Modified arteriosclerosis score predicts the outcomes of diabetic kidney disease.


Journal

BMC nephrology
ISSN: 1471-2369
Titre abrégé: BMC Nephrol
Pays: England
ID NLM: 100967793

Informations de publication

Date de publication:
18 08 2021
Historique:
received: 18 03 2021
accepted: 03 08 2021
entrez: 19 8 2021
pubmed: 20 8 2021
medline: 25 2 2022
Statut: epublish

Résumé

The significance of renal arteriosclerosis in the prediction of the renal outcomes of diabetic kidney disease (DKD) remains undetermined. We enrolled 174 patients with DKD from three centres from January 2010 to July 2017. The severity and extent of arteriosclerosis were analysed on sections based on dual immunohistochemical staining of CD31 and α-smooth muscle actin. An X-tile plot was used to determine the optimal cut-off value. The primary endpoint was renal survival (RS), defined as the duration from renal biopsy to end-stage renal disease or death. The baseline estimated glomerular filtration rate (eGFR) of 135 qualified patients was 45 (29 ~ 70) ml/min per 1.73 m The severity and proportion of arteriosclerosis may be helpful prognostic indicators for DKD.

Sections du résumé

BACKGROUND
The significance of renal arteriosclerosis in the prediction of the renal outcomes of diabetic kidney disease (DKD) remains undetermined.
METHODS
We enrolled 174 patients with DKD from three centres from January 2010 to July 2017. The severity and extent of arteriosclerosis were analysed on sections based on dual immunohistochemical staining of CD31 and α-smooth muscle actin. An X-tile plot was used to determine the optimal cut-off value. The primary endpoint was renal survival (RS), defined as the duration from renal biopsy to end-stage renal disease or death.
RESULTS
The baseline estimated glomerular filtration rate (eGFR) of 135 qualified patients was 45 (29 ~ 70) ml/min per 1.73 m
CONCLUSIONS
The severity and proportion of arteriosclerosis may be helpful prognostic indicators for DKD.

Identifiants

pubmed: 34407751
doi: 10.1186/s12882-021-02492-x
pii: 10.1186/s12882-021-02492-x
pmc: PMC8375127
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

281

Informations de copyright

© 2021. The Author(s).

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Auteurs

Yifan Zhang (Y)

The Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China.
Division of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 106 Zhongshan Er Road, Main Building, Room 1436, Guangzhou, 510080, Guangdong, China.
Division of Nephrology, Wenzhou Central Hospital, Wenzhou, 325000, China.

Qifeng Jiang (Q)

Division of Renal Pathology, Guangzhou KingMed Diagnostic Laboratory LTD, Guangzhou, 510320, China.

Jianteng Xie (J)

Division of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 106 Zhongshan Er Road, Main Building, Room 1436, Guangzhou, 510080, Guangdong, China.
School of Medicine, South China University of Technology, Guangzhou, 510006, China.

Chunfang Qi (C)

Division of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 106 Zhongshan Er Road, Main Building, Room 1436, Guangzhou, 510080, Guangdong, China.
School of Medicine, South China University of Technology, Guangzhou, 510006, China.

Sheng Li (S)

Division of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 106 Zhongshan Er Road, Main Building, Room 1436, Guangzhou, 510080, Guangdong, China.
School of Medicine, South China University of Technology, Guangzhou, 510006, China.

Yanhui Wang (Y)

The Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China.
Division of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 106 Zhongshan Er Road, Main Building, Room 1436, Guangzhou, 510080, Guangdong, China.
Division of Nephrology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.

Yau Hok Him (YH)

The Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China.
Division of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 106 Zhongshan Er Road, Main Building, Room 1436, Guangzhou, 510080, Guangdong, China.

Zujiao Chen (Z)

The Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China.
Division of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 106 Zhongshan Er Road, Main Building, Room 1436, Guangzhou, 510080, Guangdong, China.

Shaogui Zhang (S)

The Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China.
Division of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 106 Zhongshan Er Road, Main Building, Room 1436, Guangzhou, 510080, Guangdong, China.

Qiuling Li (Q)

Division of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 106 Zhongshan Er Road, Main Building, Room 1436, Guangzhou, 510080, Guangdong, China.
Shantou University Medical College, Shantou, 515041, China.

Yuan Zhu (Y)

Division of Nephrology, Wenzhou People's Hospital, Wenzhou, 325000, China.

Ruizhao Li (R)

Division of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 106 Zhongshan Er Road, Main Building, Room 1436, Guangzhou, 510080, Guangdong, China.

Xinling Liang (X)

Division of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 106 Zhongshan Er Road, Main Building, Room 1436, Guangzhou, 510080, Guangdong, China.

Xiaoyan Bai (X)

Division of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 106 Zhongshan Er Road, Main Building, Room 1436, Guangzhou, 510080, Guangdong, China.
School of Medicine, South China University of Technology, Guangzhou, 510006, China.

Wenjian Wang (W)

The Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China. wwjph@126.com.
Division of Nephrology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, 106 Zhongshan Er Road, Main Building, Room 1436, Guangzhou, 510080, Guangdong, China. wwjph@126.com.
School of Medicine, South China University of Technology, Guangzhou, 510006, China. wwjph@126.com.
Shantou University Medical College, Shantou, 515041, China. wwjph@126.com.

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