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10.1016/j.ekir.2016.08.016 http://scihub22266oqcxt.onion/10.1016/j.ekir.2016.08.016 C5678675!5678675!29142937     free     free     free Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Kidney+Int+Rep 2017 ; 2 (1): 5-17 Nephropedia Template TP {{tp|p=29142937|t=2017. Geographic Variation and US County Characteristics Associated With Rapid Kidney Function Decline |pdf=|usr=}}{{29142937}} gab.com Text Geographic Variation and US County Characteristics Associated With Rapid Kidney Function Decline JO: Kidney Int Rep http://www.kidney.de/pget.php?&tw=1&pmid=29142937 #FOAvip Introduction: Geographic variation in the prevalence of chronic kidney disease and incidence of end-stage renal disease has been previously reported. However, the geographic epidemiology of rapid estimated glomerular filtration rate (eGFR) decline has not been examined. Methods: We built a longitudinal cohort of 2,107,570 US veterans to characterize the spatial epidemiology of and examine the associations between US county characteristics and rapid eGFR decline. Results: There were 169,029 (8.02%) with rapid eGFR decline (defined as eGFR slope < ?5 ml/min per 1.73 m2/year). The prevalence of rapid eGFR decline adjusted for age, race, gender, diabetes, and hypertension varied by county from 4.10%?6.72% in the lowest prevalence quintile to 8.41%?22.04% in the highest prevalence quintile (P for heterogeneity < 0.001). Examination of adjusted prevalence showed substantial geographic variation in those with and without diabetes and those with and without hypertension (P for heterogeneity < 0.001). Cohort participants had higher odds of rapid eGFR decline when living in counties with unfavorable characteristics in domains including health outcomes (odds ratio [OR] = 1.15; confidence interval [CI] = 1.09?1.22), health behaviors (OR = 1.08; CI = 1.03?1.13), clinical care (OR = 1.11; CI = 1.06?1.16), socioeconomic conditions (OR = 1.15; CI = 1.09?1.22), and physical environment (OR = 1.15; CI = 1.01?1.20); living in counties with high percentage of minorities and immigrants was associated with rapid eGFR decline (OR = 1.25; CI = 1.20?1.31). Spatial analyses suggest the presence of cluster of counties with high prevalence of rapid eGFR decline. Discussion: Our findings show substantial geographic variation in rapid eGFR decline among US veterans; the variation persists in analyses stratified by diabetes and hypertension status; results show associations between US county characteristics in domains capturing health, socioeconomic, environmental, and diversity conditions, and rapid eGFR decline. Twit Text FOAVip Geographic Variation and US County Characteristics Associated With Rapid Kidney Function Decline ????Kidney Int Rep http://www.kidney.de/pget.php?&tw=1&pmid=29142937 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=29142937 #FOAvip English Wikipedia <ref>{{Cite pmid|29142937}}</ref> Geographic Variation and US County Characteristics Associated With Rapid Kidney Function Decline #MMPMID29142937 Bowe B; Xie Y; Xian H; Lian M; Al-Aly Z Kidney Int Rep 2017[Jan]; 2 (1): 5-17 PMID29142937show ga Introduction: Geographic variation in the prevalence of chronic kidney disease and incidence of end-stage renal disease has been previously reported. However, the geographic epidemiology of rapid estimated glomerular filtration rate (eGFR) decline has not been examined. Methods: We built a longitudinal cohort of 2,107,570 US veterans to characterize the spatial epidemiology of and examine the associations between US county characteristics and rapid eGFR decline. Results: There were 169,029 (8.02%) with rapid eGFR decline (defined as eGFR slope < ?5 ml/min per 1.73 m2/year). The prevalence of rapid eGFR decline adjusted for age, race, gender, diabetes, and hypertension varied by county from 4.10%?6.72% in the lowest prevalence quintile to 8.41%?22.04% in the highest prevalence quintile (P for heterogeneity < 0.001). Examination of adjusted prevalence showed substantial geographic variation in those with and without diabetes and those with and without hypertension (P for heterogeneity < 0.001). Cohort participants had higher odds of rapid eGFR decline when living in counties with unfavorable characteristics in domains including health outcomes (odds ratio [OR] = 1.15; confidence interval [CI] = 1.09?1.22), health behaviors (OR = 1.08; CI = 1.03?1.13), clinical care (OR = 1.11; CI = 1.06?1.16), socioeconomic conditions (OR = 1.15; CI = 1.09?1.22), and physical environment (OR = 1.15; CI = 1.01?1.20); living in counties with high percentage of minorities and immigrants was associated with rapid eGFR decline (OR = 1.25; CI = 1.20?1.31). Spatial analyses suggest the presence of cluster of counties with high prevalence of rapid eGFR decline. Discussion: Our findings show substantial geographic variation in rapid eGFR decline among US veterans; the variation persists in analyses stratified by diabetes and hypertension status; results show associations between US county characteristics in domains capturing health, socioeconomic, environmental, and diversity conditions, and rapid eGFR decline. äGeographic Variation and US County Characteristics Associated With Rap(epmc).pdf DeepDyve Pubget Overpricing