TY - JOUR T1 - Chronic renal disease in Spain: Prevalence and related factors in persons with diabetes mellitus older than 64 years JO - Nefrología (English Edition) T2 - AU - Martínez Candela,Juan AU - Sangrós González,Javier AU - García Soidán,Francisco Javier AU - Millaruelo Trillo,José Manuel AU - Díez Espino,Javier AU - Bordonaba Bosque,Daniel AU - Ávila Lachica,Luis SN - 20132514 M3 - 10.1016/j.nefroe.2018.06.002 DO - 10.1016/j.nefroe.2018.06.002 UR - https://revistanefrologia.com/en-chronic-renal-disease-in-spain-articulo-S2013251418300804 AB - IntroductionType 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. ObjectivesTo 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. MethodsObservational, 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. ResultsThe 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). ConclusionsCKD 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. ER -