Long-Term Care Needs and Incidence of End-Stage Kidney Disease: A Retrospective Cohort Study

End-stage kidney disease (ESKD) requiring renal replacement therapy is a public health problem with an economic burden. 1 Elshahat S. Cockwell P. Maxwell A.P. Griffin M. O’Brien T. O’Neill C. The impact of chronic kidney disease on developed countries from a health economics perspective: A systematic scoping review. PLoS One. 2020; 15: e0230512 Crossref PubMed Scopus (59) Google Scholar The aging of the population has increased the number of older patients with ESKD worldwide. 2 Pippias M. Jager K.J. Kramer A. et al. The changing trends and outcomes in renal replacement therapy: data from the ERA-EDTA Registry. Nephrol Dial Transplant. 2016; 31: 831-841 Crossref PubMed Scopus (108) Google Scholar ,3 Hong Y.A. Ban T.H. Kang C.Y. et al. Trends in epidemiologic characteristics of end-stage renal disease from 2019 Korean Renal Data System (KORDS). Kidney Res Clin Pract. 2021; 40: 52-61 Crossref PubMed Scopus (31) Google Scholar Several studies have shown that poor performance in activities of daily living (ADL) is a predictor of cardiovascular diseases 4 Heshmatollah A. Mutlu U. Koudstaal P.J. Ikram M.A. Ikram M.K. Cognitive and physical impairment and the risk of stroke - A prospective cohort study. Sci Rep. 2020; 10: 6274 Crossref PubMed Scopus (16) Google Scholar and all-cause mortality. 5 Nakazawa A. Nakamura K. Kitamura K. Yoshizawa Y. Association between activities of daily living and mortality among institutionalized elderly adults in Japan. J Epidemiol. 2012; 22: 501-507 Crossref PubMed Scopus (43) Google Scholar However, few studies have assessed the association between ADL performance and incidence of ESKD.