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10.1371/journal.pone.0136039

http://scihub22266oqcxt.onion/10.1371/journal.pone.0136039
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C4552830!4552830!26317988
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suck abstract from ncbi


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pmid26317988      PLoS+One 2015 ; 10 (8): ä
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  • Mortality Prediction in the Oldest Old with Five Different Equations to Estimate Glomerular Filtration Rate: The Health and Anemia Population-based Study #MMPMID26317988
  • Mandelli S; Riva E; Tettamanti M; Detoma P; Giacomin A; Lucca U
  • PLoS One 2015[]; 10 (8): ä PMID26317988show ga
  • Background: Kidney function declines considerably with age, but little is known about its clinical significance in the oldest-old. Objectives: To study the association between reduced glomerular filtration rate (GFR) estimated according to five equations with mortality in the oldest-old. Design: Prospective population-based study. Setting: Municipality of Biella, Piedmont, Italy. Participants: 700 subjects aged 85 and older participating in the ?Health and Anemia? Study in 2007?2008. Measurements: GFR was estimated using five creatinine-based equations: the Cockcroft-Gault (C-G), Modification of Diet in Renal Disease (MDRD), MAYO Clinic, Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) and Berlin Initiative Study-1 (BIS-1). Survival analysis was used to study mortality in subjects with reduced eGFR (<60 mL/min/1.73m2) compared to subjects with eGFR ?60 mL/min/1.73m2. Results: Prevalence of reduced GFR was 90.7% with the C-G, 48.1% with MDRD, 23.3% with MAYO, 53.6% with CKD-EPI and 84.4% with BIS-1. After adjustment for confounders, two-year mortality was significantly increased in subjects with reduced eGFR using BIS-1 and C-G equations (adjusted HRs: 2.88 and 3.30, respectively). Five-year mortality was significantly increased in subjects with eGFR <60 mL/min/1.73m2 using MAYO, CKD-EPI and, in a graduated fashion in reduced eGFR categories, MDRD. After 5 years, oldest old with an eGFR <30 mL/min/1.73m2 showed a significantly higher risk of death whichever equation was used (adjusted HRs between 2.04 and 2.70). Conclusion: In the oldest old, prevalence of reduced eGFR varies noticeably depending on the equation used. In this population, risk of mortality was significantly higher for reduced GFR estimated with the BIS-1 and C-G equations over the short term. Though after five years the MDRD appeared on the whole a more consistent predictor, differences in mortality prediction among equations over the long term were less apparent. Noteworthy, subjects with a severely reduced GFR were consistently at higher risk of death regardless of the equation used to estimate GFR.
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