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Cited by 357

The DOI matches its Crossref record; 132 of the 132 references it cites were found in a registry or an index.

CKD: A Call for an Age-Adapted Definition

Open access
Delanaye, Pierre, Jager, Kitty J., Bökenkamp, Arend, Christensson, Anders, Dubourg, Laurence, Eriksen, Bjørn Odvar, Gaillard, François, Gambaro, Giovanni, van der Giet, Markus, Glassock, Richard J., Indridason, Olafur S., van Londen, Marco, Mariat, Christophe, Melsom, Toralf, Moranne, Olivier, Nordin, Gunnar, Palsson, Runolfur, Pottel, Hans, Rule, Andrew D., Schaeffner, Elke, Taal, Maarten W., White, Christine, Grubb, Anders, van den Brand, Jan A. J. G.·2019·Journal of the American Society of Nephrology

Abstract

Current criteria for the diagnosis of CKD in adults include persistent signs of kidney damage, such as increased urine albumin-to-creatinine ratio or a GFR below the threshold of 60 ml/min per 1.73 m 2 . This threshold has important caveats because it does not separate kidney disease from kidney aging, and therefore does not hold for all ages. In an extensive review of the literature, we found that GFR declines with healthy aging without any overt signs of compensation (such as elevated single-nephron GFR) or kidney damage. Older living kidney donors, who are carefully selected based on good health, have a lower predonation GFR compared with younger donors. Furthermore, the results from the large meta-analyses conducted by the CKD Prognosis Consortium and from numerous other studies indicate that the GFR threshold above which the risk of mortality is increased is not consistent across all ages. Among younger persons, mortality is increased at GFR <75 ml/min per 1.73 m 2 , whereas in elderly people it is increased at levels <45 ml/min per 1.73 m 2 . Therefore, we suggest that amending the CKD definition to include age-specific thresholds for GFR. The implications of an updated definition are far reaching. Having fewer healthy elderly individuals diagnosed with CKD could help reduce inappropriate care and its associated adverse effects. Global prevalence estimates for CKD would be substantially reduced. Also, using an age-specific threshold for younger persons might lead to earlier identification of CKD onset for such individuals, at a point when progressive kidney damage may still be preventable.

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Metadata

Authors
Delanaye, P., Jager, K. J., Bökenkamp, A., Christensson, A., Dubourg, L., Eriksen, B. O., Gaillard, F., Gambaro, G., van der Giet, M., Glassock, R. J., Indridason, O. S., van Londen, M., Mariat, C., Melsom, T., Moranne, O., Nordin, G., Palsson, R., Pottel, H., Rule, A. D., Schaeffner, E., Taal, M. W., White, C., Grubb, A., & van den Brand, J. A. J. G.
Venue
Journal of the American Society of Nephrology
Published
2019-09-10
Volume
30
Issue
10
Pages
1785-1805
ISSN
  • 1046-6673 (ISSN-L)
  • 1533-3450
OpenAlex
W2972448427
Cited by
357
References
132
FWCI
26.07
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: CKD: A Call for an Age-Adapted Definition. https://app.cochat.ai/papers/10.1681/asn.2019030238
The paper
Delanaye, P., Jager, K. J., Bökenkamp, A., Christensson, A., Dubourg, L., Eriksen, B. O., Gaillard, F., Gambaro, G., van der Giet, M., Glassock, R. J., Indridason, O. S., van Londen, M., Mariat, C., Melsom, T., Moranne, O., Nordin, G., Palsson, R., Pottel, H., Rule, A. D., . . . van den Brand, J. A. J. G. (2019). CKD: A Call for an Age-Adapted Definition. Journal of the American Society of Nephrology. https://doi.org/10.1681/asn.2019030238

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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