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A Study to Learn More About Chronic Kidney Disease (CKD) in Patients With Type 2 Diabetes Mellitus (T2DM)

Completed
Conditions
Type 2 Diabetes Mellitus
Chronic Kidney Disease
Interventions
Other: No intervention
Registration Number
NCT05004428
Lead Sponsor
Bayer
Brief Summary

In this observational study, data from the recent past of patients with type 2 diabetes mellitus and chronic kidney disease will be studied.

Type 2 diabetes mellitus (T2DM) is a condition in which the body does not make enough of a hormone called insulin or does not use insulin well. This results in high blood sugar levels. About half of people with T2DM also have a condition called chronic kidney disease (CKD). In people with CKD, the kidneys' ability to work as how it should decreases over time.

In this study, researchers want to learn more about the CKD in T2DM patients in Alberta, Canada. This will help them to know the chances to improve the care of these patients.

The researchers will look at the health information from adult men and women in Alberta who were diagnosed with T2DM before 2018 and visited a doctor to have check-ups in 2018. They will find out about how many of these people had CKD and how severe their CKD was. The researchers will collect data about the age and gender of these patients, how long they had T2DM and if they had other related medical problems. The researchers will also learn how these patients were treated based on their kidney condition and how much money was spent on these treatments.

This study will collect information from the health records of about 270,000 patients with T2DM who were living in Alberta, Canada. This information will come from the Alberta Kidney Disease Network (AKDN) database. Besides this data collection, no further tests or examinations are planned in this study.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
336376
Inclusion Criteria
  • A cohort of adults (18 years and older) with Type 2 Diabetes Mellitus (T2DM) who resided in Alberta on the index date (December 31, 2018) and were registered with Alberta Health will be included. All Alberta residents are eligible for Alberta Health Insurance Plan coverage and over 99% participate.
Exclusion Criteria
  • Patients with type 1 DM (T1DM) (International Classification of Diseases, Ninth Revision [ICD-9] code: 250.x1 and 250.x3) in any of their previous records.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Type 2 Diabetes Mellitus patients with Chronic Kidney DiseaseNo interventionCanadian patients with type 2 diabetes mellitus data will be collected retrospectively.
Primary Outcome Measures
NameTimeMethod
Percentage of Type 2 Diabetes Mellitus (T2DM) patients with Chronic Kidney Disease (CKD) in database.Baseline

Percentage of T2DM patients with CKD as per hemoglobin A1C, and stage of CKD as defined by a) baseline Kidney Disease: Improving Global Outcomes (KDIGO) guidelines CKD category, and b) eGFR ≥25 to \<75 mL/min/1.73 m2 and ACR ≥30 to ≤5,000 mg/g.

Secondary Outcome Measures
NameTimeMethod
Descriptive analyses of clinical characteristics of patients in database.Baseline

Duration of diabetes, comorbities and slope of eGFR

Descriptive analyses of demographic data.Baseline

Age, sex, urban or rural residence.

Rate of decline in estimated glomerular filtration rate (eGFR)Retrospectively 3 years
Number of patients with CKD dispensed the medication or therapeutic class over a 1-year time periodfrom January 1, 2018 to December 31, 2018
The proportion of patients with CKD that experience a health outcome of interest over a 1-year time periodfrom January 1, 2018 to December 31, 2018
Health care resource utilization among patientsfrom January 1, 2018 to December 31, 2018
Annual average costs among patientsfrom January 1, 2018 to December 31, 2018

Trial Locations

Locations (1)

Many Locations

🇨🇦

Multiple Locations, Canada

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