- Medical-alert accessories help reduce progression of chronic kidney disease (CKD) but fail to reduce safety events, according to data from a pilot study.
Why this matters
- “One might consider medical-alert accessories as a useful solution to the problem of under-recognized CKD, but it may also serve as a behavior prompt directing patients to best practices in self-care and disease management,” the authors write.
- Prospective study of 350 patients with stage II-V predialysis CKD (stage III, 66%-69%); 108 received a medical-alert bracelet/necklace indicating diagnosis and safe practices.
- Follow-up (annual appointments, twice-yearly calls) continued until end-stage renal disease (ESRD), death, or study withdrawal.
- Funding: National Institute of Diabetes and Digestive and Kidney Disease, University of Maryland.
- Median follow-up: 4.33 and 3.08 years for medical-alert and observation arms, respectively (ESRD, n=41; deaths, n=56).
- Groups had similar incidence (per 100 patient-visits) of class 1 (108.7 vs 100.6; P=.13) and class 2 safety events (38.3 vs 41.2; P=.23).
- Crude ESRD risk was lower in the medical-alert arm (2.2 vs 3.3 per 1000 patient-months; HR=0.42; P=.02).
- In adjusted analysis, wearing the medical alert accessory was tied to a 62% reduced risk for ESRD (HR=0.38; 95% CI, 0.16-0.94).
- Hospitalization and death rates did not differ between groups.
- Nonrandomized design
- Limited sample size.