||||
Married | 72 | 47 | 76 | 51 | 74 | 52 | – | – | 68 | 42 |
Widowed | 7 | 26 | 11 | 31 | 6 | 24 | – | – | 8 | 27 |
Divorced | 9 | 12 | 4 | 5 | 10 | 12 | – | – | 10 | 14 |
Single (never married) or separated | 11 | 14 | 9 | 14 | 10 | 12 | – | – | 14 | 17 |
Employeda, % | 53 | 39 | 44 | 24 | 71 | 56 | – | – | 36 | 31 |
Smoker, % | 10 | 6 | 7 | 5 | 13 | 10 | 6 | 2 | 11 | 7 |
Education < high school, % | 18 | 26 | 59 | 62 | 12 | 20 | – | – | 12 | 16 |
Clinical status | ||||||||||
Body mass index, kg/m2 | 29.0 (5.3) | 29.7 (7.0) | 27.8 (5.0) | 28.2 (5.5) | 28.6 (5.1) | 29.0 (7.1) | 28.9 (5.2) | 29.3 (6.2) | 30.9 (6.2) | 32.3 (7.8) |
Clinic visit frequency, per year | 2.6 [1.7–4.0] | 2.9 [1.9–4.1] | 4.0 [2.8–6.0] | 4.0 [2.8–5.5] | 2.1 [1.4–2.9] | 2.0 [1.4–3.0] | – | – | 3.6 [2.4–5.3] | 3.7 [2.5–5.0] |
Characteristics of CKD | ||||||||||
eGFR, ml/min per 1.73 m2 | 28.9 (11.5) | 27.0 (10.8) | 26.6 (11.9) | 25.3 (11.5) | 32.8 (11.5) | 31.2 (11.0) | 26.0 (10.0) | 25.2 (9.2) | 26.4 (11.1) | 25.3 (10.6) |
CKD stage | ||||||||||
Stage 3 | 39 | 33 | 35 | 30 | 56 | 51 | 23 | 19 | 33 | 30 |
Stage 4 | 53 | 58 | 50 | 52 | 41 | 44 | 70 | 76 | 53 | 55 |
Stage 5 | 8 | 9 | 15 | 19 | 4 | 5 | 7 | 6 | 14 | 15 |
CKD vintage,b yr | 4.6 [2.2–8.6] | 4.1 [1.8–8.1] | 2.7 [0.8–5.6] | 2.8 [1.1–6.1] | 5.2 [2.6–9.9] | 5.1 [2.3–10.4] | – | – | 4.1 [1.7–7.5] | 3.6 [1.5–6.8] |
Reported cause of CKD,c % | ||||||||||
Diabetes | 29 | 29 | 36 | 39 | 21 | 19 | 32 | 29 | 36 | 37 |
Hypertension | 30 | 30 | 35 | 29 | 22 | 18 | 34 | 37 | 36 | 33 |
Glomerulonephritis/vasculitis | 17 | 12 | 8 | 11 | 26 | 21 | 11 | 6 | 8 | 9 |
Tubulointerstitial disease | 7 | 11 | 8 | 11 | 10 | 17 | 4 | 9 | 3 | 5 |
Polycystic | 4 | 5 | 3 | 4 | 4 | 8 | 3 | 3 | 2 | 3 |
Other | 12 | 12 | 6 | 3 | 10 | 11 | 15 | 15 | 12 | 10 |
Unknown | 1 | 2 | 3 | 4 | 6 | 7 | 1 | 1 | 3 | 3 |
Albuminuria or equivalentd | ||||||||||
Normal to mildly increased | 27 | 38 | 43 | 47 | 24 | 34 | 28 | 44 | 31 | 37 |
Moderately increased | 28 | 28 | 21 | 19 | 31 | 32 | 29 | 32 | 22 | 23 |
Severely increased | 45 | 33 | 36 | 34 | 45 | 34 | 44 | 24 | 47 | 41 |
Comorbidities, % | ||||||||||
Coronary artery disease | 33 | 21 | 25 | 20 | 30 | 15 | 35 | 22 | 37 | 26 |
Cerebrovascular disease | 12 | 9 | 12 | 7 | 14 | 7 | 10 | 10 | 11 | 10 |
Congestive heart failure | 15 | 14 | 16 | 15 | 14 | 11 | 14 | 13 | 17 | 18 |
Other cardiovascular disease | 25 | 20 | 14 | 13 | 29 | 24 | 24 | 19 | 24 | 20 |
Peripheral vascular disease | 21 | 14 | 24 | 23 | 20 | 12 | 22 | 14 | 18 | 14 |
Hypertension | 89 | 89 | 91 | 91 | 91 | 90 | 84 | 85 | 92 | 93 |
Diabetes | 47 | 45 | 49 | 45 | 46 | 39 | 45 | 41 | 54 | 56 |
Cancer (nonskin) | 20 | 13 | 12 | 5 | 24 | 17 | 17 | 11 | 20 | 16 |
Gastrointestinal bleeding | 1 | 1 | 2 | 3 | 1 | 1 | 2 | 2 | 2 | 1 |
HIV/AIDS | 0.6 | 0.4 | 1.2 | 0.8 | 1 | 1 | 0.1 | 0 | 1.2 | 0.3 |
Lung disease | 10 | 9 | 9 | 6 | 11 | 9 | 8 | 6 | 13 | 13 |
Neurologic disease | 3 | 4 | 11 | 13 | 2 | 3 | 2 | 2 | 4 | 6 |
Any psychiatric disordere | 7 | 13 | 11 | 21 | 7 | 14 | 4 | 6 | 12 | 19 |
Depression | 5 | 12 | 8 | 21 | 5 | 13 | 2 | 4 | 9 | 17 |
Recurrent cellulitis/gangrene | 3 | 3 | 7 | 6 | – | – | 1 | 2 | 4 | 4 |
Laboratoryf | ||||||||||
S. phosphorus, mg/dl | 3.7 (1.5) | 3.9 (0.8) | 4.1 (1.0) | 4.4 (1.2) | 3.5 (2.0) | 3.8 (0.7) | 3.6 (0.8) | 3.8 (0.7) | 3.9 (1.1) | 3.9 (0.9) |
S. calcium, mg/dl | 9.4 (5.6) | 9.4 (0.7) | 9.4 (0.7) | 9.3 (0.8) | 9.6 (8.3) | 9.5 (0.6) | 9.2 (0.6) | 9.4 (0.7) | 9.1 (0.6) | 9.3 (0.6) |
S. PTH, pg/ml | 92 [54–151] | 92 [57–157] | 97 [53–188] | 97 [62–188] | 79 [49–130] | 84 [54–138] | 111 [68–187] | 100 [62–166] | 103 [62–165] | 100 [62–180] |
S. potassium, mEq/l | 4.6 (0.6) | 4.5 (0.6) | 4.8 (0.6) | 4.8 (0.7) | 4.6 (0.5) | 4.5 (0.5) | 4.7 (0.7) | 4.5 (0.6) | 4.6 (0.6) | 4.5 (0.6) |
S. albumin, g/dl | 4.0 (0.6) | 3.9 (0.6) | 4.0 (0.6) | 3.8 (0.7) | 4.0 (0.5) | 4.0 (0.5) | 4.1 (0.7) | 4.2 (0.6) | 3.8 (0.6) | 3.8 (0.5) |
Hemoglobin, g/dl | 12.8 (1.9) | 11.9 (1.5) | 12.6 (2.1) | 11.6 (1.6) | 13.3 (1.7) | 12.3 (1.4) | 12.6 (1.8) | 12.0 (1.4) | 12.2 (2.0) | 11.3 (1.6) |
Ferritin, ng/ml | 143 [81–259] | 120 [60–225] | 175 [93–383] | 136 [62–239] | 138 [81–245] | 109 [58–186] | 145 [75–271] | 125 [60–248] | 159 [75–287] | 144 [62–301] |
TSAT, % | 24 [18–30] | 22 [17–29] | 27 [20–34] | 24 [19–33] | 24 [19–30] | 22 [17–29] | 23 [18–29] | 21 [16–27] | 21 [17–30] | 21 [1–25] |
CRP,g mg/dl | 0.5 [0.2–1.2] | 0.5 [0.2–1.4] | – | – | 0.4 [0.2–0.8] | 0.4 [0.2–0.9] | 0.7 [0.3–2.0] | 0.7 [0.2–2.2] | – | – |
Systolic blood pressure, mm Hg | 138 (21) | 139 (21) | 132 (19) | 135 (21) | 143 (20) | 142 (21) | 136 (21) | 138 (22) | 136 (20) | 137 (21) |
HbA1c,h % | 6.9 [6.3–7.7] | 7.1 [6.3–8.1] | 6.8 [6.2–7.8] | 7.3 [6.2–8.2] | 6.9 [6.3–7.6] | 7.1 [6.4–8.2] | 6.9 [6.4–7.8] | 6.9 [6.2–7.8] | 6.9 [6.3–8.1] | 7.0 [6.1–8.1] |
S. glucose,h mg/dl | ||||||||||
Fasting | 133 [107–163] | 128 [101–166] | 116 [95–158] | 130 [97–191] | 131 [108–157] | 127 [101–157] | 139 [106–187] | 137 [103–175] | 136 [107–187] | 126 [100–185] |
Nonfasting | 138 [107–187] | 139 [107–190] | 112 [98–133] | 132 [104–160] | 144 [109–174] | 133 [117–162] | 142 [109–194] | 146 [115–196] | 146 [112–192] | 139 [105–198] |
Values reported in mean (SD) or median [interquartile range].
CKD, chronic kidney disease; CKDopps, Chronic Kidney Disease Outcomes and Practice Patterns Study; CRP, C-reactive protein; eGFR, estimated glomerular filtration rate; HbA1c, hemoglobin A1c; KDIGO, Kidney Disease: Improving Global Outcomes; N, number; S., serum; PTH, parathyroid hormone; TSAT, transferrin saturation; US, United States.
Restricted to age <65 years old.
Time already spent in the CKD clinic on study inclusion into CKDopps.
10% missing in Brazil and 35% missing in the US.
Thresholds from KDIGO 2012 guidelines: normal or mildly increased (<30 mg/g); moderately increased (30–300 mg/g); severely increased (>300 mg/g); % of missing data is 51% in Brazil, 9% in France, 49% in Germany, and 46% in the US.
Includes depression, bipolar disorder, schizophrenia/psychotic disorder, and alcohol or other substance abuse within past 12 months.
The most recent value within 6 months before CKDopps enrollment.
Results for Brazil and US are suppressed owing to high % missingness (>90%); 51% and 52% missingness in French and German data, respectively.
Restricted to patients with diabetes.