Denker Matthew, Boyle Suzanne, Anderson Amanda H, Appel Lawrence J, Chen Jing, Fink Jeffrey C, Flack John, Go Alan S, Horwitz Edward, Hsu Chi-Yuan, Kusek John W, Lash James P, Navaneethan Sankar, Ojo Akinlolu O, Rahman Mahboob, Steigerwalt Susan P, Townsend Raymond R, Feldman Harold I
Due to the number of contributing authors, the affiliations are provided in the Supplemental Material.
Clin J Am Soc Nephrol. 2015 Nov 6;10(11):2073-83. doi: 10.2215/CJN.04260415. Epub 2015 Aug 11.
The Chronic Renal Insufficiency Cohort (CRIC) Study is a United States multicenter, prospective study of racially and ethnically diverse patients with CKD. Although the original aims of the study were to identify novel predictors of CKD progression and to elucidate the risk and manifestations of cardiovascular disease among nearly 4000 individuals with CKD, the CRIC Study has evolved into a national resource for investigation of a broad spectrum of CKD-related topics. The study has produced >90 published scientific articles, promoted many young investigative careers in nephrology, and fostered international collaborations focused on understanding the global burden of CKD. The third phase of the CRIC Study will complete enrollment of 1500 additional study participants in 2015 and is designed to answer questions regarding morbidity and mortality in mild-to-moderate CKD and to assess the burden of CKD in older persons. This review highlights some of the salient findings of the CRIC Study in the areas of race and ethnicity, CKD progression, CKD and cognition, and cardiovascular disease outcomes; it also outlines the ongoing and forthcoming opportunities for the global nephrology community to enhance its understanding of CKD and related complications through the study.
慢性肾功能不全队列(CRIC)研究是一项在美国开展的多中心前瞻性研究,研究对象为患有慢性肾脏病(CKD)的不同种族和族裔的患者。尽管该研究最初的目的是确定CKD进展的新预测因素,并阐明近4000例CKD患者心血管疾病的风险和表现,但CRIC研究已发展成为一个用于调查广泛的CKD相关主题的国家资源。该研究已发表了90多篇科学文章,推动了许多肾脏病学领域年轻研究人员的职业发展,并促进了旨在了解CKD全球负担的国际合作。CRIC研究的第三阶段将于2015年完成另外1500名研究参与者的招募,旨在回答有关轻度至中度CKD的发病率和死亡率的问题,并评估老年人CKD的负担。本综述重点介绍了CRIC研究在种族和族裔、CKD进展、CKD与认知以及心血管疾病结局等领域的一些显著发现;还概述了全球肾脏病学界通过该研究增强对CKD及其相关并发症理解的现有和未来机会。