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Chronic Renal Insufficiency Cohort Study (CRIC): Overview and Summary of Selected Findings
Matthew Denker1, Suzanne Boyle1, Amanda H Anderson1
1Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Insights
The Chronic Renal Insufficiency Cohort (CRIC) Study investigates chronic kidney disease (CKD) progression and cardiovascular risks in diverse populations. Findings inform understanding of CKD complications and outcomes in mild-to-moderate disease and older adults.
Area of Science:
- Nephrology
- Epidemiology
- Cardiovascular Medicine
Background:
- The Chronic Renal Insufficiency Cohort (CRIC) Study is a major U.S. multicenter, prospective research initiative.
- It focuses on racially and ethnically diverse patients diagnosed with chronic kidney disease (CKD).
- Initially aimed at identifying CKD progression predictors and cardiovascular disease (CVD) risks, it has become a broad national resource.
Purpose of the Study:
- To identify novel predictors of CKD progression.
- To elucidate the risk and manifestations of cardiovascular disease in individuals with CKD.
- To investigate morbidity, mortality, and CKD burden in mild-to-moderate CKD and older populations.
Main Methods:
- Prospective, multicenter cohort study design.
- Enrollment of a diverse patient population with varying stages of CKD.
- Longitudinal data collection on clinical outcomes, biomarkers, and patient-reported data.
Main Results:
- The CRIC Study has generated over 90 publications.
- Key findings address race/ethnicity, CKD progression, cognitive function, and cardiovascular outcomes.
- The study has fostered collaborations and career development in nephrology.
Conclusions:
- The CRIC Study is a vital national resource for understanding CKD.
- Ongoing research continues to address critical questions in nephrology.
- Findings enhance global understanding of CKD and its complications.
Abstract:
The Chronic Renal Insufficiency Cohort (CRIC) Study is a United States multicenter, prospective study of racially and ethnically diverse patients with CKD. Although the original aims of the study were to identify novel predictors of CKD progression and to elucidate the risk and manifestations of cardiovascular disease among nearly 4000 individuals with CKD, the CRIC Study has evolved into a national resource for investigation of a broad spectrum of CKD-related topics. The study has produced >90 published scientific articles, promoted many young investigative careers in nephrology, and fostered international collaborations focused on understanding the global burden of CKD. The third phase of the CRIC Study will complete enrollment of 1500 additional study participants in 2015 and is designed to answer questions regarding morbidity and mortality in mild-to-moderate CKD and to assess the burden of CKD in older persons. This review highlights some of the salient findings of the CRIC Study in the areas of race and ethnicity, CKD progression, CKD and cognition, and cardiovascular disease outcomes; it also outlines the ongoing and forthcoming opportunities for the global nephrology community to enhance its understanding of CKD and related complications through the study.
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