Editorials

Glomerular filtration rate and the risk of stroke

BMJ 2010; 341 doi: http://dx.doi.org/10.1136/bmj.c4390 (Published 30 September 2010) Cite this as: BMJ 2010;341:c4390
  1. Vlado Perkovic, executive director, George clinical,
  2. Alan Cass, senior director, renal division
  1. 1George Institute for Global Health, PO Box M201, Missenden Road, Sydney, NSW 2050, Australia
  1. vlado{at}perkovic.net

Measuring kidney function may improve stratification of cardiovascular risk and targeting of preventive treatments

Stroke is a common cause of death and disability that affects not only the patient but his or her family and the broader community. Prevention of stroke, through the identification and management of risk factors, is thus a public health priority.

Chronic kidney disease is common, particularly in people at high risk of cardiovascular disease.1 Chronic kidney disease is a strong risk factor for cardiovascular events,2 even after adjusting for other known risk factors. Much less is known about the relation between chronic kidney disease and specific types of cardiovascular events, such as stroke. This is important because stroke has several subtypes that may have different associations with individual risk factors and therefore treatments. For example, lipid lowering treatments3 and antiplatelet treatment4 protect against cardiovascular events overall but may increase the risk of haemorrhagic stroke[f1].5

Manfred Kage/Science Photo Library

In the linked systematic review (doi:10.1136/bmj.c4249),6 Lee and colleagues assess the association between kidney function, defined by estimated glomerular filtration rate (eGFR), and the subsequent …

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