Lipids & metabolic liver disease

Risk Stratification of Chronic Kidney Disease in Adults Using Noninvasive Fibrosis Tests Based on the American Diabetes Association Algorithm

Diabetes Obes MetabPublished Retrospective cohort study

Main finding · Incident CKDResult — go to the resultFold higher risk (multivariable Cox) 1.52 95% CI 1.09–2.13

Authors' conclusion

The two-step ADA algorithm can effectively stratify CKD risk in individuals at high risk of future cirrhosis.

Study context

Population
Adults without pre-existing chronic kidney disease (CKD) who underwent vibration-controlled transient elastography, April 2006 to October 2018
Participants
9,264 adults
Exposure
American Diabetes Association (ADA) algorithm risk categories: high-risk vs low-risk vs no metabolic criteria
Outcome
Incident CKD: Estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m² or proteinuria (≥ 1+) on two consecutive tests
Follow-up
Mean 3.7 years

Main finding

Incident CKD

Fold higher risk (multivariable Cox)

1.52

95% CI 1.09–2.13

As reported in the abstract

Participants developing incident CKD (overall)
440 (4.7%)

Observational data: associations, not effects.

Secondary outcomes

OutcomeFold higher risk (95% CI)
25% eGFR decline · mean follow-up 3.5 yearsHigh risk vs No metabolic criteria2.30 (1.83–2.90)

Original publication

Risk Stratification of Chronic Kidney Disease in Adults Using Noninvasive Fibrosis Tests Based on the American Diabetes Association Algorithm. Diabetes Obes Metab. Published 7 April 2026. doi:10.1111/dom.70730

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

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