PMID- 23761589 OWN - NLM STAT- MEDLINE DCOM- 20160505 LR - 20240109 IS - 1941-2479 (Electronic) IS - 1010-5395 (Linking) VI - 27 IP - 2 DP - 2015 Mar TI - Rate of decline of kidney function in patients with type 2 diabetes mellitus and the associated factors: a 10-year retrospective cohort study. PG - NP640-9 LID - 10.1177/1010539513490193 [doi] AB - This study examines the rate of decline of estimated glomerular filtration rate (eGFR) over a 10-year period and the associated risk factors in type 2 diabetes mellitus (T2DM) patients. Medical records of T2DM patients were randomly selected. The rate of fall in eGFR (simplified modification of diet in renal disease formula) was used as a measure of decline. Univariate and multivariate analysis were performed to determine the factors associated with decline of kidney function. A total of 504 patients were selected. Mean age was 57.8 +/- 9 years; 65.3% were females. The mean decline rate of eGFR was 0.89 +/- 2.16 mL/min/1.73 m(2)/y. Baseline proteinuria, glycosylated hemoglobin level, duration of T2DM, and Malay race were associated with faster decline in eGFR. The expected greater deterioration in kidney function in this cohort was not seen. Treatment of proteinuria and glycemia should be optimized early to retard the decline in kidney function in patients with T2DM. CI - (c) 2013 APJPH. FAU - Foon, Tan Siow AU - Foon TS AD - University of Malaya, Kuala Lumpur, Malaysia tsiowfoon@yahoo.com.sg. FAU - Yook Chin, Chia AU - Yook Chin C AD - Curtin University, Bentley, Western Australia, Australia. FAU - Chinna, Karuthan AU - Chinna K AD - University of Malaya, Kuala Lumpur, Malaysia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130611 PL - China TA - Asia Pac J Public Health JT - Asia-Pacific journal of public health JID - 8708538 SB - IM MH - Aged MH - *Diabetes Mellitus, Type 2 MH - Disease Progression MH - Female MH - Glomerular Filtration Rate/physiology MH - Humans MH - Malaysia MH - Male MH - Middle Aged MH - Multivariate Analysis MH - Proteinuria MH - *Renal Insufficiency MH - Retrospective Studies MH - Risk Factors OTO - NOTNLM OT - decline rate OT - glomerular filtration rate OT - retrospective cohort OT - risk factors OT - type 2 diabetes EDAT- 2013/06/14 06:00 MHDA- 2016/05/06 06:00 CRDT- 2013/06/14 06:00 PHST- 2013/06/14 06:00 [entrez] PHST- 2013/06/14 06:00 [pubmed] PHST- 2016/05/06 06:00 [medline] AID - 1010539513490193 [pii] AID - 10.1177/1010539513490193 [doi] PST - ppublish SO - Asia Pac J Public Health. 2015 Mar;27(2):NP640-9. doi: 10.1177/1010539513490193. Epub 2013 Jun 11.