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October 27, 2021Kidney DiseasesOpen Access

In Chinese patients with stage 1-4 chronic kidney disease, the incidence of end-stage kidney disease was significantly higher than that of cardiovascular events, with an incidence ratio of 2.15.

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Why the study?

Understanding heterogeneity in chronic kidney disease prognosis has management implications, motivating an evaluation of the comparative risk of ESKD, CV events, and death among CKD patients in China.

Population

3,700 patients with CKD stage 1–4 from 39 clinical centers in China

Design

Multicenter prospective cohort study

Follow-up

Median 4.65 to 4.84 years across outcomes

Key result

In Chinese patients with stage 1-4 chronic kidney disease, the incidence of end-stage kidney disease was significantly higher than that of cardiovascular events, with an incidence ratio of 2.15.

Authors

JWJinwei WangJLJicheng LvKHKevin He

Discussion

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Overview

ESKD predominates over CV events and death in Chinese CKD stages 1–4; extends heterogeneity data but leaves open generalizability and practice implications.

Study Design

Type

Cohort (n=3,700)

Multicenter

Yes

Structured PICO

P
Population
3,700 Chinese adults aged 18-74 years with stage 1-4 chronic kidney disease, followed for a median of nearly 5 years.
O
Outcome
New occurrence of end-stage kidney disease (ESKD), cardiovascular (CV) events, and all-cause mortalityhard clinical

Main Result

Relative Risk: 2.15 (95% CI 1.87–2.53)

Absolute Event Rate: 3.1% vs 1.5%

In Chinese patients with stage 1-4 CKD, the risk of progressing to end-stage kidney disease is significantly higher than the risk of cardiovascular events or death.

Limitations

  • Participants from central clinical centers may not represent the general CKD population.
  • Median follow-up of 5 years may limit the number of endpoints and statistical power.
  • Potential underreporting of outcomes cannot be ruled out.

Cite This Study

Wang et al. (2021) conducted a cohort in Chronic Kidney Disease (n=3,700). Stage 1-4 chronic kidney disease was evaluated on Ratio of incidence of ESKD to cardiovascular events (Incidence ratio 2.15, 95% CI 1.87, 2.53). In Chinese patients with stage 1-4 chronic kidney disease, the incidence of end-stage kidney disease was significantly higher than that of cardiovascular events, with an incidence ratio of 2.15.

synapsesocial.com/papers/6a964df2a43071aed1f696f0https://doi.org/10.1159/000519190
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Also Consider

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

  1. 1The mortality of chronic kidney disease in Chinese subjects: a 12-year cohort based on clinical data in electronic health record2025 · 3 citations
  2. 2Chronic Kidney Disease, All-Cause Mortality and Cardiovascular Mortality Among Chinese Patients with Established Cardiovascular Disease2010 · 31 citations
  3. 3Kidney and Cardiovascular Outcomes by CKD stage and etiology of CKD: A Randomly Selected Nationwide Prospective Multicenter Cohort Study in Japan (Reach-J Study)2026
  4. 4Multicentre, retrospective observational study on risk factors of major cardiovascular adverse events in patients with chronic kidney disease in Taiwan2026 · 1 citations
  5. 5Five‐Year Outcomes of Chronic Kidney Disease in a Longitudinal Population‐Based Cohort in Western Australia2026