The prevalence of chronic kidney disease and its relation to socioeconomic conditions in an elderly Polish population: results from the national population-based study PolSenior

Chudek, Jerzy; Wieczorowska‐Tobis, Katarzyna; Zejda, Jan; Broczek, Katarzyna; Skalska, Anna; Zdrojewski, Tomasz; Wiȩcek, Andrzej

doi:10.1093/ndt/gft351

Cited by 37 publications

(44 citation statements)

References 26 publications

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“…38 However, it cannot be explained by the deterioration of kidney function with age. 39 In line with numerous previously published studies, 40,41 including ours, 36 it was demonstrated that visfatin/NAMPT levels are related to insulin resistance. A similar association was also found in the present study with a more specific measurement method; however, this correlation was markedly weaker.…”

Section: Discussionsupporting

confidence: 88%

Plasma visfatin/nicotinamide phosphoribosyltransferase levels in hypertensive elderly – results from the PolSenior substudy

Kocełak¹,

Olszanecka-Glinianowicz²,

Owczarek³

et al. 2015

Journal of the American Society of Hypertension

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Section: Discussionsupporting

confidence: 88%

Plasma visfatin/nicotinamide phosphoribosyltransferase levels in hypertensive elderly – results from the PolSenior substudy

Kocełak¹,

Olszanecka-Glinianowicz²,

Owczarek³

et al. 2015

Journal of the American Society of Hypertension

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“…The majority were cross-sectional studies (n=21) on the association between SES and CKD prevalence. Nineteen studies8 15 17 24 35–38 40–42 44 45 47 49–51 54 57 were of moderate quality, nine14 25 26 43 46 52 53 55 56 high and only one48 low (online supplementary tables 2–4). Fourteen articles16 58–66 examined the relationship between SES and CKD progression, across more than 6 978 082 participants (two articles60 65 did not provide the number of participants).…”

Section: Resultsmentioning

confidence: 99%

Associations between socioeconomic status and chronic kidney disease: a meta-analysis

Zeng

Liu

Tao

et al. 2018

J Epidemiol Community Health

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“…In US about 30–40% of adults aged ≥70, and approximately 50% of those aged ≥80 have CKD [8, 9]. In Poland the prevalence of CKD in the elderly population has been recently estimated at 29.4% [10]. In the elderly CKD exerts stronger effect on the life expectancy than in younger population [11].…”

Section: Discussionmentioning

confidence: 99%

Kidney disease in the elderly: biopsy based data from 14 renal centers in Poland

et al. 2016

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BackgroundLonger life expectancy is associated with an increasing prevalence of kidney disease. Aging itself may cause renal damage, but the spectrum of kidney disorders that affect elderly patients is diverse. Few studies, mostly form US, Asia and West Europe found differences in the prevalence of some types of kidney diseases between elderly and younger patients based on renal biopsy findings, with varied proportion between glomerulopathies and arterionephrosclerosis as a dominant injury found. Here, for the first time in Eastern Europe we analyzed native kidney biopsy findings and their relationship to clinical characteristics at the time of biopsy in elderly individuals (aged ≥65) in comparison to younger adults (aged 18–64).MethodsBiopsy and clinical data from 352 patients aged ≥65 were retrospectively identified, analyzed and compared with a control group of 2214 individuals aged 18–64. All kidney biopsies studied were examined at Medical University of Warsaw in years 2009–14.ResultsIn elderly patients the leading indication for biopsy was nephrotic range proteinuria without hematuria (34.2%) and the most prevalent pathologic diagnoses were: membranous glomerulonephritis (MGN) (18.2%), focal segmental glomerulosclerosis (FSGS) (17.3%) amyloidosis (13.9%) and pauci immune glomerulonephritis (12.8%). Hypertension and age-related lesions very rarely were found an exclusive or dominant finding in a kidney biopsy (1.7%) and a cause of proteinuria (1.1%) in elderly individuals. There were 18.2% diabetics among elderly individuals, and as much as 75% of them had no morphologic signs of diabetic kidney disease in the renal biopsy. Amyloidosis, MGN, pauci immune GN, crescentic GN and light and/or heavy chain deposition disease (LCDD/HCDD) were more frequent whereas IgA nephropathy (IgAN), lupus nephritis (LN) and thin basement membrane disease (TBMD) were less common among elderly than in younger patients.ConclusionsProteinuria, a dominating manifestation in elderly patients subjected to kidney biopsy was most commonly related to glomerulopathies. The relatively high prevalence of potentially curative kidney diseases in elderly individuals implicates the importance of renal biopsy in these patients.Electronic supplementary materialThe online version of this article (doi:10.1186/s12882-016-0410-8) contains supplementary material, which is available to authorized users.

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The prevalence of chronic kidney disease and its relation to socioeconomic conditions in an elderly Polish population: results from the national population-based study PolSenior

Cited by 37 publications

References 26 publications

Plasma visfatin/nicotinamide phosphoribosyltransferase levels in hypertensive elderly – results from the PolSenior substudy

Plasma visfatin/nicotinamide phosphoribosyltransferase levels in hypertensive elderly – results from the PolSenior substudy

Associations between socioeconomic status and chronic kidney disease: a meta-analysis

Kidney disease in the elderly: biopsy based data from 14 renal centers in Poland

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