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Use of the BIOGROUP® French laboratories database to conduct CKD observational studies: a pilot EPI-CKD1 study
Claire Visseaux1, Guillaume Pénaranda2, Cécile Conte3
1BPO-BIOEPINE, BIOGROUP, Levallois-Perret, France.
Insights
This study found that 11.5% of adults had altered kidney function, with older age, diabetes, and heart failure increasing risk. Biogroup data offers insights into cardio-renal risk in large patient populations.
Area of Science:
- Medical biology
- Cardio-reno-metabolic disease research
- Epidemiology
Background:
- Medical biology is crucial for diagnosing and monitoring cardio-reno-metabolic diseases.
- National databases often lack essential biological data for comprehensive patient analysis.
- The EPI-CKD1 study addresses these gaps using real-world data.
Purpose of the Study:
- To examine the prevalence and incidence of chronic kidney disease (CKD) in an outpatient setting.
- To assess the impact of heart failure and diabetes on kidney function.
- To evaluate the utility of Biogroup laboratory data for large-scale observational studies.
Main Methods:
- Inclusion of adults (≥18 years) with at least one blood creatinine test between January 2021 and June 2022.
- Measurement of key biomarkers: serum creatinine, estimated glomerular filtration rate (eGFR), hemoglobin A1c, B-type natriuretic peptide (BNP), NT-Pro BNP, and urinary albumin/creatinine ratio (uACR).
Main Results:
- Over 4 million adults were analyzed, with 11.5% exhibiting altered kidney function.
- Prevalence of altered kidney function was 8.06%, with an incidence of 5.10%.
- Older age, diabetes, and heart failure were significantly associated with an increased risk of reduced eGFR (<60 mL/min/1.73 m²).
Conclusions:
- Biogroup laboratory data is valuable for large-scale observational studies on cardio-renal risk.
- The study provides medically relevant insights into patients with cardio-renal risk factors.
- Future research should focus on data enrichment and long-term follow-up for deeper understanding.
Objectives:
Medical biology is essential for diagnosing and monitoring cardio-reno-metabolic diseases. The EPI-CKD1 study utilizes data from Biogroup® French laboratories to examine the burden of chronic kidney disease (CKD) and the effect of heart failure, and diabetes in an outpatient setting in order to address gaps in national databases that lack biological data.
Methods:
All adults (≥18 years) with at least one blood creatinine test between January 1st of 2021, and June 30th of 2022 were included. Key biomarkers measured included serum creatinine, estimated glomerular filtration rate (eGFR), hemoglobin A1c, B-type natriuretic peptide (BNP), NT-Pro BNP, and urinary albumin/creatinine ratio (uACR).
Results:
Among a total of 4,061,208 adults with at least one blood creatinine test, 465,225 (11.5 %) had altered kidney function. Their mean age was 57.9 years (SD 18.8), with 56.7 % women. Diabetes was present in 8.3 %, and heart failure in 1.4 %. Altered kidney function standardized prevalence was estimated to 8.06 %, with an incidence of 5.10 %. Patients with end-stage CKD had an average of 7.9 eGFR measurements, compared to 2 for those with eGFR >60 mL/min/1.73 m2. Older age, diabetes, and heart failure were associated with an increased risk of eGFR <60 mL/min/1.73 m2.
Conclusions:
The EPI-CKD1 study demonstrates the utility of Biogroup® data for large-scale observational studies, offering precise, medically relevant insights on patients at cardio-renal risk. Future studies should focus on data enrichment and long-term follow-up to deepen understanding.
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