{"ok":true,"nota":{"id":"787927c47db9d6f6","slug":"casi-la-mitad-de-los-veteranos-con-enfermedad-renal-no-tiene-identific-787927","titulo":"Casi la mitad de los veteranos con enfermedad renal no tiene identificada su causa","resumen":"Un estudio con historias clínicas de veteranos de Estados Unidos revisó cómo se asignan las causas de la enfermedad renal crónica entre 2005 y 2015. Analizó si la clasificación varía según sexo, edad o raza.","fuente":"medrxiv","fuenteNombre":"medRxiv · preprints","color":"#1f7a4d","autor":"Scialla, J. J., Dwomoh, K., Silverberg, B., Gerber, A., Yu, W., Heng, F., Kelley, A. T., Cheung, A., Yan, G.","url":"https://www.medrxiv.org/content/10.64898/2026.10.22.26365664v1?rss=1","imagen":"/hoy/portada/787927c47db9d6f6","tema":"salud","subtemas":["enfermedad renal crónica","diagnóstico","veteranos","historia clínica","equidad en salud"],"entidades":["Veterans Health Administration","Estados Unidos"],"formato":"dato","entretenimiento":false,"pubTs":"2026-10-26T00:00:00.000Z","indexTs":"2026-10-26T15:36:30.917Z","hash":"55179feb6e15128d200f0c543a6814c3945f7367760a1d29d05f6f52d59cfe95","tsa":{"time":"Oct 26 15:37:03 2026 GMT","provider":"freetsa.org","sobre":"sello"},"stats":{"views":0,"likes":0,"clicks":0,"dwell":0},"tipo":"normal","registro":"hallazgo","porQueImporta":"Saber por qué se enferma un riñón es lo que permite elegir un tratamiento específico, y muchos pacientes siguen sin esa respuesta. El estudio muestra que la causa queda sin registrar con frecuencia, y que eso puede pasar más en algunos grupos de pacientes que en otros. Si tu médico no sabe el origen, probablemente te trate igual que a cualquiera, y eso no siempre alcanza. Lo que no dice el resumen es el porcentaje exacto de casos sin causa, así que conviene leer el trabajo completo antes de sacar cifras.","quienFirma":"Veterans Health Administration, Estados Unidos","confianza":"preprint","consulta":null},"sello":{"hash":"55179feb6e15128d200f0c543a6814c3945f7367760a1d29d05f6f52d59cfe95","sello":"633aaa74bbb7d19378f47158cebc7c92e59bd0b436299bfd68ed8878ddb8b02c","beacon":{"drand":{"cadena":"8990e7a9aaed2ffed73dbd7092123d6f289930540d7651336225dc172e51b2ce","ronda":6586600,"aleatorio":"b890a385cf92974374211108b695f20f26b378db0776577c156830220ff127b8","tiempo":"2026-10-26T15:37:00.000Z"},"nist":{"cadena":2,"pulso":2000493,"salida":"561AB66CD420DAD021A79CE9030A7B3512C7392399F0542651AB8883F6508DDB391A1A35AF6893D1E04E4FDDE2374CB221AE98089FAC353C5E66C30F2D8BF390","tiempo":"2026-10-26T15:36:00.000Z"},"noAntes":"2026-10-26T15:37:00.000Z"},"verificacion":{"drand":true,"nist":true},"tsa":{"time":"Oct 26 15:37:03 2026 GMT","provider":"freetsa.org","sobre":"sello"},"original":{"titulo":"Gaps in Etiologic Classification of Chronic Kidney Disease in US Veterans: A Retrospective Cohort Study","descripcion":"Many patients living with chronic kidney disease (CKD) may not have a clearly identified cause, which can be a barrier to targeted therapies. We assessed the assignment of CKD etiologies in the national Veterans Health Administration (VHA) electronic health record data, overall and by demographics. We identified regular VHA users aged 18 - 100 years with new-onset CKD based on persistent eGFR <60 ml/min/1.73m2 occurring 2005-2015. CKD etiologies were identified by administrative codes over 3 years before and after the incident CKD date. Etiologies were categorized as diabetic, hypertensive/vascular, obstructive/urologic, glomerular, cystic/congenital, and tubulointerstitial. CKD was consider","pubDate":"2026-10-26","url":"https://www.medrxiv.org/content/10.64898/2026.10.22.26365664v1?rss=1"},"indexado":"2026-10-26T15:36:30.917Z"}}