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August 24, 2015Biopharmaceutics & Drug Disposition

Kidney function changes with aging in adults: comparison between cross‐sectional and longitudinal data analyses in renal function assessment

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Key result

Longitudinal data analysis yielded a slower estimated renal function decline rate (0.95 ml/min/year) compared to cross-sectional analysis (1.33 ml/min/year) in aging adults.

Why the study?

Does the estimated renal function decline rate per year with age vary between cross-sectional and longitudinal data analyses?

Population

3,946 adults (age range 30-92 years) with 16,628 records of creatinine clearance

Comparison

Longitudinal data analysis using multiple… vs Cross-sectional data analysis using one…

Design

Cohort

Follow-up

mean 793 days (up to 2364 days)

Authors

SCSang M. ChungUnited States Food and Drug AdministrationDLDavid J. LeeUniversity of MiamiAHAustin L. HandCorcept Therapeutics (United States)

Discussion

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Implication

Longitudinal eGFR estimates may refine dosing caution in aging adults; leaves open validation against cross-sectional overestimation in broader cohorts.

Study Design

Type

Observational (n=3,946)

Structured PICO

Does the estimated renal function decline rate per year with age vary between cross-sectional and longitudinal data analyses?

P
Population
3,946 adults (age range 30-92 years) with 16,628 records of creatinine clearance
I
Intervention
Longitudinal data analysis (random coefficient models) using multiple observations per subject over time
C
Comparator
Cross-sectional data analysis (simple linear regression) using one observation per subject
O
Outcome
Renal function decline rate per yearsurrogate

Main Result

Absolute Event Rate: 0.95% vs 1.33%

Longitudinal analysis provides a slower and more reliable estimate of age-related renal function decline compared to cross-sectional analysis, which is critical for individualizing chronic therapy dosing.

Cite This Study

Chung et al. (2015) conducted an observational in Renal function decline with aging (n=3,946). Longitudinal data analysis vs. Cross-sectional data analysis was evaluated on Renal function decline rate per year (ml/min/year). Longitudinal data analysis yielded a slower estimated renal function decline rate (0.95 ml/min/year) compared to cross-sectional analysis (1.33 ml/min/year) in aging adults.

synapsesocial.com/papers/6a1545da79ff98d0de4e5c0dhttps://doi.org/10.1002/bdd.1988
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Longitudinal Studies on the Rate of Decline in Renal Function with Age1985 · 1,591 citations
  2. 2The Effect of Age on Creatinine Clearance in Men: A Cross-sectional and Longitudinal Study1976 · 1,114 citations
  3. 3National Kidney Foundation Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification, and Stratification2003 · 4,651 citations
  4. 4Prediction of Creatinine Clearance from Serum Creatinine1976 · 15,446 citations
  5. 5Long-term Effects of Renin-Angiotensin System–Blocking Therapy and a Low Blood Pressure Goal on Progression of Hypertensive Chronic Kidney Disease in African Americans2008 · 168 citations