Prevalence and Characteristics of CKD in the US Military Health System: A Retrospective Cohort Study

Oliver, James D.; Nee, Robert; Grunwald, Lindsay; Banaag, Amanda; Pavkov, Meda E.; Burrows, Nilka Ríos; Koehlmoos, Tracey Pérez; Marks, Eric S

doi:10.1016/j.xkme.2022.100487

Cited by 5 publications

(9 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Mental health issues associated with COVID-19 are well known, and the higher odds ratio is expected. These results agree with previous studies that found Veterans have a lower health status than non-Veterans [1][2][3][4][5][6].…”

Section: Discussionsupporting

confidence: 93%

See 1 more Smart Citation

The Health Status of the U.S. Veteran Post COVID: A Longitudinal Analysis (2011-2021) Utilizing the Behavioral Risk Factor Surveillance System (BRFSS) Data

Betancourt¹,

Dolezel²,

Shanmugam³

et al. 2023

Preprint

View full text Add to dashboard Cite

Chronic diseases affect a disproportionate number of United States (U.S.) Veterans, causing significant long-term health issues and affecting entitlement spending. This longitudinal study examined the health status of U.S. Veterans as compared to non-Veterans pre- and post-COVID utilizing the annual Center for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS) survey data. Age-adjusted descriptive point estimates were generated independently for 2003 through 2021, while complex weighted panel data were generated from 2011 and onward. General linear modeling revealed that the average U.S. Veteran reports a higher prevalence of disease conditions except for mental health disorders when compared to the non-Veteran. These findings were consistent with both pre- and post-COVID, however, both groups reported a higher prevalence of mental health issues during the pandemic years. The findings suggest that there have been no improvements in reducing Veteran comorbidities to non-Veteran levels and that COVID adversely affected the mental health of both populations.

show abstract

Section: Discussionsupporting

confidence: 93%

“…African American, Hispanic, Native American, or Asian) [3]. Similarly, a retrospective study of 2006-2015 U.S. Military System data revealed higher rates of CKD for older Veterans, Black race, and senior enlisted rank [4].…”

Section: Introductionmentioning

confidence: 99%

The Health Status of the U.S. Veteran Post COVID: A Longitudinal Analysis (2011-2021) Utilizing the Behavioral Risk Factor Surveillance System (BRFSS) Data

Betancourt¹,

Dolezel²,

Shanmugam³

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…10,39 Given that figures for the prevalence of comorbidities among CKD patients is available from multiple retrospective analyses, we may also approximate the overall epidemiology of DKD among veterans. 45,46 Nevertheless, such calculations could be debatable in terms of accuracy in reflecting the temporal sequence of diabetes and nephropathy, with limited ability to reflect the longitudinal changes in population size. Based on the number of beneficiaries and the cases that we determined, DKD currently influences approximately 65-70 per 1000 veterans, which is more than a quarter of veterans with T2D.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Diabetic Kidney Disease among US Veterans

Kim,

Crook,

et al. 2024

DMSO

View full text Add to dashboard Cite

With a large number of patients and high mortality, diabetic kidney disease (DKD) imposes a significant burden on US health care. Although diabetes is the leading cause of chronic kidney disease and complications, the epidemiology of DKD in the contemporary US veteran population is generally unknown. Objective: We aimed to estimate the rate of DKD progression and to measure the general epidemiology of DKD in the United States veteran population. Study Design: We performed a retrospective observational research using electronic health-care records and administrative databases. Setting: The DKD patient cohort was abstracted from the Veterans Health Administration health-record data from January 2016 to March 2022. Participants: We defined DKD patients using the laboratory test data based on Kidney Disease: Improving Global Outcomes (KDIGO) clinical practice guidelines. Analytic Approach: Summary statistics include the five-year cumulative incidence of progression to an advanced stage from the DKD stage at the cohort entry date and prevalence at a series of single time points. Results: A total of 685,288 patients (male [96%], mean age 62 years, Caucasian [64%], non-Hispanic [87%]) met our eligibility criteria. The 5-year cumulative incidence of progression to an advanced DKD stage or all-cause death from DKD stages G1 A2/A3, G2 A2/A3, G3a, and G3b were 52.0%, 47.4%, 50.5%, and 60.9%, respectively. In sum, 594,082 patients were classified as moderate or high risk as per KDIGO guidelines in 2021, and stages G3a and G3b accounted for 51.2% and 25.3%, respectively, of cases. Conclusion: More than half of DKD patients underwent a stage progression or death within 5 years. A substantial number of DKD patients at an earlier stage might be left undetermined. The study findings warrant a revision of DKD patient identification and management in US veterans.

show abstract

“…CKD risk factors include diabetes, high blood pressure, age over 60 years, obesity, heart disease, and race (i.e., African American, Hispanic, Native American, or Asian) [5]. Similarly, a retrospective study of 2006-2015 US Military System data revealed higher rates of CKD for older veterans, blacks, and senior enlisted ranks [6].…”

Section: Introductionmentioning

confidence: 99%

The Health Status of the US Veterans: A Longitudinal Analysis of Surveillance Data Prior to and during the COVID-19 Pandemic

et al. 2023

View full text Add to dashboard Cite

Chronic diseases affect a disproportionate number of United States (US) veterans, causing significant long-term health issues and affecting entitlement spending. This longitudinal study examined the health status of US veterans as compared to non-veterans pre- and post-COVID-19, utilizing the annual Center for Disease Control and Prevention (CDC) behavioral risk factor surveillance system (BRFSS) survey data. Age-adjusted descriptive point estimates were generated independently for 2003 through 2021, while complex weighted panel data were generated from 2011 and onward. General linear modeling revealed that the average US veteran reports a higher prevalence of disease conditions except for mental health disorders when compared to a non-veteran. These findings were consistent with both pre- and post-COVID-19; however, both groups reported a higher prevalence of mental health issues during the pandemic years. The findings suggest that there have been no improvements in reducing veteran comorbidities to non-veteran levels and that COVID-19 adversely affected the mental health of both populations.

show abstract

Prevalence and Characteristics of CKD in the US Military Health System: A Retrospective Cohort Study

Cited by 5 publications

References 24 publications

The Health Status of the U.S. Veteran Post COVID: A Longitudinal Analysis (2011-2021) Utilizing the Behavioral Risk Factor Surveillance System (BRFSS) Data

The Health Status of the U.S. Veteran Post COVID: A Longitudinal Analysis (2011-2021) Utilizing the Behavioral Risk Factor Surveillance System (BRFSS) Data

Epidemiology of Diabetic Kidney Disease among US Veterans

The Health Status of the US Veterans: A Longitudinal Analysis of Surveillance Data Prior to and during the COVID-19 Pandemic

Contact Info

Product

Resources

About