已入深夜,您辛苦了!由于当前在线用户较少,发布求助请尽量完整的填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!祝你早点完成任务,早点休息,好梦!

Sex Differences in the Recognition, Monitoring, and Management of CKD in Health Care: An Observational Cohort Study

医学 肾脏疾病 内科学 蛋白尿 肾病科 危险系数 人口 优势比 糖尿病 置信区间 内分泌学 环境卫生
作者
Oskar Swartling,Yuanhang Yang,Catherine M. Clase,Edouard L Fu,Manfred Hecking,Sebastian Hödlmoser,Ylva Trolle Lagerros,Marie Evans,Juan Jesus Carrero
出处
期刊:Journal of The American Society of Nephrology 卷期号:33 (10): 1903-1914 被引量:9
标识
DOI:10.1681/asn.2022030373
摘要

Reported sex differences in the etiology, population prevalence, progression rates, and health outcomes of people with CKD may be explained by differences in health care.We evaluated sex as the variable of interest in a health care-based study of adults (n=227,847) with at least one outpatient eGFR<60 ml/min per 1.73 m2 measurement denoting probable CKD in Stockholm from 2009 to 2017. We calculated the odds ratios for diagnosis of CKD and provision of RASi and statins at inclusion, and hazard ratios for CKD diagnosis, visiting a nephrologist, or monitoring creatinine and albuminuria during follow-up.We identified 227,847 subjects, of whom 126,289 were women (55%). At inclusion, women had lower odds of having received a diagnostic code for CKD and were less likely to have received RASi and statins, despite having guideline-recommended indications. In time-to-event analyses, women were less likely to have received a CKD diagnosis (HR, 0.43; 95% CI, 0.42 to 0.45) and visited a nephrologist (HR, 0.46; 95% CI, 0.43 to 0.48) regardless of disease severity, presence of albuminuria, or criteria for referral. Women were also less likely to undergo monitoring of creatinine or albuminuria, including those with diabetes or hypertension. These differences remained after adjustment for comorbidities, albuminuria, and highest educational achievement, and among subjects with confirmed CKD at retesting. Although in absolute terms all nephrology-care indicators gradually improved over time, the observed sex gap persisted.There were profound sex differences in the detection, recognition, monitoring, referrals, and management of CKD. The disparity was also observed in people at high risk and among those who had guideline-recommended indications.This article contains a podcast at https://www.asn-online.org/media/podcast/JASN/2022_10_11_JASN2022030373.mp3.

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
陈星锦发布了新的文献求助10
1秒前
lanshuitai发布了新的文献求助10
3秒前
摇摇奶昔完成签到,获得积分20
4秒前
4秒前
7秒前
高高完成签到,获得积分20
7秒前
7秒前
TAKI发布了新的文献求助10
8秒前
孤独的乾发布了新的文献求助10
10秒前
高高发布了新的文献求助10
12秒前
可爱的柜子应助陈星锦采纳,获得10
13秒前
依依完成签到 ,获得积分10
13秒前
Orange应助gery采纳,获得10
14秒前
15秒前
田様应助加油采纳,获得10
15秒前
麻瓜发布了新的文献求助10
18秒前
迷路的曼梅完成签到,获得积分10
19秒前
锂炸发布了新的文献求助10
20秒前
Lucas应助温良恭俭让采纳,获得10
21秒前
CodeCraft应助TAKI采纳,获得10
21秒前
midoli完成签到,获得积分10
22秒前
23秒前
25秒前
temaxs完成签到 ,获得积分10
27秒前
Orange应助锂炸采纳,获得10
28秒前
加油发布了新的文献求助10
28秒前
辛勤的雨安完成签到,获得积分20
28秒前
盐湖所王裕民完成签到,获得积分20
31秒前
Bowman完成签到,获得积分10
32秒前
32秒前
35秒前
35秒前
36秒前
wanci应助辛勤的雨安采纳,获得10
37秒前
仂尤完成签到 ,获得积分10
37秒前
37秒前
39秒前
gery发布了新的文献求助10
41秒前
41秒前
高分求助中
The late Devonian Standard Conodont Zonation 2000
Nickel superalloy market size, share, growth, trends, and forecast 2023-2030 2000
The Lali Section: An Excellent Reference Section for Upper - Devonian in South China 1500
Smart but Scattered: The Revolutionary Executive Skills Approach to Helping Kids Reach Their Potential (第二版) 1000
Very-high-order BVD Schemes Using β-variable THINC Method 830
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 800
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 800
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3248577
求助须知:如何正确求助?哪些是违规求助? 2892029
关于积分的说明 8269412
捐赠科研通 2560089
什么是DOI,文献DOI怎么找? 1388851
科研通“疑难数据库(出版商)”最低求助积分说明 650913
邀请新用户注册赠送积分活动 627798