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August 19, 2025Blood AdvancesOpen Access

KDIGO-Defined Kidney Dysfunction Predicts Long-Term Outcomes in a Multi-Center Cohort of Adults with Sickle Cell Disease

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Authors

XZXu ZhangShanghai Jiao Tong UniversityMDMichael R. DeBaunUniversity of California, Los AngelesKWKristin WuichetVanderbilt University Medical Center

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Implication

Observational study found kidney dysfunction predicts increased mortality and chronic kidney disease in adults with SCD, suggesting improved monitoring methods are needed.

Key Points

  • KDIGO-defined kidney dysfunction significantly predicts CKD progression and mortality risk in adults with sickle cell disease, enhancing patient monitoring.
  • Overall, 39.8% of adults with sickle cell disease were identified with KDIGO-defined chronic kidney disease, posing a serious health risk.
  • Incremental increases in urine albumin-to-creatinine ratio doubled the risk for kidney disease progression over a median follow-up time of 3.3 years.
  • Utilizing KDIGO criteria strengthens the predictive value for patient outcomes, indicating potential for improved intervention strategies and care plans.

Cite This Study

Zhang et al. (2025) studied this question.

synapsesocial.com/papers/68af35d5cf1dd9ea359e9837https://doi.org/10.1182/bloodadvances.2025017204
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