Publication:
Total and cardiovascular mortality risk according to KDIGO guidelines classification in type 2 diabetic patients.

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Date

2019-03-15

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Medrano Navarro, Ana Lidia
Justel Enríquez, Alicia
Alameda Serrano, Javier
Blasco Lamarca, Yolanda
Sáenz Abad, Daniel
Gimeno Orna, José Antonio

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Abstract

Our aim was to assess the usefulness of KDIGO 2012 risk classification to predict total and cardiovascular mortality in type 2 diabetes mellitus (DM2). Prospective cohort study that included DM2 patients. Clinical end-points were total and cardiovascular mortality. The main predictive variable was KDIGO risk classification, which is a combination of urinary albumin excretion and glomerular filtration rate. The predictive value was evaluated by the integrated discrimination improvement (IDI) index. 453 patients (39.3% males, aged 64.9 [SD 9.3] and with a mean diabetes duration of 10.4 [SD 7.5] years) were included. During a median follow-up of 13 years, mortality rates per 1000 patients/year (26.5 vs. 45.1 vs. 79,2 vs. 109,8; p KDIGO risk classification can effectively stratify total and cardiovascular mortality risk in DM2 patients.

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Adult
Albuminuria
Analysis of Variance
Cardiovascular Diseases
Cause of Death
Chi-Square Distribution
Creatine
Diabetes Mellitus, Type 2
Female
Glomerular Filtration Rate
Guidelines as Topic
Humans
Male
Middle Aged
Prospective Studies
Renal Insufficiency, Chronic
Reproducibility of Results
Risk Assessment
Sex Factors
Statistics, Nonparametric
Stroke

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Keywords

Diabetes mellitus, Prognosis, Pronóstico, Supervivencia, Survival

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