Diabetes complications

Modification Effects of Albuminuria on the Association Between Kidney Function and Development of Anemia in Diabetes

J Clin Endocrinol MetabPublished Retrospective cohort study

Authors' conclusion

We revealed that the severity of albuminuria modified the association between eGFR and anemia development among individuals with eGFR <30 mL/min/1.73 m2, highlighting the modification effect of albuminuria on the association between kidney function and anemia development in diabetes.

Study context

Population
Adults with diabetes, Japanese nationwide clinical database (JMDC)data points from 48,056 individuals
Participants
327,999 adults
Exposure
Albuminuria severity, stratified by estimated glomerular filtration rate (eGFR)
  • Normoalbuminurian = 186,472reference
  • Microalbuminurian = 107,170
  • Macroalbuminurian = 34,357
Outcome
Prevalence of anemia (hemoglobin < 13 g/dL in men, < 12 g/dL in women), stratified by albuminuria severity after adjusting for eGFR
Methodological detailsnationwide clinical database, modified Poisson regression, marginal standardization
  • Nationwide clinical database
  • Modified Poisson regression
  • Marginal standardization

Main finding

As reported in the abstract

Anemia prevalence by albuminuria severity and eGFR

Higher anemia prevalence with macroalbuminuria vs normoalbuminuria at eGFR <30 mL/min/1.73 m²

5% to 20%

Observational data: associations, not effects.

Original publication

Modification Effects of Albuminuria on the Association Between Kidney Function and Development of Anemia in Diabetes. J Clin Endocrinol Metab. Published 13 November 2023. doi:10.1210/clinem/dgad660

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