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Assessment of Vascular Function in Patients With Chronic Kidney Disease
08:50

Assessment of Vascular Function in Patients With Chronic Kidney Disease

Published on: June 16, 2014

Diabetic Cardiovascular Disease Predicts Chronic Kidney Disease Awareness in the Kidney Early Evaluation Program

Adam Whaley-Connell, Andrew S Bomback, Samy I McFarlane

    Cardiorenal Medicine
    |January 20, 2012
    PubMed

    Insights

    Chronic kidney disease (CKD) awareness is low, but cardiovascular disease (CVD) in diabetic patients may increase it. This screening program found CVD presence improved CKD awareness among those with diabetes.

    Area of Science:

    • Nephrology
    • Cardiology
    • Public Health

    Background:

    • Chronic kidney disease (CKD) awareness is generally low.
    • Diabetes significantly increases cardiovascular disease (CVD) morbidity, particularly in CKD patients.
    • Previous research did not support healthcare delivery or insurance status improving CKD awareness in diabetic populations.

    Purpose of the Study:

    • To test the hypothesis that a prevalent comorbidity like CVD in diabetic patients predicts CKD awareness.
    • To assess the relationship between CVD and CKD awareness in a large screening program.

    Main Methods:

    • Utilized data from the National Kidney Foundation-Kidney Early Evaluation Program (KEEP).
    • Analyzed 77,077 participants, identifying CKD in 20,200 and diabetes in 23,082.
    • Compared CVD prevalence and CKD awareness between diabetic and non-diabetic groups, and across CKD stages.

    Main Results:

    • CVD prevalence was higher in participants with diabetes (39.5%) than without (22.0%).
    • CKD awareness was significantly higher in diabetic patients with CVD (8.2%) compared to those without diabetes (2.2%).
    • Congestive heart failure was a stronger predictor of awareness in diabetic patients with CVD than myocardial infarction or stroke.

    Conclusions:

    • CKD awareness remains low overall.
    • The presence of CVD in patients with diabetes is associated with increased CKD awareness within a targeted screening program.
    • Findings highlight the potential role of comorbid conditions in driving health awareness for chronic diseases.
    Abstract

    Keywords:
    Cardiovascular diseaseChronic kidney diseaseDiabetes mellitusKEEP

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