Chronic Kidney Disease
Conditions
Brief summary
Chronic kidney disease (CKD) affects up to 16% of the adult population and is associated with significant morbidity and mortality. People at highest risk from progressive CKD are defined by a sustained decline in estimated glomerular filtration rate (eGFR) and/or the presence of significant albuminuria/proteinuria. Accurate mapping of the bio-clinical determinants of this group will enable improved risk stratification and direct the development of better targeted management for people with CKD. To address these requirements we have established the Renal Impairment in Secondary Care (RIISC) study; RIISC is enrolling a cohort of patients at high risk from progressive CKD and compiling a comprehensive and detailed bio-clinical phenotype, including vascular and oral health phenotyping, at enrolment and on subsequent follow-up.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Decline of eGFR of ≥5mls/min/year or ≥10mls/min/5years * and/or urinary albumin-creatinine ration (ACR) ≥70 mg/mmol on three occasions * and/or CKD 4 or 5 (pre-dialysis)
Exclusion criteria
* renal replacement therapy * immunosuppression
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of participants not alive | up to 10 years |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of participants who reach End Stage Kidney Disease | up to 10 years | End Stage Kidney Disease describes a requirement for chronic dialysis treatment or a kidney transplant |
Other
| Measure | Time frame | Description |
|---|---|---|
| Number of patients who sustain a decline of kidney function | up to 10 years | As measured by estimated glomerular filtration rate |
| Number of participants who sustain one or more cardiovascular events | up to 10 years | — |
| Number of patients who require hospitalisation | up to 10 years | — |
Countries
United Kingdom