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Kidney Disease Preventive Care Linked to Heart Protection

Last Updated: May 11, 2009.

People with chronic kidney disease who receive preventive care may have a lower risk of cardiovascular mortality and morbidity, according to research published online May 7 in the Journal of the American Society of Nephrology.

MONDAY, May 11 (HealthDay News) -- People with chronic kidney disease (CKD) who receive preventive care may have a lower risk of cardiovascular mortality and morbidity, according to research published online May 7 in the Journal of the American Society of Nephrology.

Jon J. Snyder, Ph.D., and Allan J. Collins, M.D, of the United States Renal Data System in Minneapolis, Minn., analyzed data from the 5 percent Medicare 1999 to 2005 data set, which included roughly 1.2 million patients per year. The authors created three-year rolling cohorts and assessed individuals' preventive care measures including serum creatinine monitoring, influenza vaccinations, and nephrologist office visits.

The researchers found that patients with CKD who had more preventive care measures had lower atherosclerotic heart disease event rates in the following year. Patients who had five or six of the six measures considered had an almost 50 percent lower risk compared to patients who didn't have preventive care during the year. Monitoring of lipids, calcium and phosphorus, parathyroid hormone, and in diabetic patients hemoglobin A1c were all linked to lower atherosclerotic heart disease events in the following year, the investigators note.

"As the National Kidney Foundation continues to educate the public about increasing CKD prevalence and to work to identify patients early, following the recommended guidelines can help slow CKD progression and reduce morbidity. Efforts to educate primary care physicians about the Kidney Disease Outcomes Quality Initiative guidelines can also lead to improved patient outcomes," the authors write.

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