Incidence of chronic kidney disease among people with diabetes: A systematic review of observational studies

Aims: The aim was to systematically review published articles that reported the incidence of chronic kidney disease among people with diabetes. Methods: A systematic literature search was performed using MEDLINE, Embase and CINAHL databases. The titles and abstracts of all publications identified by...

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Main Authors: Koye, D., Shaw, J., Reid, Christopher, Atkins, R., Reutens, A., Magliano, D.
Format: Journal Article
Published: Wiley-Blackwell Publishing Ltd. 2017
Online Access:http://hdl.handle.net/20.500.11937/51672
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author Koye, D.
Shaw, J.
Reid, Christopher
Atkins, R.
Reutens, A.
Magliano, D.
author_facet Koye, D.
Shaw, J.
Reid, Christopher
Atkins, R.
Reutens, A.
Magliano, D.
author_sort Koye, D.
building Curtin Institutional Repository
collection Online Access
description Aims: The aim was to systematically review published articles that reported the incidence of chronic kidney disease among people with diabetes. Methods: A systematic literature search was performed using MEDLINE, Embase and CINAHL databases. The titles and abstracts of all publications identified by the search were reviewed and 10 047 studies were retrieved. Results: A total of 71 studies from 30 different countries with sample sizes ranging from 505 to 211 132 met the inclusion criteria. The annual incidence of microalbuminuria and albuminuria ranged from 1.3% to 3.8% for Type 1 diabetes. For Type 2 diabetes and studies combining both diabetes types, the range was from 3.8% to 12.7%, with four of six studies reporting annual rates between 7.4% and 8.6%. In studies reporting the incidence of eGFR < 60 ml/min/1.73 m2 using the Modification of Diet on Renal Disease (MDRD) equation, apart from one study which reported an annual incidence of 8.9%, the annual incidence ranged from 1.9% to 4.3%. The annual incidence of end-stage renal disease ranged from 0.04% to 1.8%. Conclusions: The annual incidence of microalbuminuria and albuminuria is ~ 2-3% in Type 1 diabetes, and ~ 8% in Type 2 diabetes or mixed diabetes type. The incidence of developing eGFR < 60 ml/min/1.73 m2 is ~ 2-4% per year. Despite the wide variation in methods and study design, within a particular category of kidney disease, there was only modest variation in incidence rates. These findings may be useful in clinical settings to help understand the risk of developing kidney disease among those with diabetes.
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spelling curtin-20.500.11937-516722018-12-14T00:57:37Z Incidence of chronic kidney disease among people with diabetes: A systematic review of observational studies Koye, D. Shaw, J. Reid, Christopher Atkins, R. Reutens, A. Magliano, D. Aims: The aim was to systematically review published articles that reported the incidence of chronic kidney disease among people with diabetes. Methods: A systematic literature search was performed using MEDLINE, Embase and CINAHL databases. The titles and abstracts of all publications identified by the search were reviewed and 10 047 studies were retrieved. Results: A total of 71 studies from 30 different countries with sample sizes ranging from 505 to 211 132 met the inclusion criteria. The annual incidence of microalbuminuria and albuminuria ranged from 1.3% to 3.8% for Type 1 diabetes. For Type 2 diabetes and studies combining both diabetes types, the range was from 3.8% to 12.7%, with four of six studies reporting annual rates between 7.4% and 8.6%. In studies reporting the incidence of eGFR < 60 ml/min/1.73 m2 using the Modification of Diet on Renal Disease (MDRD) equation, apart from one study which reported an annual incidence of 8.9%, the annual incidence ranged from 1.9% to 4.3%. The annual incidence of end-stage renal disease ranged from 0.04% to 1.8%. Conclusions: The annual incidence of microalbuminuria and albuminuria is ~ 2-3% in Type 1 diabetes, and ~ 8% in Type 2 diabetes or mixed diabetes type. The incidence of developing eGFR < 60 ml/min/1.73 m2 is ~ 2-4% per year. Despite the wide variation in methods and study design, within a particular category of kidney disease, there was only modest variation in incidence rates. These findings may be useful in clinical settings to help understand the risk of developing kidney disease among those with diabetes. 2017 Journal Article http://hdl.handle.net/20.500.11937/51672 10.1111/dme.13324 Wiley-Blackwell Publishing Ltd. restricted
spellingShingle Koye, D.
Shaw, J.
Reid, Christopher
Atkins, R.
Reutens, A.
Magliano, D.
Incidence of chronic kidney disease among people with diabetes: A systematic review of observational studies
title Incidence of chronic kidney disease among people with diabetes: A systematic review of observational studies
title_full Incidence of chronic kidney disease among people with diabetes: A systematic review of observational studies
title_fullStr Incidence of chronic kidney disease among people with diabetes: A systematic review of observational studies
title_full_unstemmed Incidence of chronic kidney disease among people with diabetes: A systematic review of observational studies
title_short Incidence of chronic kidney disease among people with diabetes: A systematic review of observational studies
title_sort incidence of chronic kidney disease among people with diabetes: a systematic review of observational studies
url http://hdl.handle.net/20.500.11937/51672