Monday, 25 Mar 2019

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Chronic Kidney Disease Increasing in the U.S.A.

JAMA has published the Global Burden of Disease (GBD) study showing that that, from 2002 to 2016, the US burden of chronic kidney disease (CKD) increased, with some states exhibiting more than twice the burden as others. The increase in burden was associated with increased metabolic and dietary risk exposure that manifested in increased probability of death due to diabetic CKD, especially for those between 20 to 55 years.  

Data from the GBD study included 333 diseases and injuries and 84 risk factors from individuals in the United States, sorted by age and sex. 

Disability-adjusted life years (DALYs) and death due to CKD were increased - DALYs increased by 52.6% and death due to CKD increased by 58.3%. All states exhibited increases in CKD burden, but the rate of change (2002-2016) and the burden in 2016 varied by state. Southern states (including Mississippi and Louisiana) exhibited more than twice the burden seen in other states. 

Greater attention to metabolic and dietary risks, especially among younger adults, help to reduce the risk of CKD.

The author has no conflicts of interest to disclose related to this subject

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