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CKD Awareness Among US Adults by Future Risk of Kidney Failure
- Source :
- American Journal of Kidney Diseases. 76:174-183
- Publication Year :
- 2020
- Publisher :
- Elsevier BV, 2020.
-
Abstract
- Rationale & Objective Persons with chronic kidney disease (CKD) are often unaware of their disease status. Efforts to improve CKD awareness may be most effective if focused on persons at highest risk for progression to kidney failure. Study Design Serial cross-sectional surveys. Setting & Participants Nonpregnant adults (aged ≥20 years) with CKD glomerular filtration rate categories 3-4 (G3-G4) who participated in the National Health and Nutrition Examination Survey from 1999 to 2016 (n = 3,713). Predictor 5-year kidney failure risk, estimated using the Kidney Failure Risk Equation. Predicted risk was categorized as minimal ( Outcome CKD awareness, defined by answering “yes” to the question “Have you ever been told by a doctor or other health professional that you had weak or failing kidneys?” Analytical Approach Prevalence of CKD awareness was estimated within each risk group using complex sample survey methods. Associations between Kidney Failure Risk Equation risk and CKD awareness were assessed using multivariable logistic regression. CKD awareness was compared with awareness of hypertension and diabetes during the same period. Results In 2011 to 2016, unadjusted CKD awareness was 9.6%, 22.6%, 44.7%, and 49.0% in the minimal-, low-, intermediate-, and high-risk groups, respectively. In adjusted analyses, these proportions did not change over time. Awareness of CKD, including among the highest risk group, remains consistently below that of hypertension and diabetes and awareness of these conditions increased over time. Limitations Imperfect sensitivity of the “weak or failing kidneys” question for ascertaining CKD awareness. Conclusions Among adults with CKD G3-G4 who have 5-year estimated risks for kidney failure of 5%
- Subjects :
- Male
Health Knowledge, Attitudes, Practice
medicine.medical_specialty
National Health and Nutrition Examination Survey
030232 urology & nephrology
Renal function
Health literacy
Disclosure
urologic and male genital diseases
Risk Assessment
Severity of Illness Index
03 medical and health sciences
0302 clinical medicine
Internal medicine
Diabetes mellitus
medicine
Humans
030212 general & internal medicine
Renal Insufficiency, Chronic
Disease management (health)
Aged
business.industry
Public health
Awareness
Middle Aged
Nutrition Surveys
medicine.disease
United States
female genital diseases and pregnancy complications
Nephrology
Disease Progression
Albuminuria
Kidney Failure, Chronic
Female
medicine.symptom
business
Glomerular Filtration Rate
Kidney disease
Subjects
Details
- ISSN :
- 02726386
- Volume :
- 76
- Database :
- OpenAIRE
- Journal :
- American Journal of Kidney Diseases
- Accession number :
- edsair.doi.dedup.....89bbc3d52eb3ce02af5d8e369721d0de