RT Journal Article
T1 Chronic renal disease in spain: prevalence and related factors in persons with diabetes mellitus older than 64 years.
T2 Enfermedad renal crónica en España: prevalencia y factores relacionados en personas con diabetes mellitus mayores de 64 años.
A1 Martínez Candela, Juan
A1 Sangrós González, Javier
A1 García Soidán, Francisco Javier
A1 Millaruelo Trillo, José Manuel
A1 Díez Espino, Javier
A1 Bordonaba Bosque, Daniel
A1 Ávila Lachica, Luis
A1 en representación del Grupo de Atención Primaria y Prediabetes de la Sociedad Española de Diabetes, 
K1 Categories, elderly
K1 Categorías, ancianos
K1 Chronic kidney disease
K1 Comorbidity
K1 Comorbilidad
K1 Dependence
K1 Dependencia
K1 Diabetes mellitus tipo 2
K1 Enfermedad renal crónica
K1 Type 2 diabetes mellitus
AB Type 2 diabetes mellitus and chronic kidney disease (CKD) are conditions which have a high prevalence in individuals ≥ 65 years of age and represent a major public health problem. To determine the prevalence of CKD, its categories and its relationship with various demographic and clinical factors in elderly patients with type 2 diabetes mellitus in Spain. Observational, cross-sectional, multicenter, Spanish epidemiological study. Patients with known type 2 diabetes mellitus, age ≥ 65 years of age treated in Primary Care were included. We collected demographic, anthropometric and analytical variables from the previous 12 months, including the albumin-to-creatinine ratio and estimated glomerular filtration rate to evaluate renal function. The prevalence of CKD was 37.2% (95% CI, 34.1-40.3%), renal failure was 29.7% (95% CI, 26.8-32.6%) and increased albuminuria was 20.6% (95% CI, 17.3-23.9%), moderately increased albuminuria was 17.8% (95% CI, 14.7-20.9%) and severely increased albuminuria was 2.8% (95% CI, 1.4-4.2%). In turn, the prevalence of CKD categories were: G1 1.3% (95% CI, 0.6-2%), G2 6.2% (95% CI, 4.6-7.8%), G3a 17.2% (95% CI, 14.8-19.6%), G3b 9.8% (95% CI, 7.9-11.7%), G4 2% (95% CI, 1.1-2.9%) and G5 0.7% (95% CI, 0.2-1.2%). In the multivariate analysis, after adjusting for the remaining variables, CKD was associated with elderly age (OR 5.13, 95% CI, 3.15-8.35), high comorbidity (OR 3.36. 95% CI, 2.2-5.12) and presence of antihypertensive treatment (OR 2.43. 95% CI, 1.48-4.02). CKD is frequent in the diabetic population ≥ 65 years of age and is associated with elderly age, high comorbidity and with treated hypertension. No relationship has been found with gender and time in years since onset of diabetes.
YR 2018
FD 2018-02-07
LK http://hdl.handle.net/10668/12112
UL http://hdl.handle.net/10668/12112
LA en
LA es
DS RISalud
RD Apr 6, 2025