美国成人 1 型糖尿病患者慢性肾脏病的患病率
Prevalence of Chronic Kidney Disease in Type 1 Diabetes Among Adults in the U.S.
机构信息
Steno Diabetes Center Copenhagen, Herlev, Denmark.
Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
出版信息
Diabetes Care. 2024 Aug 1;47(8):1395-1399. doi: 10.2337/dc24-0335.
OBJECTIVE
The prevalence of chronic kidney disease (CKD) in adults ≥18 years of age with type 1 diabetes in the U.S. was determined using National Health and Nutrition Examination Survey (NHANES) data.
RESEARCH DESIGN AND METHODS
A modified treatment-based algorithm applying a subset of NHANES diabetes questionnaires was used. The number of respondents with CKD and type 1 diabetes was weighted (extrapolated) to the U.S. population.
RESULTS
Based on data between 2015 and 2018, type 1 diabetes was identified in 47 out of 19,225 adults with evaluable kidney function data. CKD was present in 20 out of 47 people identified with type 1 diabetes. The weighted estimate of CKD in type 1 diabetes was 21.5%, corresponding to 258,196 (95% CI 71,189-445,203) people in the U.S.
CONCLUSIONS
Applying a conservative approach in our study indicates that CKD is common in adults with type 1 diabetes in the U.S.
目的
利用美国国家健康和营养调查（NHANES）数据，确定美国≥18 岁 1 型糖尿病成人中慢性肾脏病（CKD）的患病率。
研究设计和方法
采用一种改良的基于治疗的算法，应用 NHANES 糖尿病问卷的一个子集。CKD 和 1 型糖尿病患者的人数经加权（推断）后可代表美国人群。
结果
根据 2015 年至 2018 年的数据，在可评估肾功能数据的 19225 名成年人中，有 47 人被确定患有 1 型糖尿病。在被确定患有 1 型糖尿病的 47 人中，有 20 人患有 CKD。1 型糖尿病患者 CKD 的加权估计值为 21.5%，相当于美国有 258196 人（95%CI71189-445203）。
结论
在我们的研究中采用保守方法表明，美国成年人中 1 型糖尿病患者 CKD 很常见。
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