Influence of Nephrologist Care on Management and Outcomes in Adults with Chronic Kidney Disease.

ABSTRACT:

Background

Predialysis nephrology care for adults with late stage chronic kidney disease (CKD) is associated with improved outcomes. Less is known about the effects of nephrology care in earlier stages of CKD.

Objective

We aimed to evaluate the effect of nephrology care on management of CKD risk factors and complications, CKD progression, incident cardiovascular disease (CVD), and death.

Design

This was a prospective cohort study.

Participants

Participants included 3855 men and women aged 21 to 74 years enrolled in the Chronic Renal Insufficiency Cohort (CRIC) Study with a mean (SD) estimated glomerular filtration rate (eGFR) at entry of 45 (17) ml/min/1.73 m(2), followed for a median of 6.6 years.

Main measures

The main predictor was self-reported prior

SUBMITTER: Ricardo AC 

PROVIDER: S-EPMC4700009 | biostudies-literature | 2016 Jan

REPOSITORIES: biostudies-literature