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Glomerular filtration rate and proteinuria: Association with mortality and renal progression in a prospective cohort of a community-based elderly populationopen access

Authors
Oh S.W.Kim S.Na K.Y.Kim K.W.Chae D.-W.Chin H.J.
Issue Date
2014
Publisher
Public Library of Science
Citation
PLoS ONE, v.9, no.4
Indexed
SCIE
SCOPUS
Journal Title
PLoS ONE
Volume
9
Number
4
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/9961
DOI
10.1371/journal.pone.0094120
ISSN
1932-6203
Abstract
Limited prospective data are available on the importance of estimated glomerular filtration rate (GFR) and proteinuria in the prediction of all-cause mortality (ACM) in community-based elderly populations. We examined the relationship between GFR or proteinuria and ACM in 949 randomly selected community-dwelling elderly subjects (aged ≥65 years) over a 5-year period. A spot urine sample was used to measure proteinuria by the dipstick test, and GFR was estimated using the chronic kidney disease-epidemiology collaboration (CKD-EPI) equation. Information about mortality and causes of death was collected by direct enquiry with the subjects and from the national mortality data. Compared to subjects without proteinuria, those with proteinuria of grade ≥1+ had a 1.725-fold (1.134-2.625) higher risk of ACM. Compared to subjects with GFR ≥90 ml/min/1.73 m2, those with GFR<45 ml/min/1.73 m2 had a 2.357 -fold (1.170-4.750) higher risk for ACM. Among the 403 subjects included in the analysis of renal progression, the annual rate of GFR change during follow-up period was -0.52±2.35 ml/min/1.73 m 2/year. The renal progression rate was 7.315-fold (1.841-29.071) higher in subjects with GFR<0 ml/min/1.73 m2 than in those with GFR ≥60 ml/min/1.73 m2. Among a community-dwelling elderly Korean population, decreased GFR of <45 ml/min/1.73 m2 and proteinuria were independent risk factors for ACM. © 2014 Oh et al.
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Oh, Se Won
Anam Hospital (Department of Nephrology and Hypertension, Anam Hospital)
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