Methodology used in studies reporting chronic kidney disease prevalence: a systematic literature review

被引：69

作者：

Bruck, Katharina ^{[1
]}

Jager, Kitty J. ^{[1
]}

Dounousi, Evangelia ^{[2
]}

Kainz, Alexander ^{[3
]}

Nitsch, Dorothea ^{[4
,5
]}

Arnlov, Johan ^{[6
]}

Rothenbacher, Dietrich ^{[7
]}

Browne, Gemma ^{[8
]}

Capuano, Vincenzo ^{[9
,10
]}

Ferraro, Pietro Manuel ^{[11
]}

Ferrieres, Jean ^{[12
]}

Gambaro, Giovanni ^{[11
]}

Guessous, Idris ^{[13
]}

Hallan, Stein ^{[14
]}

Kastarinen, Mika ^{[15
]}

Navis, Gerjan ^{[16
]}

Otero Gonzalez, Alfonso ^{[17
]}

Palmieri, Luigi ^{[18
]}

Romundstad, Solfrid ^{[19
]}

Spoto, Belinda ^{[20
]}

Stengel, Benedicte ^{[21
]}

Tomson, Charles ^{[22
]}

Tripepi, Giovanni ^{[20
]}

Voelzke, Henry ^{[23
]}

Wiecek, Andrzej ^{[24
]}

Gansevoort, Ron ^{[25
]}

Schoettker, Ben ^{[26
]}

Wanner, Christoph ^{[27
]}

Vinhas, Jose ^{[28
]}

Zoccali, Carmine ^{[20
]}

Van Biesen, Wim ^{[29
]}

Stel, Vianda S. ^{[1
]}

机构：

[1] Amsterdam Med Ctr, ERA EDTA Registry, Amsterdam, Netherlands

[2] Univ Ioannina, Sch Med, Dept Nephrol, GR-45110 Ioannina, Greece

[3] Med Univ, Dept Internal Med Nephrol 3, Vienna, Austria

[4] LSHTM, Epidemiol & Populat Hlth, London, England

[5] UCL, Ctr Nephrol, London, England

[6] Uppsala Univ, Dept Med Sci Mol Epidemiol, Uppsala, Sweden

[7] Univ Ulm, Inst Epidemiol & Med Biometry, D-89069 Ulm, Germany

[8] Natl Univ Ireland Univ Coll Cork, Dept Epidemiol & Publ Hlth, Cork, Ireland

[9] Mercato S Severino Hosp, Unite Opaerat Cardiol, Mercato S Severino, Italy

[10] Mercato S Severino Hosp, UTIC, Mercato S Severino, Italy

[11] Univ Cattolica Sacro Cuore, Columbus Gemelli Univ Hosp, Nephrol & Dialysis, I-00168 Rome, Italy

[12] Toulouse Univ, Rangueil Hosp, Sch Med, Dept Cardiol, Toulouse, France

[13] Univ Hosp Geneva, Dept Community Med Primary Care & Emergency Med, Div Primary Care Med, Unit Populat Epidemiol, Geneva, Switzerland

[14] Norwegian Univ Sci & Technol, St Olav Hosp, Norway Fac Med, Dept Nephrol, N-7034 Trondheim, Norway

[15] Kuopio Natl Inst Hlth & Welf, Finnish Med Agcy, Helsinki, Finland

[16] Univ Groningen, Univ Med Ctr Groningen, Dept Internal Med, Div Nephrol, NL-9713 AV Groningen, Netherlands

[17] Univ Hosp Ourense, Dept Nephrol, Orense, Spain

[18] Ist Super Sanita, I-00161 Rome, Italy

[19] Norwegian Univ Sci & Technol, Levanger Hosp, Hlth Trust Nord Trondelag, Dept Nephrol, N-7034 Trondheim, Norway

[20] CNR, IFC, Dept Nephrol, Dialysis & Transplantat Unit,Clin Epidemiol & Pat, Reggio Di Calabria, Italy

[21] INSERM, Res Ctr Epidemiol & Populat Hlth, Unit 1018, Villejuif, France

[22] Freeman Rd Hosp, Dept Nephrol, Newcastle Upon Tyne NE7 7DN, Tyne & Wear, England

[23] Univ Med Greifswald, Inst Community Med, Greifswald, Germany

[24] Med Univ Silesia, Fac Med Katowice, Dept Nephrol Transplantol & Internal Dis, Katowice, Poland

[25] Univ Groningen, Univ Med Ctr Groningen, Grad Sch Med Sci, Dept Nephrol, NL-9713 AV Groningen, Netherlands

[26] German Canc Res, Div Clin Epidemiol & Ageing Res, Heidelberg, Germany

[27] Univ Hosp Wurzburg, Dept Nephrol, Wurzburg, Germany

[28] Setubal Hosp Ctr, Dept Nephrol, Setubal, Portugal

[29] Ghent Univ Hosp, Dept Nephrol, Ghent, Belgium

来源：

NEPHROLOGY DIALYSIS TRANSPLANTATION | 2015年 / 30卷

关键词：

CKD; CKD-EPI equation; epidemiology; MDRD; systematic review; GLOMERULAR-FILTRATION-RATE; CHRONIC RENAL-DISEASE; CYSTATIN C; CARDIOVASCULAR RISK; SERUM CREATININE; GENERAL-POPULATION; ALL-CAUSE; CKD-EPI; ASSOCIATION; EQUATIONS;

D O I：

10.1093/ndt/gfv131

中图分类号：

R3 [基础医学]; R4 [临床医学];

学科分类号：

1001 ; 1002 ; 100602 ;

摘要：

Background. Many publications report the prevalence of chronic kidney disease (CKD) in the general population. Comparisons across studies are hampered as CKD prevalence estimations are influenced by study population characteristics and laboratory methods. Methods. For this systematic review, two researchers independently searched PubMed, MEDLINE and EMBASE to identify all original research articles that were published between 1 January 2003 and 1 November 2014 reporting the prevalence of CKD in the European adult general population. Data on study methodology and reporting of CKD prevalence results were independently extracted by two researchers. Results. We identified 82 eligible publications and included 48 publications of individual studies for the data extraction. There was considerable variation in population sample selection. The majority of studies did not report the sampling frame used, and the response ranged from 10 to 87%. With regard to the assessment of kidney function, 67% used a Jaffe assay, whereas 13% used the enzymatic assay for creatinine determination. Isotope dilution mass spectrometry calibration was used in 29%. The CKD-EPI (52%) and MDRD (75%) equations were most often used to estimate glomerular filtration rate (GFR). CKD was defined as estimated GFR (eGFR) <60 mL/min/1.73 m(2) in 92% of studies. Urinary markers of CKD were assessed in 60% of the studies. CKD prevalence was reported by sex and age strata in 54 and 50% of the studies, respectively. In publications with a primary objective of reporting CKD prevalence, 39% reported a 95% confidence interval. Conclusions. The findings from this systematic review showed considerable variation in methods for sampling the general population and assessment of kidney function across studies reporting CKD prevalence. These results are utilized to provide recommendations to help optimize both the design and the reporting of future CKD prevalence studies, which will enhance comparability of study results.

引用

页码：6 / 16

页数：11

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