Modification of Diet in Renal Disease

Investigate the effects of protein restriction and control of blood pressure on the progression of chronic kidney disease with data from a randomized clinical trial.

clinical trials

About

This data comes from the Modification of Diet in Renal Disease (MDRD) study from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK):

The Modification of Diet in Renal Disease (MDRD) study consisted of two randomized clinical trials that investigated whether protein restriction and control of blood pressure had an effect on the progression of chronic kidney disease (CKD). The study tested two hypotheses—that (1) a reduction in dietary protein and phosphorous intake and (2) the maintenance of blood pressure at a level below that usually recommended safely and effectively delays the progression of CKD.

This data is from Study 2, which included patients with relatively advanced renal disease (GFR between 13 and 24 ml/min):

In study 2, 255 patients with GFR of 13 to 24 ml/min/1.73 m2 were randomly assigned to the low-protein diet (0.58 g per kilogram per day) or a very-low-protein diet (0.28 g per kilogram per day) with a keto acid-amino acid supplement, and a usual- or a low-blood-pressure group (same values as those in study 1). The length of follow-up varied from 18-to-45-months, with monthly evaluations of the patients. The primary outcome was the change in GFR rate over time.

Data

mdrd.csv

Note

A note on study dropout: Many patients dropped out of the study before completion. Whether or not a patient dropped out is captured in the dropout variable. Reasons for dropout included dialysis, kidney transplant, death, and other medical reasons.

mdrd
Data Dictionary
variable description
ptid Patient identifier
gfr Glomerular filtration rate in ml/min/1.73 m^2^. A measure of how much blood the kidneys filter per minute
months Number of months after the start of the study that the measurement was taken.
dietl_normbp Was the participant assigned to the low-protein, normal-blood pressure diet? (0 = No, 1 = Yes)
dietl_lowbp Was the participant assigned to the low-protein, low-blood pressure diet? (0 = No, 1 = Yes)
dietk_normbp Was the participant assigned to the very low-protein, normal-blood pressure diet? (0 = No, 1 = Yes)
dietk_lowbp Was the participant assigned to the very low-protein, low-blood pressure diet? (0 = No, 1 = Yes)
log_protein Logarithm of the grams of protein consumed per day.
followupmonths Number of months until patient follow-up.
dropout Did the patient drop out of the study? (0 = No, 1 = Yes)

supp.csv

Note

This data is simulated and is not from the original MDRD study.

supp
Data Dictionary
variable description
ptid Patient identifier
sex Sex
age Age (years)
height Height (meters)