Review Article

The Prognostic Role of Klotho in Patients with Chronic Kidney Disease: A Systematic Review and Meta-analysis

Table 1

Characteristics of the included studies.

First authorYearCountryStudy designNumberFollow-up periodAverage ageAverage eGFR(ml/min)Low versus high sKlotho levelOutcomesHR and 95% CI

Liu (Ref [25])2018ChinaCross-sectional Prospective112 months

Median sKlotho levelScr doubling
RRT
Death
Direct
Bob (Ref [21])2018RomaniaCross-sectional Retrospective6312 monthsOverall sKlothoΔdecline of eGFR
Fountoulakis (Ref [23])2018UKCross-sectional Prospective1019 (2-13) years60 (40-82)Median sKlotho level50% decline of eGFR
Death
Indirect (estimated HR)
Qian (Ref [16])2018ChinaCross-sectional Prospective1121.5 yearsΔsKlotho levelRRT
Cardio-cerebrovascular events
Drew (Ref [22])2017AmericaProspective24963 or 10 yearssKlotho quartile leveleGFR or >3 ml/min per yearIndirect (estimated OR)
Kim (Ref [24])2017KoreaProspective14732 (12-52) monthssKlotho tertile levelAnnual eGFR decline
Albuminuria
Direct
Kim (Ref [13])2013KoreaCross-sectional Prospective24329.7 (6.0-62.1) monthsMedian sKlotho levelScr doubling
RRT
Death
Direct
Seiler (Ref [18])2013GermanyCross-sectional Prospective312 yearssKlotho tertile levelRRT
Death
Direct

Abbreviation: RRT: renal replacement therapy; Scr: serum creatinine; HRs: hazard ratios; CI: confidence interval; eGFR: estimated glomerular filtration rate; Ref: reference.