Among patients with chonic kidney disease (CKD), those receiving more recommended preventive care measures have lower rates of cardiovascular events and death, reports a study in the Journal of the American Society of Nephrology.
The analysis used three-year rolling cohorts of Medicare patients, including approximately 1.2 million patients per year. In year 1, CKD and diabetes status was assessed. Adherence to preventive health-care recommendations (based on Kidney Disease Outcomes Quality Initiative guidelines) was assessed in year 2 and atherosclerotic heart disease outcomes in year 3.
Eighty percent of CKD patients received at least two serum creatinine measurements, but