The study examined the outcomes of 892 primary care patients aged 60 years or older with chronic kidney disease (CKD) in England. Participants were categorized into three groups: those with existing CKD, those with screen-detected CKD, and those with temporary reduction in kidney function.
The primary outcome was a composite of all-cause mortality, hospitalization, cardiovascular disease, or end-stage kidney disease. The researchers found that the composite outcomes were not significantly different between patients with preexisting CKD and those identified through screening (adjusted hazard ratio 0.94, 95% CI 0.67-1.33).
Additionally, the risks for individual outcomes such as death, hospitalization, cardiovascular disease, or end-stage kidney disease were also not significantly different between the two groups. However, the study identified several risk factors associated with higher mortality, including older age, male sex, and the presence of heart failure.
The study suggests that screening older adults for CKD may be valuable to enable earlier detection and initiation of disease-modifying treatments, despite the lack of significant differences in short-term outcomes between the diagnosed and screen-detected groups.
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by Edited Manas... о www.medscape.com 09-27-2024
https://www.medscape.com/viewarticle/does-screening-ckd-benefit-older-adults-2024a1000hjiГлибші Запити