Evidence map›Paper›PMID 39611870›Full record

Observational studyAdvances in therapy2025

Baseline Characteristics of the DISCOVER CKD Prospective Cohort.

Carol Pollock, Juan-Jesus Carrero, Eiichiro Kanda, Richard Ofori-Asenso, Hungta Chen, Juan Jose Garcia Sanchez, Surendra Pentakota, Roberto Pecoits-Filho, Steven Fishbane, Carolyn S P Lam and 2 more

Erratum issued Registry-linked trialAbstract readObservational StudyMulticenter Study
In one paragraph

Observational study in Advances in therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04034992 (An Observational Study Collecting Real-world Data on Patients With Chronic Kidney Disease to Assess), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04034992 completednot on this map

An Observational Study Collecting Real-world Data on Patients With Chronic Kidney Disease to Assess: Early Treatment Experience, Treatment Patterns, Treatment Effectiveness, Patient Outcomes and Patient Quality of Life Through Prospective and Retrospective Data Capture

TypeobservationalSponsorAstraZenecaRan2019 to 2023Enrolled1,052ConditionsChronic Kidney Disease
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Carol PollockKolling Institute, Royal North Shore Hospital, University of Sydney, 10 Westbourne St, St Leonards, Sydney, NSW, 2064, Australia. carol.pollock@sydney.edu.au.
Juan-Jesus CarreroDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Solna, Sweden.
Eiichiro KandaDepartment of Health Data Science, Kawasaki Medical School, Kurashiki, Okayama, Japan.
Richard Ofori-AsensoCardiovascular, Renal, Metabolism Epidemiology, BioPharmaceuticals Medical, AstraZeneca, Cambridge, UK.
Hungta ChenMedical and Payer Evidence Statistics, BioPharmaceuticals Medical, AstraZeneca, Gaithersburg, MD, USA.
Juan Jose Garcia SanchezGlobal Market Access and Pricing, AstraZeneca, Barcelona, Spain.
Surendra PentakotaGlobal Medical Affairs, BioPharmaceuticals Medical, AstraZeneca, Cambridge, UK.
Roberto Pecoits-FilhoSchool of Medicine, Pontifical Catholic University of Parana, Curitiba, Brazil.
Steven FishbaneDivision of Nephrology, Zucker School of Medicine, Great Neck, NY, USA.
Carolyn S P LamNational Heart Centre Singapore, Singapore, Singapore.
Naoki KashiharaDepartment of Nephrology, Kawasaki Medical School, Okayama, Japan.
David C WheelerDepartment of Renal Medicine, University College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionReal-world data from patients with chronic kidney disease (CKD) are limited, particularly regarding clinical management, treatment patterns and health-related quality of life (HRQoL) in the context of new therapies and updated standard of care guidelines.

methodsDISCOVER CKD is an observational cohort study enrolling adult patients with CKD, defined by an International Classification of Diseases, 10th Revision code, or with two estimated glomerular filtration rate measures < 75 ml/min/1.73 m

resultsOf 1052 patients (mean age 62.5 years; 36.9% female) enrolled from the USA, UK, Spain, Italy, Sweden and Japan, 727 (69.1%) had stage 2-3b CKD and 325 (30.9%) had stage 4-5 CKD. Overall, 72.4%, 43.0% and 37.5% of patients had histories of hypertension, diabetes and hyperlipidaemia, respectively. In total, 58.7% and 14.0% were receiving renin-angiotensin-aldosterone system inhibitors (RAASi) and sodium-glucose co-transporter 2 inhibitors (SGLT2i), respectively. Compared with patients with stage 2-3b CKD, patients with stage 4-5 CKD reported numerically greater symptom burden across all 11 symptoms measured, numerically worse HRQoL across all eight categories measured using the 36-item Short Form (SF-36) questionnaire, and numerically greater impairment at work across all four categories measured using the Work Productivity and Activity Impairment chronic kidney disease (WPAI-CKD) questionnaire. Compared with patients with stage 2-3b CKD, a higher proportion of patients with stage 4-5 CKD had anaemia, hyperkalaemia and oedema (49.8% vs. 16.9%, 21.8% vs. 8.4% and 17.5% vs. 9.5%, respectively).

conclusionsThese contemporary real-world data from six countries highlight the substantial symptom, medication and psychosocial burden associated with CKD, and continued gaps in treatment. Graphical abstract available for this article.

trial registrationClinicalTrials.gov identifier, NCT04034992.

Indexed as

Renal Insufficiency, ChronicAgedFemaleGlomerular Filtration RateHumansMaleMiddle AgedPatient Reported Outcome MeasuresProspective StudiesQuality of LifeSodium-Glucose Transporter 2 InhibitorsSodium-Glucose Transporter 2 InhibitorsBaseline characteristicsChronic kidney diseaseDISCOVER CKDEpidemiologyPatient-reported outcomes

Identifiers

PMID39611870
PMCPMC11868141

What OpenQuestion holds

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Registered trials

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.