Area deprivation index predicts annual chronic kidney disease screening and chronic kidney disease development among patients with newly diagnosed hypertension and type 2 diabetes in a large midwestern health system: a retrospective cohort study
Background We explore how area deprivation index (ADI), a national ranking of neighbourhood sociodemographic disadvantage is associated with chronic kidney disease (CKD) screening and development among patients with newly diagnosed hypertension (HTN) or type 2 diabetes (T2DM).Methods Patients (n=235...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2024-04-01
|
| Series: | BMJ Public Health |
| Online Access: | https://bmjpublichealth.bmj.com/content/2/1/e000679.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832582976576159744 |
|---|---|
| author | Rasha Khatib Todd Williamson Rakesh Singh Mary Ingle Yuxian Du Vesta Valuckaite Sheldon Kong Sarang Baman |
| author_facet | Rasha Khatib Todd Williamson Rakesh Singh Mary Ingle Yuxian Du Vesta Valuckaite Sheldon Kong Sarang Baman |
| author_sort | Rasha Khatib |
| collection | DOAJ |
| description | Background We explore how area deprivation index (ADI), a national ranking of neighbourhood sociodemographic disadvantage is associated with chronic kidney disease (CKD) screening and development among patients with newly diagnosed hypertension (HTN) or type 2 diabetes (T2DM).Methods Patients (n=235 208) with a new HTN or T2DM diagnosis between 2015 and 2018 in a large healthcare system were followed for 3 years to evaluate CKD screening (one estimated glomerular filtration rate and urinary albumin-to-creatine ratio) and CKD development. Multivariable logistic regression models evaluated associations between ADI quintiles with CKD screening and diagnosis.Results Most patients were white (57%) females (55%) with HTN (65%). Few were screened in the first year after diagnosis (17%) and 9% developed CKD within 3 years. The odds of patients being screened were 54% greater (OR 1.54; 95% CI 1.48 to 1.60) and 146% greater (OR 2.46; 95% CI 2.19 to 2.76) for developing CKD for most deprived compared with the least deprived.Conclusions Patients with high ADI were more likely to be screened and almost twice as likely to develop CKD compared with the least deprived. Results highlight the importance of systematic health record data collection in large healthcare systems to evaluate social factors with health outcomes. |
| format | Article |
| id | doaj-art-ca0cd3fed228475e84855dc6f4067f97 |
| institution | Kabale University |
| issn | 2753-4294 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Public Health |
| spelling | doaj-art-ca0cd3fed228475e84855dc6f4067f972025-01-29T05:15:10ZengBMJ Publishing GroupBMJ Public Health2753-42942024-04-012110.1136/bmjph-2023-000679Area deprivation index predicts annual chronic kidney disease screening and chronic kidney disease development among patients with newly diagnosed hypertension and type 2 diabetes in a large midwestern health system: a retrospective cohort studyRasha Khatib0Todd Williamson1Rakesh Singh2Mary Ingle3Yuxian Du4Vesta Valuckaite5Sheldon Kong6Sarang Baman7Advocate Aurora Enterprises, Downers Grove, Illinois, USABayer United States of America, Whippany, New Jersey, USADepartment of Public Health, KIST Medical College, Kathmandu, NepalAdvocate Aurora Enterprises, Downers Grove, Illinois, USABayer United States of America, Whippany, New Jersey, USABayer United States of America, Whippany, New Jersey, USABayer United States of America, Whippany, New Jersey, USAAdvocate Aurora Enterprises, Downers Grove, Illinois, USABackground We explore how area deprivation index (ADI), a national ranking of neighbourhood sociodemographic disadvantage is associated with chronic kidney disease (CKD) screening and development among patients with newly diagnosed hypertension (HTN) or type 2 diabetes (T2DM).Methods Patients (n=235 208) with a new HTN or T2DM diagnosis between 2015 and 2018 in a large healthcare system were followed for 3 years to evaluate CKD screening (one estimated glomerular filtration rate and urinary albumin-to-creatine ratio) and CKD development. Multivariable logistic regression models evaluated associations between ADI quintiles with CKD screening and diagnosis.Results Most patients were white (57%) females (55%) with HTN (65%). Few were screened in the first year after diagnosis (17%) and 9% developed CKD within 3 years. The odds of patients being screened were 54% greater (OR 1.54; 95% CI 1.48 to 1.60) and 146% greater (OR 2.46; 95% CI 2.19 to 2.76) for developing CKD for most deprived compared with the least deprived.Conclusions Patients with high ADI were more likely to be screened and almost twice as likely to develop CKD compared with the least deprived. Results highlight the importance of systematic health record data collection in large healthcare systems to evaluate social factors with health outcomes.https://bmjpublichealth.bmj.com/content/2/1/e000679.full |
| spellingShingle | Rasha Khatib Todd Williamson Rakesh Singh Mary Ingle Yuxian Du Vesta Valuckaite Sheldon Kong Sarang Baman Area deprivation index predicts annual chronic kidney disease screening and chronic kidney disease development among patients with newly diagnosed hypertension and type 2 diabetes in a large midwestern health system: a retrospective cohort study BMJ Public Health |
| title | Area deprivation index predicts annual chronic kidney disease screening and chronic kidney disease development among patients with newly diagnosed hypertension and type 2 diabetes in a large midwestern health system: a retrospective cohort study |
| title_full | Area deprivation index predicts annual chronic kidney disease screening and chronic kidney disease development among patients with newly diagnosed hypertension and type 2 diabetes in a large midwestern health system: a retrospective cohort study |
| title_fullStr | Area deprivation index predicts annual chronic kidney disease screening and chronic kidney disease development among patients with newly diagnosed hypertension and type 2 diabetes in a large midwestern health system: a retrospective cohort study |
| title_full_unstemmed | Area deprivation index predicts annual chronic kidney disease screening and chronic kidney disease development among patients with newly diagnosed hypertension and type 2 diabetes in a large midwestern health system: a retrospective cohort study |
| title_short | Area deprivation index predicts annual chronic kidney disease screening and chronic kidney disease development among patients with newly diagnosed hypertension and type 2 diabetes in a large midwestern health system: a retrospective cohort study |
| title_sort | area deprivation index predicts annual chronic kidney disease screening and chronic kidney disease development among patients with newly diagnosed hypertension and type 2 diabetes in a large midwestern health system a retrospective cohort study |
| url | https://bmjpublichealth.bmj.com/content/2/1/e000679.full |
| work_keys_str_mv | AT rashakhatib areadeprivationindexpredictsannualchronickidneydiseasescreeningandchronickidneydiseasedevelopmentamongpatientswithnewlydiagnosedhypertensionandtype2diabetesinalargemidwesternhealthsystemaretrospectivecohortstudy AT toddwilliamson areadeprivationindexpredictsannualchronickidneydiseasescreeningandchronickidneydiseasedevelopmentamongpatientswithnewlydiagnosedhypertensionandtype2diabetesinalargemidwesternhealthsystemaretrospectivecohortstudy AT rakeshsingh areadeprivationindexpredictsannualchronickidneydiseasescreeningandchronickidneydiseasedevelopmentamongpatientswithnewlydiagnosedhypertensionandtype2diabetesinalargemidwesternhealthsystemaretrospectivecohortstudy AT maryingle areadeprivationindexpredictsannualchronickidneydiseasescreeningandchronickidneydiseasedevelopmentamongpatientswithnewlydiagnosedhypertensionandtype2diabetesinalargemidwesternhealthsystemaretrospectivecohortstudy AT yuxiandu areadeprivationindexpredictsannualchronickidneydiseasescreeningandchronickidneydiseasedevelopmentamongpatientswithnewlydiagnosedhypertensionandtype2diabetesinalargemidwesternhealthsystemaretrospectivecohortstudy AT vestavaluckaite areadeprivationindexpredictsannualchronickidneydiseasescreeningandchronickidneydiseasedevelopmentamongpatientswithnewlydiagnosedhypertensionandtype2diabetesinalargemidwesternhealthsystemaretrospectivecohortstudy AT sheldonkong areadeprivationindexpredictsannualchronickidneydiseasescreeningandchronickidneydiseasedevelopmentamongpatientswithnewlydiagnosedhypertensionandtype2diabetesinalargemidwesternhealthsystemaretrospectivecohortstudy AT sarangbaman areadeprivationindexpredictsannualchronickidneydiseasescreeningandchronickidneydiseasedevelopmentamongpatientswithnewlydiagnosedhypertensionandtype2diabetesinalargemidwesternhealthsystemaretrospectivecohortstudy |