Multicenter epidemiological study to assess the population of CKD patients in Greece: results from the PRESTAR study

Chronic Kidney Disease (CKD) is a relatively common condition not only associated with increased morbidity and mortality but also fuelling End Stage Renal Disease (ESRD). Among developed nations, Greece has one of the highest ESRD incidence rates, yet there is limited understanding of the epidemiolo...

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Veröffentlicht in:PloS one 2014-11, Vol.9 (11), p.e112767-e112767
Hauptverfasser: Sombolos, Konstantinos, Tsakiris, Demitrios, Boletis, John, Vlahakos, Demetrios, Siamopoulos, Kostas C, Vargemezis, Vassilios, Nikolaidis, Pavlos, Iatrou, Christos, Dafnis, Eugene, Xynos, Konstantinos, Argyropoulos, Christos
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Sprache:eng
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Zusammenfassung:Chronic Kidney Disease (CKD) is a relatively common condition not only associated with increased morbidity and mortality but also fuelling End Stage Renal Disease (ESRD). Among developed nations, Greece has one of the highest ESRD incidence rates, yet there is limited understanding of the epidemiology of earlier stages of CKD. Cross-sectional survey of pre-dialysis CKD outpatients in nephrology clinics in the National Health Care system between October 2009 and October 2010. Demographics, cause of CKD, blood pressure, level of renal function, duration of CKD and nephrology care, and specialty of referral physician were collected and analyzed. Different methods for estimating renal function (Cockroft-Gault [CG], CKD-Epi and MDRD) and staging CKD were assessed for agreement. A total of 1,501 patients in 9 centers were enrolled. Diabetic nephropathy was the most common nephrologist assigned cause of CKD (29.7%). In total, 36.5% of patients had self-referred to the nephrologist; patients with diabetes or serum creatinine above 220 µmol/l (eGFR
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0112767