Chronic Kidney Diseases Clinical Trial
Official title:
Kidney Function and Markers of Inflamation in Relation to Mortality, Cardiovascular Events and Kidney Function Impaired: Cohort Study in General Adult Population
Prospective multicenter follow-up study of 10 years. Cohort established between 2005-2007 with stratified random sample of general population older than 20 years (Census 2001), N= 2746 subjects.
The aim of this study is to analyse the evolution of kidney function (KF) in the general
Spanish population and its impact in terms of quality of life, survival and prognosis for
relevant clinical events: mortality, major vascular events and end stage renal disease
(ESRD), over a period of 10 years. This is in line with the research priorities highlighted
by Kidney Disease: Improving Global Outcomes (KDIGO) 2012.
The study is a prospective multi-centre 10 year follow-up study. Cohort established in Phase
I of the EPIRCE study conducted in 2005-2007; stratified random sample of the general
population over age 20 (2001 Census), with 2746 subjects studied with complete baseline
characterization: socio-demographic variables, lifestyle factors, vascular risk, morbidity,
and RF. Cox proportional hazard additive predictors will be used to study the predictive
value of renal function models. All models will be adjusted for socio-demographic factors and
lifestyle. IDI and NRI will be used to determine whether the addition of KF improves the
predictive ability of the existing scores. Decision curve analysis will be used to indicate
different KF cut-off points take cost and benefit into account in the decision to treat or
not treat.
This project addresses the predictive capacity of glomerular filtration and albuminuria on
mortality and vascular events after a 10-year follow-up in the general population, with an
analysis of potential improvement in predicting vascular mortality and/or major vascular
events by incorporating renal function into existing scales. It also establishes associated
serum DNA samples to a well phenotyped cohort for subsequent studies of gene expression and
inflammatory markers on CKD. These results will therefore provide insight into the natural
evolution of CKD and associated vascular risk.
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