Defining measures of kidney function in observational studies using routine health care data: methodological and reporting considerations.
albuminuria
chronic kidney disease (CKD)
creatinine
epidemiology
estimated glomerular filtration rate (eGFR)
routinely collected health care data
Journal
Kidney international
ISSN: 1523-1755
Titre abrégé: Kidney Int
Pays: United States
ID NLM: 0323470
Informations de publication
Date de publication:
01 2023
01 2023
Historique:
received:
10
11
2021
revised:
31
08
2022
accepted:
09
09
2022
pubmed:
25
10
2022
medline:
10
1
2023
entrez:
24
10
2022
Statut:
ppublish
Résumé
The availability of electronic health records and access to a large number of routine measurements of serum creatinine and urinary albumin enhance the possibilities for epidemiologic research in kidney disease. However, the frequency of health care use and laboratory testing is determined by health status and indication, imposing certain challenges when identifying patients with kidney injury or disease, when using markers of kidney function as covariates, or when evaluating kidney outcomes. Depending on the specific research question, this may influence the interpretation, generalizability, and/or validity of study results. This review illustrates the heterogeneity of working definitions of kidney disease in the scientific literature and discusses advantages and limitations of the most commonly used approaches using 3 examples. We summarize ways to identify and overcome possible biases and conclude by proposing a framework for reporting definitions of exposures and outcomes in studies of kidney disease using routinely collected health care data.
Identifiants
pubmed: 36280224
pii: S0085-2538(22)00842-0
doi: 10.1016/j.kint.2022.09.020
pii:
doi:
Substances chimiques
Creatinine
AYI8EX34EU
Types de publication
Journal Article
Review
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
53-69Subventions
Organisme : Department of Health
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/ N013638/1
Pays : United Kingdom
Informations de copyright
Copyright © 2022 International Society of Nephrology. Published by Elsevier Inc. All rights reserved.