4.1 Article

Approaches for the identification of chronic kidney disease in CPRD-HES-linked studies

期刊

出版社

FUTURE MEDICINE LTD
DOI: 10.2217/cer-2019-0190

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atrial fibrillation; chronic kidney disease; CPRD; diagnostic codes; GFR; pharmacoepidemiology; test results

资金

  1. Bristol-Myers Squibb-Pfizer Alliance

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Aim: There are different methods to identify chronic kidney disease (CKD) in Clinical Practice Research Datalink (CPRD)-Hospital Episode Statistics (HES). Methods: Using CPRD-HES, nonvalvular atrial fibrillation patients were classified according to CKD category. Results: Using glomerular filtration rate/estimated glomerular filtration rate tests only to identify patients with CKD resulted in 3.5% stage 2, 2.7% stage 3, 0.3% stage 4 and 0.03% stage 5. Using data from diagnostic codes to identify patients with CKD resulted in 1.4% stage 3, 0.4% stage 4 and 0.3% stage 5. Using test records and codes resulted in 3.5% stage 2, 4.0% stage 3, 0.6% stage 4 and 0.4% stage 5. Conclusion: To identify CKD status in CPRD-HES, a combination of test records and codes should be used. Using diagnostic codes only significantly underestimates CKD prevalence.

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