Evidence map›Paper›PMID 39809960›Full record

ArticleJournal of general internal medicine2025

Trends in Co-morbid Dementia and Chronic Kidney Disease.

Milda R Saunders, Mingyu Qi, Elbert S Huang, R Tamara Konetzka

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Milda R SaundersSection of General Internal Medicine, Department of Medicine, University of Chicago Medicine, Chicago, IL, USA. msaunders@uchicago.edu.ORCID 0000-0002-9276-2066
Mingyu QiDepartment of Public Health Sciences, The University of Chicago Biological Sciences Division, Chicago, IL, USA.
Elbert S HuangSection of General Internal Medicine, Department of Medicine, University of Chicago Medicine, Chicago, IL, USA.
R Tamara KonetzkaCenter for Chronic Disease Research and Policy, University of Chicago Medicine, Chicago, IL, USA.

Funding

Voice-Activated Technology to Improve Mobility & Reduce Health Disparities: EngAGEing African American Older Adult-Care Partner DyadsP50MD017349 · NIMHD · UNIVERSITY OF CHICAGO · PI BAIG, ARSHIYA AHMED · 2021 to 2025
$24.3M
Pilot Program CoreP30ES027792 · NIEHS · UNIVERSITY OF CHICAGO · PI RICHARD D MINSHALL · 2017 to 2026
$13.6M
Intensive Patient Referral and Education Program prior to Renal Replacement Therapy (iPREP RRT)R01DK124597 · NIDDK · UNIVERSITY OF CHICAGO · PI SAUNDERS, MILDA RENNE · 2020 to 2023
$1.3M
Research and Mentorship in Medical Decision Making for Chronic Diseases of Older AdultsK24AG069080 · NIA · UNIVERSITY OF CHICAGO · PI HUANG, ELBERT S. · 2020 to 2024
$583k
NIA NIH HHS K24 AG069080NIA NIH HHS K24AG069080NIA NIH HHS RFIAG069857NIDDK NIH HHS R01DK124597NIEHS NIH HHS P30 ES027792NIMHD NIH HHS P50 MD017349NIMHD NIH HHS P50MD17349
6 · The paper itself

Abstract

backgroundLittle is known about the population of Medicare beneficiaries with both chronic kidney disease (CKD) and Alzheimer's disease and related dementias (ADRD).

methodsUsing data from Medicare fee-for-service (FFS) beneficiaries aged 65 and over identified through 2011-2019 Master Beneficiary Summary File (MBSF), we estimated the size, growth, and racial-ethnic characteristics of the ADRD and CKD populations. Individuals were classified as having ADRD and CKD based on CMS Chronic Conditions Data Warehouse (CCW) indicators in the MBSF Chronic Conditions file.

resultsAmong FFS beneficiaries, the prevalence of CKD has increased from 17.5% in 2011 to 27.9% in 2019, and the prevalence of ADRD has decreased over that time from 13.3 to 12.5%. The prevalence of individuals with co-morbid ADRD and CKD has risen from 4.4 to 6.3% which represents 1.72 million older adults. Black and Hispanic individuals have the highest prevalence of co-morbid CKD and ADRD, averaging 10.0% and 9.0% in 2019, respectively, compared to other racial-ethnic groups (≤ 7.2% all others). In addition, among those previously diagnosed with ADRD, the proportion with co-morbid CKD has been steadily increasing from 25.5% in 2011 to 44.4% in 2019. While the proportion of individuals with ADRD who have co-morbid CKD has increased across all race-ethnicities, it is highest in Black and Hispanic individuals (56.7 and 51%, respectively in 2019). CONCLUSION/RELEVANCE: The prevalence of Medicare FFS enrollees with both ADRD and CKD is increasing. Although the ADRD prevalence has declined, there is a rising number of individuals with CKD who are diagnosed with ADRD and a rising proportion of those with ADRD who also have CKD. Due to shared clinical and demographic risk factors, interventions to reduce CKD progression could also delay ADRD onset. In patients with both advanced ADRD and advanced CKD, clinicians and policymakers should focus on treatment options that consider both co-morbidities.

Indexed as

DementiaRenal Insufficiency, ChronicAgedAged, 80 and overComorbidityFemaleHumansMaleMedicarePrevalenceUnited StatesADRDchronic diseaseCKDMedicaremulti-morbidityracial differences

Identifiers

PMID39809960
PMCPMC12343384

What OpenQuestion holds

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Registered trials

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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.