comparison of the modification of diet in renal disease study and chronic kidney disease epidemiology collaboration equations for detection of cardiovascular risk: tehran lipid and glucose study

Objectives: the study aimed to compare the modification of diet in renal disease study (mdrd) and the epidemiology collaboration (ckdepi) equations for the detection of cardiovascular risk. methods: data of 9,970 tehranian participants aged ≥ 20 years were analyzed. the prevalence of cardiovascular disease (cvd), its risk factors, and 10 year atherosclerotic cardiovascular disease (ascvd) risk were compared across the categories of glomerular filtration rate based on the mdrd and ckdepi equations. chronic kidney disease (ckd) was defined as the estimated glomerular filtration rate (egfr) < 60 ml/min/1.73 m2 according to each equation.results: the prevalence of ckd weighted to the 2016 tehranian urban population was 11.0% (95% confidence interval: 10.3 11.6) and 9.7% (9.1 10.2) according to the mdrd and ckdepi equations, respectively. besides, 8.3% and 1.5% of the participants with ckd mdrd and nonckd mdrd were reclassified to nonckd ckdepi and ckd ckdepi categories, respectively. participants with ckd ckdepi but without ckd mdrd were more likely to be male and older, and more frequently had diabetes, hypertension, dyslipidemia, and cvd, when compared to those without ckd according to both equations; they were also more likely to be male, older, and smokers, and had less dyslipidemia and more cvd, when compared to those with ckd by using both equations. in multivariate logistic regression analysis, compared to ckd mdrd , the odds of ckd ckdepi were significantly higher for older age and lower for the female gender. conclusions: compared to mdrd, the ckdepi equation provides more appropriate detection of cardiovascular risk, which is caused by the reclassification of older individuals and fewer females into lower egfr categories.