chronic kidney disease
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients who visited the Department of Nephrology, Hypertension, and Endocrinology at Nihon University Itabashi Hospital and were diagnosed with chronic kidney disease, or those with diabetes, hypertension, or obesity who were considered to be at high risk of developing chronic kidney disease in the future, from January 1, 2014 to February 1, 2030.
Exclusion criteria
Exclusion criteria: 1. Persons who express their unwillingness to participate in this study. 2. Persons deemed by the principal investigator to be unsuitable for inclusion in this study for any reason.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Renal function decline will be evaluated based on the estimated glomerular filtration rate (eGFR) at baseline and the subsequent eGFR slope (annual rate of decline in eGFR). Associations between renal function decline and patient background characteristics, comorbidities, blood pressure, laboratory data, concomitant medications, and existing clinical items, including nutritional counseling, will be examined. | — |
Secondary
| Measure | Time frame |
|---|---|
| Renal function decline (CKD progression):eGFR at baseline; subsequent eGFR slope (annual rate of decline in eGFR); associations with patient background characteristics, comorbidities, blood pressure, laboratory data, concomitant medications, and existing clinical items, including nutritional counseling Use of renoprotective medications: including SGLT2 inhibitors, finerenone, GLP-1 receptor agonists, antihypertensive medications; prescription rates, initiation, continuation, discontinuation, and combination patterns Cardiovascular events and all-cause mortality Annual clinical laboratory data: eGFR, Cr, liver function tests, HbA1c, blood pressure, lipid profile, CRP, Na, K, markers of kidney injury, urinary protein Imaging examinations: ABI, echocardiography, chest X-ray Treating physician information Concomitant medications based on medical records: Use of SGLT2 inhibitors, RAS inhibitors, finerenone, GLP-1 receptor agonists, ACE inhibitors/ARBs, and diuretics, and their impact on renal function decline Associations between renal function decline and multidisciplinary collaboration, including nutritional counseling and chronic kidney disease self-management education Comorbidity information: Diabetes mellitus, cardiovascular disease, hypertension, and other comorbidities Prognostic information: ESKD, cardiovascular events, mortality Baseline information at the time of informed consent: Sex, age, medical history, smoking history, body size, and other relevant baseline characteristics | — |
Countries
Japan
Contacts
Nihon University School of Medicine Division of Nephrology, Hypertension and Endocrinology, Department of Internal Medicine