{"id":"f38eccde3cdc","type":"article","url":"https://hartvaat.nl/2026/03/01/uitdagingen-bij-het-bepalen-van-de-werkelijke-incidentie-van-eindstadium-nierzie/","title":"Uitdagingen bij het bepalen van de werkelijke incidentie van eindstadium nierziekte bij ouderen","title_en":"Challenges in revealing the true incidence of end-stage kidney disease in the elderly population","category":"chronische nierziekte","category_label":"Nierziekte","professions":["internist"],"tags":[],"journal":"Kidney International","doi":"https://www.kidney-international.org/article/S0085-2538(25)01003-8/fulltext","source_url":"https://doi.org/https://www.kidney-international.org/article/S0085-2538(25)01003-8/fulltext","authors":["Boris Bikbov"],"significance":4,"published":"2026-03-01","source_date":"2026-03-01","image":"","kennis":["https://hartvaat.nl/kennis/nierziekte/ckd-stadia-g1-g5/"],"congress":"","summary_en":"This commentary raises two methodological considerations that could substantially impact estimates of the true incidence of end-stage kidney disease in elderly patients with eGFR below 15 mL/min.","created":"2026-07-03T10:25:16Z","updated":"2026-07-03T13:24:42Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Commentaar op de studie van Liu et al. over de werkelijke incidentie van eindstadium nierziekte, met twee overwegingen die de schattingen bij patiënten met eGFR < 15 ml/min aanzienlijk kunnen beïnvloeden.","abstract_original":"Liu et al.1 provided valuable insights into the true incidence of end-stage kidney disease. However, 2 considerations could substantially impact the provided estimates of patients diagnosed with estimated glomerular filtration rate (eGFR) < 15 ml/min per 1.73 m2 who have not initiated maintenance kidney replacement therapy. First, all eGFR equations, including both Chronic Kidney Disease Epidemiology Collaboration 2009 and 2021 versions used in the analysis, mathematically heavily rely on age, reflecting the kidney function decline after the age of 40 years."}