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Incidence and progression of chronic kidney disease in black and white individuals with type 2 diabetes

Clinical Journal of the American Society of Nephrology Jun 14, 2018

Gerber C, et al. - In this post hoc analysis, researchers assessed the associations of black race with the change in eGFR and risks of developing microalbuminuria, macroalbuminuria, incident CKD (eGFR<60 ml/min per 1.73m2, ≥25% decrease from baseline eGFR, and eGFR slope <-1.6 ml/min per 1.73 m2 per year), and kidney failure or serum creatinine >3.3 mg/dl. Study participants were black and white participants of the Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial. They found that relative to white participants, lower rates of incident CKD were observed among black participants enrolled in a randomized controlled trial. By race, no differences were observed in the rates of eGFR decline, microalbuminuria, macroalbuminuria, and kidney failure.
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