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Prevalence of chronic kidney diseases in patients with chronic obstructive pulmonary disease: assessment based on glomerular filtration rate estimated from creatinine and cystatin C levels.
Yoshizawa, Takayuki; Okada, Kazuyoshi; Furuichi, Sachiko; Ishiguro, Toshihiko; Yoshizawa, Akitaka; Akahoshi, Toshiki; Gon, Yasuhiro; Akashiba, Tsuneto; Hosokawa, Yoshifumi; Hashimoto, Shu.
Afiliación
  • Yoshizawa T; Department of Internal Medicine, Kanamecho Hospital, Toshima-ku, Tokyo, Japan ; Division of Respiratory Medicine, Department of Internal Medicine, Itabashi-ku, Tokyo, Japan.
  • Okada K; Division of Nephrology, Hypertension and Endocrinology, Department of Medicine, Nihon University School of Medicine, Itabashi-ku, Tokyo, Japan.
  • Furuichi S; Department of Internal Medicine, Kanamecho Hospital, Toshima-ku, Tokyo, Japan ; Division of Respiratory Medicine, Department of Internal Medicine, Itabashi-ku, Tokyo, Japan.
  • Ishiguro T; Department of Internal Medicine, Kanamecho Hospital, Toshima-ku, Tokyo, Japan.
  • Yoshizawa A; Department of Internal Medicine, Kanamecho Hospital, Toshima-ku, Tokyo, Japan.
  • Akahoshi T; Division of Respiratory Medicine, Department of Internal Medicine, Itabashi-ku, Tokyo, Japan.
  • Gon Y; Division of Respiratory Medicine, Department of Internal Medicine, Itabashi-ku, Tokyo, Japan.
  • Akashiba T; Division of Respiratory Medicine, Department of Internal Medicine, Itabashi-ku, Tokyo, Japan.
  • Hosokawa Y; Department of Internal Medicine, Kanamecho Hospital, Toshima-ku, Tokyo, Japan ; Division of Respiratory Medicine, Department of Internal Medicine, Itabashi-ku, Tokyo, Japan.
  • Hashimoto S; Division of Respiratory Medicine, Department of Internal Medicine, Itabashi-ku, Tokyo, Japan.
Article en En | MEDLINE | ID: mdl-26185434
BACKGROUND: Cardiovascular diseases, osteoporosis, and depression are identified comorbidities of chronic obstructive pulmonary disease (COPD), but there have been few reports of chronic kidney disease (CKD) as a comorbidity of COPD. The objective of this study was to investigate the prevalence of CKD in COPD patients using estimated glomerular filtration rate (eGFR) based on creatinine (Cr) and cystatin C (Cys) levels. METHODS: The prevalence of CKD and the values of various CKD-related parameters were compared between 108 stable COPD outpatients (COPD group) and a non-COPD control group consisting of 73 patients aged 60 years or more without a history of COPD or kidney disease. CKD was defined as an eGFR less than 60 mL/min/1.73 m(2). RESULTS: The Cr level was significantly higher in the COPD group, but eGFR based on serum Cr (eGFRCr) was not significantly different between the two groups (73.3±25.3 vs 79.7±15.5 mL/min/1.73 m(2)). The Cys level was significantly higher and eGFR based on serum Cys (eGFRCys) was significantly lower in the COPD group (60.0±19.4 vs 74.0±13.5 mL/min/1.73 m(2), P<0.0001). The prevalence of CKD evaluated based on eGFRCr was 31% in the COPD group and 8% in the non-COPD group with an odds ratio of 4.91 (95% confidence interval, 1.94-12.46, P=0.0008), whereas the evaluated prevalence based on eGFRCys was 53% in the COPD group and 15% in the non-COPD group with an odds ratio of 6.30 (95% confidence interval, 2.99-13.26, P<0.0001), demonstrating a higher prevalence of CKD when based on eGFRCys rather than on eGFRCr. CONCLUSION: CKD is a comorbidity that occurs frequently in COPD patients, and we believe that renal function in Japanese COPD patients should preferably be evaluated based not only on Cr but on Cr in combination with Cys.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Creatinina / Enfermedad Pulmonar Obstructiva Crónica / Insuficiencia Renal Crónica / Cistatina C / Tasa de Filtración Glomerular / Riñón Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Int J Chron Obstruct Pulmon Dis Año: 2015 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Nueva Zelanda

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Creatinina / Enfermedad Pulmonar Obstructiva Crónica / Insuficiencia Renal Crónica / Cistatina C / Tasa de Filtración Glomerular / Riñón Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Patient_preference Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Asia Idioma: En Revista: Int J Chron Obstruct Pulmon Dis Año: 2015 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Nueva Zelanda