Highest Diabetes Death Rates Seen in Trials Selecting for CKD

Share this article:
Highest Diabetes Death Rates Seen in Trials Selecting for CKD
Highest Diabetes Death Rates Seen in Trials Selecting for CKD

In type 2 diabetes patients selected for randomized controlled trials (RCTs), chronic kidney disease (CKD) is associated with the highest overall risk of mortality, according to a review published online in the Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease.

Ebrahim Barkoudah, MD, of Brigham and Women's Hospital in Boston, and associates conducted a literature review and identified 22 eligible RCTs which reported all-cause mortality for patients with type 2 diabetes. The cohort comprised 91,842 patients and 6,837 deaths.

The researchers found that the mortality rate varied from 0.28 to 8.24 deaths per 100 patient-years across the cohort. Patients in the highest mortality category were more likely to be older, have higher blood pressure, and have longer duration of diabetes. Mortality rates were elevated in RCTs with previous cardiovascular morbidity; however, the selection for CKD correlated with the highest mortality rates.

"Mortality has a broad range of representation in trials of type 2 diabetes subjects. Moreover, diabetes trials with nephropathy selection had the highest death rates. We conclude that the selection for CKD, defined by either decline in renal function or presence of proteinuria, augmented the death risk in diabetes," the authors wrote.

This article originally appeared here.
Share this article:
You must be a registered member of RUN to post a comment.
close

Next Article in Chronic Kidney Disease (CKD)

More in Chronic Kidney Disease (CKD)

Reduced Bone Mass Density Linked to Low Serum Bicarbonate

Reduced Bone Mass Density Linked to Low Serum ...

The association between serum bicarbonate levels and bone mineral density was stronger in women, especially those who were postmenopausal.

Contrast Nephropathy Associated with Long-Term Mortality in CKD

Contrast Nephropathy Associated with Long-Term Mortality in CKD

Increased long-term mortality risk for patients with, but not those without, chronic kidney disease.

High C-Reactive Protein Is a CKD Risk Factor

High C-Reactive Protein Is a CKD Risk Factor

CRP is an independent risk factor the development of CKD.