Type 2 & other diabetes

Cardiovascular mortality in patients with advanced chronic kidney disease with and without diabetes: a nationwide cohort study

Cardiovasc DiabetolPublished Nationwide registry-based cohort study

Authors' conclusion

Diabetes, albuminuria, and anemia remained important risk factors of cardiovascular mortality whereas our data suggest a limitation of LDL-cholesterol as a predictor of cardiovascular mortality in advanced CKD.

Study context

Population
Persons aged ≥ 18 years with eGFR < 30 mL/min/1.73m2, Denmark, 2002–2018advanced chronic kidney disease (CKD)
Participants
138,583 persons
Exposure
Advanced CKD with diabetes vs without diabetes vs matched general population
  • Diabetesn = 32,698
Outcome
Cardiovascular mortality, standardized risk
Follow-up
1 year
Methodological detailsage- and sex-matched general population comparison cohort, cause-specific Cox regression, standardized risks
  • Age- and sex-matched general population comparison cohort
  • Cause-specific Cox regression, standardized risks

Main finding

As reported in the abstract

Standardized 1-year risk of cardiovascular mortality

Observational data: associations, not effects.

Further findings

1-year cardiovascular mortality across CKD stages and age groups

Risk higher with diabetes vs without diabetes across advanced CKD stages and age groups
1.1- to 2.8-fold

Albuminuria and anemia

Associated with increased cardiovascular mortality risk regardless of diabetes status

LDL-C

Inversely associated with cardiovascular mortality risk without diabetes; no clear association with diabetes

Original publication

Cardiovascular mortality in patients with advanced chronic kidney disease with and without diabetes: a nationwide cohort study. Cardiovasc Diabetol. Published 16 June 2023. doi:10.1186/s12933-023-01867-8

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