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Mortality Burden and Life-Years Lost Across the Age Spectrum for Adults Living with CKD

KEY POINTS: Limited data exist to inform younger persons with CKD how their risk for mortality compares with equivalently aged individuals without CKD. Compared with the general population without CKD, the age-stratified risk for mortality was highest in younger individuals with CKD. From a lifetime...

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Autores principales: Kula, Alexander J., Prince, David K., Katz, Ronit, Bansal, Nisha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Society of Nephrology 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278773/
https://www.ncbi.nlm.nih.gov/pubmed/36921593
http://dx.doi.org/10.34067/KID.0000000000000097
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author Kula, Alexander J.
Prince, David K.
Katz, Ronit
Bansal, Nisha
author_facet Kula, Alexander J.
Prince, David K.
Katz, Ronit
Bansal, Nisha
author_sort Kula, Alexander J.
collection PubMed
description KEY POINTS: Limited data exist to inform younger persons with CKD how their risk for mortality compares with equivalently aged individuals without CKD. Compared with the general population without CKD, the age-stratified risk for mortality was highest in younger individuals with CKD. From a lifetime perspective, the estimated reduction of lifespan secondary to CKD was greatest at younger ages. BACKGROUND: Younger individuals living with CKD face a lifetime at risk for complications and mortality. Limited data exist to inform individual patients with CKD across the lifespan how their risk for mortality compares with equivalently aged individuals without CKD, particularly at younger ages. The objective of this study was to provide age-specific contexts to the risk of mortality associated with a diagnosis of CKD. METHODS: We created a pooled study cohort using participants with CKD enrolled in the Chronic Renal Insufficiency Cohort along with participants aged 21–75 years included in the 1999–2008 National Health and Nutrition Examination Survey surveys. Age-stratified mortality rates, along with unadjusted and adjusted hazard ratios (HRs) for mortality, were generated to compare differences between those with and without CKD. The mean life-years lost (LYL) relating to CKD was calculated using Centers for Disease Control and Prevention life tables. RESULTS: A total of 16,725 participants were included. Mortality rates were higher in those with CKD at all ages. The adjusted age-stratified HR for mortality in those with CKD versus without was highest in the 21–35 years strata (HR [95% confidence interval (CI)], 4.9 [2.8 to 8.6])) and lowest in the 65–75 years strata (HR [95% CI], 2.0 [1.7 to 2.3]). The mean LYL secondary to CKD was inversely related with increasing age. CONCLUSIONS: Compared with age-matched peers without CKD, the age-stratified risk for mortality and LYL associated with a diagnosis of CKD is highest in younger individuals. Further research is needed to elucidate the societal and personal costs of premature mortality associated with CKD in young adults.
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spelling pubmed-102787732023-08-03 Mortality Burden and Life-Years Lost Across the Age Spectrum for Adults Living with CKD Kula, Alexander J. Prince, David K. Katz, Ronit Bansal, Nisha Kidney360 Original Investigation KEY POINTS: Limited data exist to inform younger persons with CKD how their risk for mortality compares with equivalently aged individuals without CKD. Compared with the general population without CKD, the age-stratified risk for mortality was highest in younger individuals with CKD. From a lifetime perspective, the estimated reduction of lifespan secondary to CKD was greatest at younger ages. BACKGROUND: Younger individuals living with CKD face a lifetime at risk for complications and mortality. Limited data exist to inform individual patients with CKD across the lifespan how their risk for mortality compares with equivalently aged individuals without CKD, particularly at younger ages. The objective of this study was to provide age-specific contexts to the risk of mortality associated with a diagnosis of CKD. METHODS: We created a pooled study cohort using participants with CKD enrolled in the Chronic Renal Insufficiency Cohort along with participants aged 21–75 years included in the 1999–2008 National Health and Nutrition Examination Survey surveys. Age-stratified mortality rates, along with unadjusted and adjusted hazard ratios (HRs) for mortality, were generated to compare differences between those with and without CKD. The mean life-years lost (LYL) relating to CKD was calculated using Centers for Disease Control and Prevention life tables. RESULTS: A total of 16,725 participants were included. Mortality rates were higher in those with CKD at all ages. The adjusted age-stratified HR for mortality in those with CKD versus without was highest in the 21–35 years strata (HR [95% confidence interval (CI)], 4.9 [2.8 to 8.6])) and lowest in the 65–75 years strata (HR [95% CI], 2.0 [1.7 to 2.3]). The mean LYL secondary to CKD was inversely related with increasing age. CONCLUSIONS: Compared with age-matched peers without CKD, the age-stratified risk for mortality and LYL associated with a diagnosis of CKD is highest in younger individuals. Further research is needed to elucidate the societal and personal costs of premature mortality associated with CKD in young adults. American Society of Nephrology 2023-03-15 /pmc/articles/PMC10278773/ /pubmed/36921593 http://dx.doi.org/10.34067/KID.0000000000000097 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Nephrology https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Investigation
Kula, Alexander J.
Prince, David K.
Katz, Ronit
Bansal, Nisha
Mortality Burden and Life-Years Lost Across the Age Spectrum for Adults Living with CKD
title Mortality Burden and Life-Years Lost Across the Age Spectrum for Adults Living with CKD
title_full Mortality Burden and Life-Years Lost Across the Age Spectrum for Adults Living with CKD
title_fullStr Mortality Burden and Life-Years Lost Across the Age Spectrum for Adults Living with CKD
title_full_unstemmed Mortality Burden and Life-Years Lost Across the Age Spectrum for Adults Living with CKD
title_short Mortality Burden and Life-Years Lost Across the Age Spectrum for Adults Living with CKD
title_sort mortality burden and life-years lost across the age spectrum for adults living with ckd
topic Original Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10278773/
https://www.ncbi.nlm.nih.gov/pubmed/36921593
http://dx.doi.org/10.34067/KID.0000000000000097
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