Design and methodology of the screening for CKD among older patients across Europe (SCOPE) study: A multicenter cohort observational study

Andrea Corsonello, Lisanne Tap, Regina Roller-Wirnsberger, Gerhard Wirnsberger, Carmine Zoccali, Tomasz Kostka, Agnieszka Guligowska, Francesco Mattace-Raso, Pedro Gil, Lara Guardado Fuentes, Itshak Meltzer, Ilan Yehoshua, Francesc Formiga-Perez, Rafael Moreno-González, Christian Weingart, Ellen Freiberger, Johan Ärnlöv, Axel C. Carlsson, Silvia Bustacchini, Fabrizia LattanzioSilvia Bolognini, Paola D'Ascoli, Raffaella Moresi, Giuseppina Di Stefano, Laura Cassetta, Anna Rita Bonfigli, Roberta Galeazzi, Federica Lenci, Stefano Della Bella, Enrico Bordoni, Mauro Provinciali, Robertina Giacconi, Cinzia Giuli, Demetrio Postacchini, Sabrina Garasto, Annalisa Cozza Romano Firmani, Moreno Nacciariti, Mirko Di Rosa, Paolo Fabbietti Roberto Bernabei, Christophe Bula, Hermann Haller, Kitty Jager, Wim Van Biesen, Paul E. Stevens, I Melzer

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Decline of renal function is common in older persons and the prevalence of chronic kidney disease (CKD) is rising with ageing. CKD affects different outcomes relevant to older persons, additionally to morbidity and mortality which makes CKD a relevant health burden in this population. Still, accurate laboratory measurement of kidney function is under debate, since current creatinine-based equations have a certain degree of inaccuracy when used in the older population. The aims of the study are as follows: to assess kidney function in a cohort of 75+ older persons using existing methodologies for CKD screening; to investigate existing and innovative biomarkers of CKD in this cohort, and to align laboratory and biomarker results with medical and functional data obtained from this cohort. The study was registered at ClinicalTrials.gov, identifier NCT02691546, February 25th 2016. Methods/design: An observational, multinational, multicenter, prospective cohort study in community dwelling persons aged 75 years and over, visiting the outpatient clinics of participating institutions. The study will enroll 2450 participants and is carried out in Austria, Germany, Israel, Italy, the Netherlands, Poland and Spain. Participants will undergo clinical and laboratory evaluations at baseline and after 12 and 24 months- follow-up. Clinical evaluation also includes a comprehensive geriatric assessment (CGA). Local laboratory will be used for 'basic' parameters (including serum creatinine and albumin-to-creatinine ratio), whereas biomarker assessment will be conducted centrally. An intermediate telephone follow-up will be carried out at 6 and 18 months. Discussion: Combining the use of CGA and the investigation of novel and existing independent biomarkers within the SCOPE study will help to provide evidence in the development of European guidelines and recommendations in the screening and management of CKD in older people. Trial registration: This study was registered prospectively on the 25th February 2016 at clinicaltrials.gov (NCT02691546).

Original languageEnglish
Article number260
Number of pages9
JournalBMC Nephrology
Volume19
Issue number1
DOIs
StatePublished - 11 Oct 2018

Keywords

  • Ageing
  • Chronic kidney disease
  • Disability
  • Frailty
  • Older people

All Science Journal Classification (ASJC) codes

  • Nephrology

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