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Chronic Renal Insufficiency Cohort (CRIC) Study: Baseline Characteristics and Associations with Kidney Function
Open accessAbstract
BACKGROUND AND OBJECTIVES: The Chronic Renal Insufficiency Cohort (CRIC) Study was established to examine risk factors for the progression of chronic kidney disease (CKD) and cardiovascular disease (CVD) in patients with CKD. We examined baseline demographic and clinical characteristics. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Seven clinical centers recruited adults who were aged 21 to 74 yr and had CKD using age-based estimated GFR (eGFR) inclusion criteria. At baseline, blood and urine specimens were collected and information regarding health behaviors, diet, quality of life, and functional status was obtained. GFR was measured using radiolabeled iothalamate in one third of participants. RESULTS: A total of 3612 participants were enrolled with mean age +/- SD of 58.2 +/- 11.0 yr; 46% were women, and 47% had diabetes. Overall, 45% were non-Hispanic white, 46% were non-Hispanic black, and 5% were Hispanic. Eighty-six percent reported hypertension, 22% coronary disease, and 10% heart failure. Mean body mass index was 32.1 +/- 7.9 kg/m(2), and 47% had a BP >130/80 mmHg. Mean eGFR was 43.4 +/- 13.5 ml/min per 1.73 m(2), and median (interquartile range) protein excretion was 0.17 g/24 h (0.07 to 0.81 g/24 h). Lower eGFR was associated with older age, lower socioeconomic and educational level, cigarette smoking, self-reported CVD, peripheral arterial disease, and elevated BP. CONCLUSIONS: Lower level of eGFR was associated with a greater burden of CVD as well as lower socioeconomic and educational status. Long-term follow-up of participants will provide critical insights into the epidemiology of CKD and its relationship to adverse outcomes.
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“Difficulty controlling BP in late stages of CKD was also seen in CRIC (Chronic Renal Insufficiency Cohort), in which 88% of participants had stage 3 or 4 CKD.”
From Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association (2018) · cites this paper as [302]
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Self-citationExplainable AI for Trees: From Local Explanations to Global UnderstandingPreprint
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Self-citationDeclining Kidney Function Increases the Prevalence of Sleep Apnea and Nocturnal Hypoxia
Nicholl, D. D. M., Ahmed, S. B., Loewen, A. H. S., Hemmelgarn, B. R., Sola, D. Y., Beecroft, J. M., Turin, T. C., & Hanly, P. J. (2012) · CHEST Journal · doi:10.1378/chest.11-1809 · Cited by 205
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InfluentialTime-Updated Systolic Blood Pressure and the Progression of Chronic Kidney Disease
Anderson, A. H., Yang, W. P., Townsend, R. R., Pan, Q., Chertow, G. M., Kusek, J. W., Charleston, J. B., He, J., Kallem, R. R., Lash, J. P., et al. (2015) · Annals of Internal Medicine · doi:10.7326/m14-0488 · Cited by 178
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“We await results from large prospective cohort studies—such as the Chronic Renal Insufficiency Cohort (CRIC) stud”
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InfluentialSelf-citationSelf-Reported Tobacco, Alcohol, and Illicit Drug Use and Progression of Chronic Kidney Disease
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Self-citationChronic Renal Insufficiency Cohort Study (CRIC)
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Verma, A., Vaidya, A., Subudhi, S., & Waikar, S. S. (2022) · European Heart Journal · doi:10.1093/eurheartj/ehac352 · Cited by 130
Addressing the global burden of chronic kidney disease through clinical and translational research.
OJO, A. O. (2014) · Europe PMC (PubMed Central) · Cited by 127
Self-citationSocioeconomic Disparities in Chronic Kidney Disease
Vart, P., Gansevoort, R. T., Joosten, M. M., Bültmann, U., & Reijneveld, S. A. (2015) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2014.11.004 · Cited by 130
Fischer, M. J., Go, A. S., Lora, C. M., Ackerson, L., Cohan, J., Kusek, J. W., Mercado, A., OJO, A. O., Ricardo, A. C., Rosen, L., et al. (2011) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2011.05.010 · Cited by 120
“because of disproportionately successful Hispanic recruitment into the CRIC Study at this clinical site (18).”
BackgroundSelf-citationA Longitudinal Study of Left Ventricular Function and Structure from CKD to ESRD
Bansal, N., Keane, M. G., Delafontaine, P., Dries, D. L., Foster, E., Gadegbeku, C. A., Go, A. S., Hamm, L. L., Kusek, J. W., OJO, A. O., et al. (2013) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.06020612 · Cited by 120
“Source Population This study analyzed data from CRIC, a National Institutes of Health-sponsored multicenter prospective cohort study of persons with CKD recruited from 7 clinical centers (with 13 enrolling sites); inclusion and exclusion criteria and baseline characteristics have been previously published (16,17).”
Self-citationZelnick, L. R., Leca, N., Young, B. A., & Bansal, N. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.34004 · Cited by 115
“RESULTS Among 1658 self-identified Black participants, mean (SD) age was 58 (11) years, 848 (51%) were female, and mean (SD) eGFR was 44 (15) mL/min/1.”
BackgroundScialla, J. J., Appel, L. J., Wolf, M., Yang, W., Zhang, X., Sozio, S. M., Miller, E. R., Bazzano, L. A., Cuevas, M., Glenn, M. J., et al. (2012) · Journal of Renal Nutrition · doi:10.1053/j.jrn.2012.01.026 · Cited by 115
Self-citationPrevalence, Predictors, and Outcomes of Pulmonary Hypertension in CKD
Navaneethan, S. D., Roy, J., Tao, K., Brecklin, C. S., Chen, J., Deo, R., Flack, J. M., OJO, A. O., Plappert, T. J., Raj, D. S., et al. (2015) · Journal of the American Society of Nephrology · doi:10.1681/asn.2014111111 · Cited by 118
Self-citationGarimella, P. S., Hart, P. D., O’Hare, A. M., DeLoach, S. S., Herzog, C. A., & Hirsch, A. T. (2012) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2012.02.340 · Cited by 118
Bhatnagar, V., Richard, E., Wu, W., Nievergelt, C. M., Lipkowitz, M. S., Jeff, J. M., Maihofer, A. X., & Nigám, S. K. (2016) · Clinical Kidney Journal · doi:10.1093/ckj/sfw010 · Cited by 114
“Baseline measures included renal function, medications and age [23].”
BackgroundJang, H. R., Kang, D., Sinn, D. H., Gu, S., Cho, S. J., Lee, J. E., Huh, W., Paik, S. W., Ryu, S., Chang, Y., et al. (2018) · Scientific Reports · doi:10.1038/s41598-018-23014-0 · Cited by 110
Imai, E., Matsuo, S., Makino, H., Watanabe, T., Akizawa, T., Nitta, K., Iimuro, S., Ohashi, Y., & Hishida, A. (2010) · Clinical and Experimental Nephrology · doi:10.1007/s10157-010-0328-6 · Cited by 109
“The CKD-JAC study was planned to establish a counterpart cohort for the Chronic Renal Insufficiency Cohort (CRIC) study [ 10 ], which examined risk factors for progression of CKD and for development of cardiovascular diseases in CKD patients with GFR 15–60 ml/min/ 1.73 m 2 . The major differences in baseline data betw…”
BackgroundMethodInfluentialLiu, K. D., Yang, W. P., Anderson, A. H., Feldman, H. I., Demirjian, S. G., Hamano, T., He, J., Lash, J. P., Lustigova, E., Rosas, S. E., et al. (2013) · Kidney International · doi:10.1038/ki.2012.458 · Cited by 108
Self-citationLow Socioeconomic Status Associates with Higher Serum Phosphate Irrespective of Race
Gutiérrez, O. M., Anderson, C. A. M., Isakova, T., Scialla, J. J., Negrea, L. A., Anderson, A. H., Bellovich, K. A., Chen, J., Robinson, N. A., OJO, A. O., et al. (2010) · Journal of the American Society of Nephrology · doi:10.1681/asn.2010020221 · Cited by 106
“001 Protein (g/d) 62 (42, 91) 59 (42, 83) 68 (51, 91) 0.”
Self-citationHsu, C., Xie, D., Waikar, S. S., Bonventre, J. V., Zhang, X., Sabbisetti, V. S., Mifflin, T. E., Coresh, J., Diamantidis, C. J., He, J., et al. (2016) · Kidney International · doi:10.1016/j.kint.2016.09.003 · Cited by 107
Self-citationThe Indian Chronic Kidney Disease (ICKD) study: baseline characteristics
Kumar, V., Yadav, A. K., Sethi, J., Ghosh, A., Sahay, M., Prasad, N., Varughese, S., Parameswaran, S., Gopalakrishnan, N., Kaur, P., et al. (2021) · Clinical Kidney Journal · doi:10.1093/ckj/sfab149 · Cited by 107
Sommar, J. N., Svensson, M. K. E., Björ, B., Elmståhl, S., Hallmans, G., Lundh, T., Schön, S., Skerfving, S., & Bergdahl, I. A. (2013) · Environmental Health · doi:10.1186/1476-069x-12-9 · Cited by 106
“Instead, it can be speculated that there may be confounding by a healthy lifestyle, including fish consumption and with a low burden of other risk factors [45] such as low socio-economic status [38,46,47].”
BackgroundResultMehta, R. C., Cai, X., Lee, J. J., Scialla, J. J., Bansal, N., Sondheimer, J., Chen, J., Hamm, L. L., Ricardo, A. C., Navaneethan, S. D., et al. (2016) · JAMA Cardiology · doi:10.1001/jamacardio.2016.1445 · Cited by 109
Self-citationHe, J., Shlipak, M. G., Anderson, A., Roy, J. A., Feldman, H. I., Kallem, R. R., Kanthety, R., Kusek, J. W., OJO, A. O., Rahman, M., et al. (2017) · Journal of the American Heart Association · doi:10.1161/jaha.116.005336 · Cited by 109
“The design of the study and baseline characteristics of participants have been previously published.(5) Briefly, men and women were eligible for the study if they were between 21 and 74 years of age with an eGFR between 20 and 70 mL/min per 1.”
MethodSelf-citationSystematic integrated analysis of genetic and epigenetic variation in diabetic kidney disease
Sheng, X., Qiu, C., Liu, H., Gluck, C. A., Hsu, J. Y., He, J., Hsu, C., Sha, D., Weir, M. R., Isakova, T., et al. (2020) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2005905117 · Cited by 106
Self-citationBundy, J. D., Cai, X., Scialla, J. J., Dobre, M. A., Chen, J., Hsu, C., Leonard, M. B., Go, A. S., Rao, P. S., Lash, J. P., et al. (2019) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2019.01.024 · Cited by 107
Self-citationAtrial Fibrillation and Risk of ESRD in Adults with CKD
Bansal, N., Xie, D., Tao, K., Chen, J., Deo, R., Horwitz, E. J., Hsu, C., Kallem, R. R., Keane, M. G., Lora, C. M., et al. (2016) · Clinical Journal of the American Society of Nephrology · doi:10.2215/cjn.10921015 · Cited by 105
Self-citationIndoxyl sulfate suppresses endothelial progenitor cell–mediated neovascularization
Hung, S., Kuo, K., Huang, H.-L., Lin, C.-C., Tsai, T., Wang, C., Chen, J., Lin, S., Huang, P., & Tarng, D. (2016) · Kidney International · doi:10.1016/j.kint.2015.11.020 · Cited by 104
Arterial Stiffness in CKD: A Review
Townsend, R. R. (2018) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2018.04.005 · Cited by 103
Self-citationPrevalence of and risk factors for reduced serum bicarbonate in chronic kidney disease
Raphael, K. L., Zhang, Y., Ying, J., & Greene, T. (2014) · Nephrology · doi:10.1111/nep.12315 · Cited by 102
“73 m(2).(10,12) Serum bicarbonate was measured with a VITROS 950 analyser (Ortho Clinical Diagnostics).”
MethodBundy, J. D., Chen, J., Yang, W. P., Budoff, M. J., Go, A. S., Grunwald, J. E., Kallem, R. R., Post, W. S., Reilly, M. P., Ricardo, A. C., et al. (2018) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2018.02.009 · Cited by 102
“A total of 3,939 participants were enrolled from 7 clinical centers in the United States between May 2003 and August 2008 [14].”
BackgroundMethodSelf-citationChirinos, J. A., Khan, A. M., Bansal, N., Dries, D. L., Feldman, H. I., Ford, V., Anderson, A. H., Kallem, R. R., Lash, J. P., OJO, A. O., et al. (2014) · Circulation Heart Failure · doi:10.1161/circheartfailure.113.001041 · Cited by 99
Self-citationDrawz, P. E., Babineau, D. C., Brecklin, C. S., He, J., Kallem, R. R., Soliman, E. Z., Xie, D., Appleby, D. H., Anderson, A. H., Rahman, M., et al. (2013) · American Journal of Nephrology · doi:10.1159/000357200 · Cited by 99
Self-citationChen, D. C., Shlipak, M. G., Scherzer, R., Bauer, S. R., Potok, O., Rifkin, D. E., Ix, J. H., Muiru, A. N., Hsu, C., & Estrella, M. M. (2022) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.48940 · Cited by 100
Nicotine signaling and progression of chronic kidney disease in smokers
Jain, G., & Jaimes, E. A. (2013) · Biochemical Pharmacology · doi:10.1016/j.bcp.2013.07.014 · Cited by 99
Mortality and Cardiovascular Disease Among Older Live Kidney Donors
Reese, P. P., Bloom, R. D., Feldman, H. I., Rosenbaum, P., Wang, W., Saynisch, P. A., Tarsi, N. M., Mukherjee, N., Garg, A. X., Mussell, A. S., et al. (2014) · American Journal of Transplantation · doi:10.1111/ajt.12822 · Cited by 97
“We did restrict our healthy comparison group to HRS participants without diabetes and hypertension; chronic kidney disease in the absence of these conditions is uncommon (52,53).”
Self-citationHospitalizations among adults with chronic kidney disease in the United States: A cohort study
Schrauben, S. J., Chen, H., Lin, E., Jepson, C., Yang, W. P., Scialla, J. J., Fischer, M. J., Lash, J. P., Fink, J. C., Hamm, L. L., et al. (2020) · PLoS Medicine · doi:10.1371/journal.pmed.1003470 · Cited by 103
“Eligibility criteria have been previously described [25,26].”
Self-citationMartínez‐Castelao, A., Górriz, J. L., Portolés, J. M., de Álvaro, F., Cases, A., Luño, J., Navarro‐González, J. F., Montes, R., de la Cruz, J. J., Natarajan, A., et al. (2011) · BMC Nephrology · doi:10.1186/1471-2369-12-53 · Cited by 99
“Data from large prospective observational studies of the clinical course of patients with CKD, particularly regarding morbidity and mortality and achievement of targets based on guidelines are scarce [15-17].”
BackgroundInfluentialMobile Health (mHealth) Technology: Assessment of Availability, Acceptability, and Use in CKD
Schrauben, S. J., Appel, L. J., Rivera, E., Lora, C. M., Lash, J. P., Chen, J., Hamm, L. L., Fink, J. C., Go, A. S., Townsend, R. R., et al. (2020) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2020.10.013 · Cited by 102
Self-citationAfshinnia, F., Rajendiran, T. M., Karnovsky, A., Soni, T., Wang, X., Xie, D., Yang, W. P., Shafi, T., Weir, M. R., He, J., et al. (2016) · Kidney International Reports · doi:10.1016/j.ekir.2016.08.007 · Cited by 94
Self-citationLiu, L., Xia, R., Song, X., Zhang, B., He, W., Zhou, X., Li, S., & Yuan, G. (2020) · Journal of Diabetes Investigation · doi:10.1111/jdi.13371 · Cited by 100
Dobre, M. A., Yang, W. P., Pan‐Hammarström, Q., Appel, L. J., Bellovich, K. A., Chen, J., Feldman, H. I., Fischer, M. J., Ham, L. L., Hostetter, T. H., et al. (2015) · Journal of the American Heart Association · doi:10.1161/jaha.114.001599 · Cited by 98
Self-citationGenome-Wide Association Studies in Nephrology Research
Köttgen, A. (2010) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2010.05.018 · Cited by 92
on behalf of the C-STRIDE study group, Yuan, J., Zou, X., Han, S.-P., Cheng, H., Wang, L., Wang, J., Zhang, L., Zhao, M., & Wang, X. (2017) · BMC Nephrology · doi:10.1186/s12882-017-0441-9 · Cited by 95
“Our results also show that age, diabetes, hypertension, abdominal aorta calcification and stage 3 & 4 CKD are significantly associated with the prevalence of CVD. C-STRIDE was designed to establish a Chinese cohort similar to the CRIC study [11], and to examine risk factors for CKD progression and CVD development in C…”
MethodResultInfluentialRisks of Adverse Events in Advanced CKD: The Chronic Renal Insufficiency Cohort (CRIC) Study
Grams, M. E., Yang, W. P., Rebholz, C. M., Wang, X., Porter, A. C., Inker, L. A., Horwitz, E. J., Sondheimer, J., Hamm, L. L., He, J., et al. (2017) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2017.01.050 · Cited by 93
Self-citationSchrauben, S. J., Jepson, C., Hsu, J. Y., Wilson, F. P., Zhang, X., Lash, J. P., Robinson, B. M., Townsend, R. R., Chen, J., Fogelfeld, L., et al. (2019) · BMC Nephrology · doi:10.1186/s12882-019-1220-6 · Cited by 90
Self-citationThe Association of Sleep Duration and Quality with CKD Progression
Ricardo, A. C., Knutson, K. L., Chen, J., Appel, L. J., Bazzano, L., Carmona-Powell, E., Cohan, J., Tamura, M. K., Steigerwalt, S. P., Thornton, J. D., et al. (2017) · Journal of the American Society of Nephrology · doi:10.1681/asn.2016121288 · Cited by 86
Self-citation
Metadata
- Authors
- Lash, J. P., Go, A. S., Appel, L. J., He, J., Ojo, A., Rahman, M., Townsend, R. R., Xie, D., Cifelli, D., Cohan, J., Fink, J. C., Fischer, M. J., Gadegbeku, C., Hamm, L. L., Kusek, J. W., Landis, J. R., Narva, A., Robinson, N., Teal, V., & Feldman, H. I.
- Affiliations
- University of Illinois Chicago (US)
- Kaiser Permanente (US)
- Johns Hopkins University (US)
- Tulane University (US)
- University of Michigan (US)
- University of Maryland, Baltimore (US)
- Edward Hines, Jr. VA Hospital (US)
- National Institutes of Health (US)
- Corresponding author
- Lash, James P.
- Rahman, Mahboob
- Cohan, Janet
- Fischer, Michael J.
- Kusek, John W.
- Narva, Andrew
- ORCID
- Venue
- Clinical Journal of the American Society of Nephrology
- Published
- 2009-08
- Volume
- 4
- Issue
- 8
- Pages
- 1302-1311
- ISSN
- 1555-9041 (ISSN-L)
- PMC
- PMC2723966
- OpenAlex
- W2160134719
- Cited by
- 619
- References
- 52
- Citations by year
- 2026: 37 · 2025: 36 · 2024: 42 · 2023: 40 · 2022: 58 · 2021: 52 · 2020: 51 · 2019: 39 · 2018: 34 · 2017: 32 · 2016: 48 · 2015: 34 · 2014: 27 · 2013: 37 · 2012: 23
- FWCI
- 11.94
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Journal of the American Society of Nephrology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k24dk002651-10)
- University of Illinois at Urbana-Champaign
- National Institute of Diabetes and Digestive and Kidney Diseases (5U01DK06102, 5K24DK002651, R01DK072231, K24-DK002651, U01DK060990, 5U01 DK60980, T32DK060455, U01DK060984, U01DK060902, U01DK060980, U01DK060963, U01DK061021, U01DK061028)
- National Center for Research Resources (UL1RR024131, RR-05096, UL1RR024989, UL1RR025005, M01RR013987, M01RR016500, M01RR-013987-06, UL1RR024986, M01RR005096, M01 RR-024986, M01RR 16500, M01RR000042)
- Topics
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
- Keywords
- chronic kidney disease, estimated glomerular filtration rate, cardiovascular disease, chronic kidney disease progression, risk factors, socioeconomic status, educational attainment, hypertension, diabetes mellitus, proteinuria, peripheral arterial disease, smoking, quality of life, functional status, CRIC study
- MeSH terms
- Adult, Age Factors, Aged, Blood Pressure, Cardiovascular Diseases, Educational Status, Female, Glomerular Filtration Rate, Humans, Kidney, Kidney Failure, Chronic, Male, Middle Aged, Prospective Studies, Proteinuria, Risk Factors, Smoking, Social Class, United States, Disease Progression, Risk Assessment, Patient Selection, Renal Insufficiency, Chronic, Young Adult
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