The German Chronic Kidney Disease (GCKD) study: design and methods

Eckardt, Kai-Uwe and Baerthlein, Barbara and Baid-Agrawal, Seema and Beck, Andreas and Busch, Martin and Eitner, Frank and Ekici, Arif B. and Floege, Juergen and Gefeller, Olaf and Haller, Hermann and Hilge, Robert and Hilgers, Karl F. and Kielstein, Jan T. and Krane, Vera and Koettgen, Anna and Kronenberg, Florian and Oefner, Peter and Prokosch, Hans-Ulrich and Reis, Andre and Schmid, Matthias and Schaeffner, Elke and Schultheiss, Ulla T. and Seuchter, Susanne A. and Sitter, Thomas and Sommerer, Claudia and Walz, Gerd and Wanner, Christoph and Wolf, Gunter and Zeier, Martin and Titze, Stephanie (2012) The German Chronic Kidney Disease (GCKD) study: design and methods. NEPHROLOGY DIALYSIS TRANSPLANTATION, 27 (4). pp. 1454-1460. ISSN 0931-0509,

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Abstract

Background. Chronic kidney disease (CKD) is increasingly recognized as a global health problem. The conditions leading to CKD, the health impact of CKD and the prognosis differ markedly between affected individuals. In particular, renal failure and cardiovascular mortality are competing risks for CKD patients. Opportunities for targeted intervention are very limited so far and require an improved understanding of the natural course of CKD, of the risk factors associated with various clinical end points and co-morbidities as well as of the underlying pathogenic mechanisms. Methods. The German Chronic Kidney Disease (GCKD) study is a prospective observational national cohort study. It aims to enrol a total of 5000 patients with CKD of various aetiologies, who are under nephrological care, and to follow them for up to 10 years. At the time of enrolment, male and female patients have an estimated glomerular filtration rate (eGFR) of 30-60 mL/min x 3 1.73m(2) or overt proteinuria in the presence of an eGFR >60 mL/min x 3 1.73m(2). Standardized collection of biomaterials, including DNA, serum, plasma and urine will allow identification and validation of biomarkers associated with CKD, CKD progression and related complications using hypothesis-driven and hypothesis-free approaches. Patient recruitment and follow-up is organized through a network of academic nephrology centres collaborating with practising nephrologists throughout the country. Conclusions. The GCKD study will establish one of the largest cohorts to date of CKD patients not requiring renal replacement therapy. Similarities in its design with other observational CKD studies, including cohorts that have already been established in the USA and Japan, will allow comparative and joint analyses to identify important ethnic and geographic differences and to enhance opportunities for identification of relevant risk factors and markers.

Item Type: Article
Uncontrolled Keywords: GLOMERULAR-FILTRATION-RATE; RISK POPULATION COHORTS; COLLABORATIVE METAANALYSIS; HIGHER ALBUMINURIA; ALL-CAUSE; ASSOCIATION; MORTALITY; NEPHROPATHY; PREVALENCE; OUTCOMES; biomarkers; cohort; epidemiology; prognosis; risk factors
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Institut für Funktionelle Genomik > Lehrstuhl für Funktionelle Genomik (Prof. Oefner)
Depositing User: Dr. Gernot Deinzer
Date Deposited: 15 May 2020 07:42
Last Modified: 15 May 2020 07:42
URI: https://pred.uni-regensburg.de/id/eprint/18990

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