Evidence map›Paper›PMID 36521879›Full record

ArticleBMJ open diabetes research & care2022

Ethnic differences in 25-year risk of incident chronic kidney disease among people with type 2 diabetes in New Zealand.

Dahai Yu, Zheng Wang, Yamei Cai, Uchechukwu Levi Osuagwu, Karen Pickering, John Baker, Richard Cutfield, Brandon J Orr-Walker, Gerhard Sundborn, Kalpa Jayanatha and 2 more

Abstract read
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Article in BMJ open diabetes research & care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Dahai YuDepartment of Nephrology, the First Affiliated Hospital, Zhengzhou University, Zhengzhou, People's Republic of China.ORCID 0000-0002-8449-7725
Zheng WangDepartment of Nephrology, the First Affiliated Hospital, Zhengzhou University, Zhengzhou, People's Republic of China.
Yamei CaiDepartment of Nephrology, the First Affiliated Hospital, Zhengzhou University, Zhengzhou, People's Republic of China.
Uchechukwu Levi OsuagwuSchool of Medicine, Western Sydney University, Sydney, New South Wales, Australia.
Karen PickeringDiabetes Foundation Aotearoa, Otara, New Zealand.
John BakerDiabetes Foundation Aotearoa, Otara, New Zealand.
Richard CutfieldDiabetes Foundation Aotearoa, Otara, New Zealand.
Brandon J Orr-WalkerDiabetes Foundation Aotearoa, Otara, New Zealand.
Gerhard SundbornSection of Pacific Health, the University of Auckland, Auckland, New Zealand.
Kalpa JayanathaDepartment of Renal Medicine, Counties Manukau Health, Auckland, New Zealand.ORCID 0000-0002-8214-5021
Zhanzheng ZhaoDepartment of Nephrology, the First Affiliated Hospital, Zhengzhou University, Zhengzhou, People's Republic of China Da.Simmons@westernsydney.edu.au zhanzhengzhao@zzu.edu.cn.
David SimmonsDepartment of Nephrology, the First Affiliated Hospital, Zhengzhou University, Zhengzhou, People's Republic of China Da.Simmons@westernsydney.edu.au zhanzhengzhao@zzu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInsights into ethnic differences in the natural history of chronic kidney disease (CKD) among people with type 2 diabetes mellitus (T2DM) might inform clinical strategies to address disparities in hospitalization and mortality. Risks of CKD II-V stages over a 25-year period between New Zealand Europeans (NZEs), Māori and Pasifika, and with T2DM in Auckland, New Zealand (NZ) were compared. RESEARCH DESIGN AND

methodsAs a primary care audit program in Auckland, the Diabetes Care Support Service was linked with national registration databases. People with existing CKD II-V were ruled out. To balance potential confounders, we applied a tapered matching method . 'Quasi-trial'-matched cohorts were set up separately between Māori and NZE and between Pasifika and NZE. Ethnic population differences in risk of any and each stage of CKD over 1994-2018 were examined by weighted Cox regression model.

resultsThe HRs for developing any CKD, CKD stages II-V for Māori (n=2215) versus NZE (n=2028) were 1.18 (95% CI 0.99 to 1.41), 1.10 (95% CI 0.91 to 1.32), 1.70 (95% CI 1.19 to 2.43), 3.93 (95% CI 2.16 to 7.14), and 3.74 (95% CI 1.74 to 8.05), respectively. Compared with NZE (n=2474), the HRs for developing any CKD, CKD stages II-V for Pasifika (n=3101) were 1.31 (95% CI 1.09 to 1.57), 1.26 (95% CI 1.05 to 1.52), 1.71 (95% CI 1.14 to 2.57), 3.75 (95% CI 1.40 to 10.05), and 4.96 (95% CI 1.56 to 15.75), respectively.

conclusionsAmong people with T2DM in NZ, significant ethnic differences exist in the risk of progressing to each stage of CKD (stage V in particular). Mechanism studies underlying these differences, as well as the need for identification of biomarkers to predict the early onset renal lesion, are warranted.

Indexed as

Diabetes Mellitus, Type 2Renal Insufficiency, ChronicEthnicityHumansNew ZealandCohort StudiesEthnic GroupsKidney Failure, ChronicType 2 Diabetes

Identifiers

PMID36521879
PMCPMC9756147

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.