Final Stage of Chronic Kidney Disease with Conservative Kidney Management or Renal Replacement Therapy: A Primary-Care Population Study

Background: Studies focus on the incidence and risk factors (RFs) associated with reaching final stage of chronic kidney disease (CKD-G5) receiving replacement therapy (KRT). Analysis those related to CKD-G5 while conservative management (CKM) has been neglected. Methods: Retrospective cohort study analysing electronic health records individuals aged ≥ 50 eGFR < 60 mL/min/m2. Cumulative rates CKD-G5, without KRT, were calculated. Multinomial regression models determined odds ratios (ORs) for progression CKM, or death. Results: Among 332,164 patients, cumulative was 2.79 cases per 100 person-years. The 1.92 KRT 0.87 CKM. Low albuminuria primary RFs. Male gender uncontrolled blood pressure had a greater impact (OR = 2.63 CI, 1.63) than CKM 1.45 1.31). Increasing age rurality reduced probability but increased Higher incomes decreased likelihood developing 0.49 CI). Conclusion: One-third receive Those are typically older, female, rural residents lower lesser proteinuria cardiovascular RF. is influenced by location socioeconomic disparities.