An Evaluation of the Diabetic Kidney Disease Definition in Chinese Patients Diagnosed with Type 2 Diabetes Mellitus

被引：36
作者：
Lu, B. [1 ]
Gong, W. [1 ]
Yang, Z. [1 ]
Yang, Z. [1 ]
Yang, Y. [1 ]
Wen, J. [1 ]
Zhao, N. [2 ]
Zhu, X. [1 ]
Hu, R. [1 ]
机构：
[1] Fudan Univ, HuaShan Hosp, Dept Endocrinol & Metab, Inst Endocrinol & Diabetol,Shanghai Med Coll, Shanghai 200040, Peoples R China
[2] Fudan Univ, Dept Publ Hlth Stat, Shanghai 200040, Peoples R China
来源：
JOURNAL OF INTERNATIONAL MEDICAL RESEARCH | 2009年 / 37卷 / 05期
基金：
中国国家自然科学基金;
关键词：
CHRONIC KIDNEY DISEASE; DIABETIC KIDNEY DISEASE; NON-DIABETIC RENAL DISEASE; DIABETIC RETINOPATHY; GLOMERULAR-FILTRATION-RATE; HIGH PREVALENCE; RENAL-DISEASE; ALBUMINURIA; RETINOPATHY; PREDICTION; CREATININE; DURATION; PATTERNS;
D O I：
10.1177/147323000903700526
中图分类号：
R-3 [医学研究方法]; R3 [基础医学];
学科分类号：
1001 ;
摘要：
The concomitant presence of retinopathy may be helpful in discriminating kidney pathology in type 2 diabetes. This cross-sectional study evaluated the ability to predict the likelihood of patients having diabetic kidney disease (DKD) by comparing the percentage incidence of diabetic retinopathy in different subgroups of Chinese patients with type 2 diabetes (n = 668). The prevalence of chronic kidney disease in the patients was 63.3% (6.6% with DKD, 41.0% with possible DKD and 15.7% with non-diabetic renal disease [NDRD]). The percentage of patients with diabetic retinopathy in the DKD group (63.6%) was significantly higher than in the possible DKD group (24.9%) and the NDRD group (19.0%). DKD was independently associated with diabetic retinopathy based on logistic regression analysis. The likelihood of DKD occurrence as defined by the National Kidney Foundation-Kidney Disease Outcomes Quality Initiative (TM) of the USA is applicable to Chinese patients with diabetes. Diabetic retinopathy was more prevalent in patients with DKD compared with patients with possible DKD or NDRD.
引用
收藏
页码：1493 / 1500
页数：8
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