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Large Disparities in Kidney Testing Based on Disease, Gender and State, Quest Diagnostics Health Trends(TM) Report Finds
Date:3/12/2008

testing on men was similar whether patients had diabetes or hypertension. Among patients with diabetes, 42.1 percent of women were tested for microalbumin, compared to 44.1 percent of men. Similarly, 20.2 percent of women and 24.4 percent of men with hypertension received the test. The largest differences in testing rates were seen in patients between 31 and 40 years of age (42.9 percent for women versus 47.8 percent in men for patients with diabetes, and 18.7 percent for women versus 24.7 percent in men for patients with hypertension). The overall difference for men and women was statistically significant (p<0.001) as were the differences between men and women for each age group and disease group (at least at the p<0.05 level). The exceptions were for men and women in the 18-30 age group (for the diabetes and hypertension group, p-values were 0.32 and 0.12, respectively) and the 41-50 age group for diabetes (p-value of 0.63).

"Based on the Quest Diagnostics data, it is evident that physicians are not applying the guidelines equally for women and men, and most likely endangering the lives of women in particular," said Massy Safai, M.D., former faculty at University of California San Francisco, Division of Nephrology, and former director of the Low GFR Clinic at San Francisco General Hospital. "This finding is particularly disturbing in light of a number of studies that demonstrate a higher prevalence of CKD in advanced stages (3-5) in women compared to men. An aging population and the epidemic of patients with type-2 diabetes is causing a surge in the number of patients with CKD in the U.S. A yearly microalbuminuria test is essential to detect CKD and initiate appropriate treatments in at-risk patients of both genders."

About Chronic Kidney Disease

Chronic kidney disease (CKD) includes conditions that damage the kidneys and decrease their ability to effectively remove wastes from the body through urine. More than 25 million American adults have
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SOURCE Quest Diagnostics Inc.
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