通过集群分析,研究早期慢性病中功能变异性的模式
Arisa Kobayashi1,2, Tsuyoshi Ohnishi1,3, Tadahisa Okuda1,4
1Human Health Sciences, Kyoto University Graduate School of Medicine, 53 Shogoin Kawahara-cho, Sakyo-ku, Kyoto-shi, Kyoto, 606-8057, Japan.
BMC nephrology
|August 5, 2025
概括
在早期慢性病 (CKD) 中监测功能变异性确定了一个高危子组. 这个小组经历了功能快速下降,需要针对性干预以获得更好的结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 慢性病 (CKD) 是一个主要的全球健康问题.
- 预测病预后至关重要,但早期CKD的变异性尚未得到充分研究.
- 这项研究侧重于一般人群中早期CKD的预后和功能变化.
研究的目的:
- 为了调查早期CKD的病预后.
- 为了识别功能变化的模式.
- 确定与早期CKD高可变性相关的因素.
主要方法:
- 一项回顾性全国性队列研究,对1765名患有早期CKD的成年人进行了回顾性研究 (eGFR为45-59毫升/分钟/1.73米2).
- 使用平均余值,最大余值和范围对eGFR变异性的集群分析.
- 后勤回归用于识别与高风险集群相关的临床因素.
主要成果:
- 确定了三个不同的eGFR变异性集群.
- 一个小小的东西.
- 高变化的集群集群.
- (4.6%的患者) 显示出显著的变化和更快的eGFR下降.
- 年龄较小,蛋白尿,抗高血压药物使用和高血糖症与这种高风险集群有关.
结论:
- 在早期的CKD中存在明显的eGFR变异性模式.
- 一个具有高可变性的子组有迅速衰退的风险.
- 监测eGFR变异性可以指导有针对性的干预措施,并改善早期CKD管理.
相关概念视频
Chronic Kidney Disease I: Introduction
68
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
68
Chronic Kidney Disease III: Interprofessional Care
80
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
80
Factors Affecting Renal Clearance: Renal Impairment
162
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
162
Chronic Kidney Disease II: Clinical Manifestations
93
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
93
Nephrons
3.4K
The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
3.4K
Acute Kidney Injury III: Clinical Manifestations
94
Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
94


