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National trends in the prevalence of chronic kidney disease among Korean adults, 2007-2020

 Soo-Young Yoon  ;  Hye Won Park  ;  Hyeon Jin Kim  ;  Andreas Kronbichler  ;  Ai Koyanagi  ;  Lee Smith  ;  Jae Il Shin  ;  Sang Youl Rhee  ;  Seung Won Lee  ;  Jin Sug Kim  ;  Hyeon Seok Hwang  ;  Dong Keon Yon  ;  Kyunghwan Jeong 
 SCIENTIFIC REPORTS, Vol.13(1) : 5831, 2023-04 
Journal Title
Issue Date
Adult ; COVID-19* / epidemiology ; Glomerular Filtration Rate ; Humans ; Prevalence ; Renal Insufficiency, Chronic* / epidemiology ; Republic of Korea / epidemiology ; Risk Factors
Little is known about the prevalence of chronic kidney disease (CKD) during the coronavirus disease 2019 (COVID-19) pandemic. We aimed to investigate the long-term trends in CKD prevalence from South Korea including the early pandemic. We used data from 108,152 Korean adults from 2007 to 2020 obtained from a representative longitudinal serial study. We defined CKD as a condition when the participant's estimated glomerular filtration rate was < 60 mL/min/1.73 m2, or one-time spot proteinuria was ≥ 1 +, and then examined the overall trends in the prevalence of CKD. Among the included adults (n = 80,010), the overall national prevalence of CKD was 6.2%. The trend slope gradually increased from 2007 to 2019, however, there was a sudden decrease in 2020 (2007-2010, 5.1% [95% confidence interval (CI) 4.7-5.5]; 2017-2019, 7.1% [95% CI 6.6-7.6]; pandemic period, 6.5% [95% CI 5.7-7.3]; and βdiff, - 0.19; 95% CI - 0.24 to - 0.13). The prevalence of CKD among younger adults and those with poor medical utilization significantly decreased during the early pandemic. This study was the first large-scale study to investigate the longitudinal prevalence of CKD from 2007 to 2020. Further research is needed to fully understand the exact causes for this decline and to identify healthcare policy strategies for preventing and managing CKD. © 2023. The Author(s).
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1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
Yonsei Authors
Shin, Jae Il(신재일) ORCID logo https://orcid.org/0000-0003-2326-1820
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