Diabetes complications

Association between depression and the development of end‐stage kidney disease in people with diabetes: A population‐based cohort study

Diabet MedPublished Retrospective population-based cohort study

Authors' conclusion

After accounting for the competing risk of death, depression was associated with a lower observed cumulative incidence of ESKD.

Study context

Population
Adults aged ≥ 18 years with diabetes and CKD stages 1–4, UK primary care (Clinical Practice Research Datalink); mean age 76.8 ± 10.2 years, 45.5% male, 14.3% with depression
Participants
58,769 adults
Exposure
Depression vs no depression
Outcome
Progression to ESKD
Follow-up
Mean 5.6 ± 3.4 years
Methodological detailscompeting risk analysis, adjusted for demographic, socioeconomic and clinical characteristics
  • Competing risk analysis
  • Adjusted for demographic, socioeconomic and clinical characteristics

Main finding

As reported in the abstract

Each group vs no depressionEstimate (95% CI)
Depression
SHR (crude) 0.67(0.57–0.78)
Depression
SHR (adjusted) 0.82(0.68–0.99)
Progressed to end-stage kidney disease (ESKD) (overall)
1720
Died before ESKD (overall)
25,127

Observational data: associations, not effects.

Further findings

Older age was associated with a lower cumulative incidence of ESKD

Original publication

Association between depression and the development of end‐stage kidney disease in people with diabetes: A population‐based cohort study. Diabet Med. Published 30 September 2026. doi:10.1111/dme.70481

Composed by AI from the published abstract and checked against it. How Briefs are made →

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