Sex disparities and adverse cardiovascular and kidney outcomes in patients with chronic kidney disease: results from the KNOW-CKD
- Authors
- Jung, Chan-Young; Heo, Ga Young; Park, Jung Tak; Joo, Young Su; Kim, Hyung Woo; Lim, Hyunsun; Chang, Tae Ik; Kang, Ea Wha; Yoo, Tae-Hyun; Kang, Shin-Wook; Lee, Joongyub; Kim, Soo Wan; Oh, Yun Kyu; Jung, Ji Yong; Oh, Kook-Hwan; Ahn, Curie; Han, Seung Hyeok
- Issue Date
- Jul-2021
- Publisher
- SPRINGER HEIDELBERG
- Keywords
- Sex; Disparities; Cardiovascular events; Mortality; Chronic kidney disease
- Citation
- CLINICAL RESEARCH IN CARDIOLOGY, v.110, no.7, pp.1116 - 1127
- Journal Title
- CLINICAL RESEARCH IN CARDIOLOGY
- Volume
- 110
- Number
- 7
- Start Page
- 1116
- End Page
- 1127
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/81571
- DOI
- 10.1007/s00392-021-01872-5
- ISSN
- 1861-0684
- Abstract
- Aims Longitudinal studies of the association between sex and adverse clinical outcomes in patients with chronic kidney disease (CKD) are scarce. We assessed whether major outcomes may differ by sex among CKD patients. Methods We analyzed a total of 1780 participants with non-dialysis CKD G1-5 from the KoreaN cohort study for Outcome in patients with Chronic Kidney Disease (KNOW-CKD). The primary outcome was a composite of non-fatal cardiovascular events or all-cause mortality. Secondary outcomes included fatal and non-fatal cardiovascular events, all-cause mortality, and a composite kidney outcome of >= 50% decline in estimated glomerular filtration rate from baseline or the onset of end-stage kidney disease. Results There were 1088 (61%) men and 692 (39%) women in the study cohort. The proportion of smokers was significantly higher in men (24% vs. 3%). During 8430 person-years of follow-up, 201 primary outcome events occurred: 144 (13%) in men and 57 (8%) in women, with corresponding incidence rates of 2.9 and 1.7 per 100 person-years, respectively. In multivariable Cox models, men were associated with a 1.58-fold (95% CI 1.06-2.35) higher risk of composite outcome. Propensity score matching analysis revealed similar findings (HR 1.81; 95% CI 1.14-2.91). Risk of all-cause mortality was significantly higher in men of the matched cohort. However, there was no difference in the risk of CKD progression. In the subgroup with coronary artery calcium (CAC) measurements, men had a higher likelihood of CAC progression. Conclusions In Korean CKD patients, men were more likely to experience adverse cardiovascular events and death than women.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - 의과대학 > 의학과 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/81571)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.