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December 20, 2016Diabetes Care

Circulating biomarkers MR-proADM, sTNFR1, and NT-proBNP independently predicted renal function loss in type 2 diabetes, with MR-proADM yielding an adjusted HR of 1.59 (95% CI 1.34-1.89; P<0.0001).

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Why the study?

Do circulating biomarkers (MR-proADM, sTNFR1, and NT-proBNP) improve risk prediction for renal function decline in patients with type 2 diabetes?

Population

1,135 patients with type 2 diabetes in a French prospective cohort

Design

Cohort

Key result

Circulating biomarkers MR-proADM, sTNFR1, and NT-proBNP independently predicted renal function loss in type 2 diabetes, with MR-proADM yielding an adjusted HR of 1.59 (95% CI 1.34-1.89; P<0.0001).

Authors

PSPierre‐Jean SaulnierEGElise GandGVGilberto Velho

Discussion

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Overview

May enhance renal risk stratification in type 2 diabetes; leaves open prospective validation before clinical adoption.

Study Design

Type

Cohort (n=1,135)

Structured PICO

Do circulating biomarkers (MR-proADM, sTNFR1, and NT-proBNP) improve risk prediction for renal function decline in patients with type 2 diabetes?

P
Population
1,135 patients with type 2 diabetes followed to assess the prognostic value of circulating biomarkers for renal function decline.
E
Exposure
Measurement of circulating biomarkers: midregional-proadrenomedullin (MR-proADM), soluble tumor necrosis factor receptor 1 (sTNFR1), and N-terminal prohormone brain natriuretic peptide (NT-proBNP)
O
Outcome
Renal function loss (RFL, ≥40% decline of estimated glomerular filtration rate (eGFR) from baseline) and rapid renal function decline (RRFD, absolute annual eGFR slope <–5 mL/min/year)surrogate

Main Result

Hazard Ratio: 1.59 (95% CI 1.34–1.89)

p-value: p=<0.0001

The addition of MR-proADM, sTNFR1, and NT-proBNP to established risk factors significantly improves the prediction of renal function decline in patients with type 2 diabetes.

Cite This Study

Saulnier et al. (2016) conducted a cohort in Type 2 Diabetes (n=1,135). Circulating biomarkers (MR-proADM, sTNFR1, and NT-proBNP) was evaluated on Renal function loss (≥40% decline of eGFR from baseline) (HR 1.59, 95% CI 1.34-1.89, p=<0.0001). Circulating biomarkers MR-proADM, sTNFR1, and NT-proBNP independently predicted renal function loss in type 2 diabetes, with MR-proADM yielding an adjusted HR of 1.59 (95% CI 1.34-1.89; P<0.0001).

synapsesocial.com/papers/6a9ebdf2ca8838a83fb287d0https://doi.org/10.2337/dc16-1571
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