{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T19:26:17Z","timestamp":1784057177498,"version":"3.55.0"},"reference-count":38,"publisher":"Georg Thieme Verlag KG","issue":"17","license":[{"start":{"date-parts":[[2022,8,4]],"date-time":"2022-08-04T00:00:00Z","timestamp":1659571200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Hintergrund\u2002Chronische Niereninsuffizienz (CKD) ist in der Bev\u00f6lkerung ab einem Alter von 40 Jahren genauso verbreitet wie Diabetes oder koronare Herzkrankheit. Obwohl eine CKD das Risiko f\u00fcr Folgeerkrankungen oder vorzeitigen Tod erh\u00f6ht, wissen Patienten oft nichts von ihrer Erkrankung. In einer Auswertung deutscher Daten war die Unkenntnis \u00fcber eine CKD bei Frauen gr\u00f6\u00dfer als bei M\u00e4nnern.<\/jats:p><jats:p>Methode\u2002Es wurden Baseline-Daten aus dem Jahr 2010 von 3305 CKD-Patienten aus deutschen Kohortenstudien und Registern ausgewertet. Eine CKD der Stadien 1\u20134 war nach ver\u00f6ffentlichten Leitlinien definiert. Das Patientenwissen \u00fcber eine CKD wurde \u00fcber Selbstauskunft kodiert. Der Anteil von Patienten ohne Wissen \u00fcber eine CKD sowie die geschlechtsspezifische Anteilsdifferenz (jeweils mit 95\u200a%-Konfidenzintervall) wurde nach CKD-Stadien und weiteren Komorbidit\u00e4ten berechnet. Dar\u00fcber hinaus wurde die Pr\u00e4valenz-Ratio (PR) f\u00fcr die Nichtkenntnis einer CKD f\u00fcr Frauen im Vergleich zu M\u00e4nnern grob und nach Alter und weiteren Risikofaktoren adjustiert gesch\u00e4tzt.<\/jats:p><jats:p>Ergebnisse\u2002In den Subgruppen nach Alter, CKD-Stadium und Komorbidit\u00e4ten wussten Frauen seltener von ihrer CKD als M\u00e4nner. Der Anteilsunterschied im Wissen um eine CKD stieg mit h\u00f6herem CKD-Stadium an und betrug im Stadium 4 21\u00a0Prozentpunkte (7,6; 34,6) zuungunsten der Frauen. Bei Patienten mit einer CKD im Stadium 3b und Bluthochdruck Grad 2 wussten 61\u200a% der Frauen nichts von ihrer Erkrankung, verglichen mit 45\u200a% der M\u00e4nner. Das PR f\u00fcr die Unkenntnis einer CKD f\u00fcr Frauen im Vergleich zu M\u00e4nnern im voll-adjustierten Modell stieg von 1,08 (1,00; 1,16) bei einer CKD 3a auf 1,75 (1,14; 2,68) bei einer CKD im Stadium 4.<\/jats:p><jats:p>Folgerung\u2002Frauen wissen in allen untersuchten Subgruppen seltener von ihrer CKD als M\u00e4nner. Der Geschlechtsunterschied besteht unabh\u00e4ngig von allen untersuchten Einflussfaktoren. M\u00f6gliche Ursachen sind unbewusste geschlechtsbezogene Unterschiede in der Versorgung (gender bias) oder in der Patient-Arzt-Kommunikation.<\/jats:p>","DOI":"10.1055\/a-1819-0870","type":"journal-article","created":{"date-parts":[[2022,8,4]],"date-time":"2022-08-04T22:52:47Z","timestamp":1659653567000},"page":"e70-e81","source":"Crossref","is-referenced-by-count":8,"title":["Eine chronische Niereninsuffizienz, auch in h\u00f6herem Stadium, ist Patienten h\u00e4ufig unbekannt \u2013 aber warum wissen Frauen noch seltener von ihrer Erkrankung als M\u00e4nner?"],"prefix":"10.1055","volume":"147","author":[{"given":"Susanne","family":"Stolpe","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Essen, Institut f\u00fcr Medizinische Informatik, Biometrie und Epidemiologie"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Scholz","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum K\u00f6ln, Klinik II f\u00fcr Innere Medizin, K\u00f6ln"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Stang","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Essen, Institut f\u00fcr Medizinische Informatik, Biometrie und Epidemiologie"},{"name":"School of Public Health, Department of Epidemiology, Boston, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carsten","family":"B\u00f6ger","sequence":"additional","affiliation":[{"name":"Kliniken S\u00fcdostbayern AG, Innere Medizin, Nephrologie, Diabetologie und Rheumatologie Traunstein"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bettina","family":"Jung","sequence":"additional","affiliation":[{"name":"Kliniken S\u00fcdostbayern AG, Innere Medizin, Nephrologie, Diabetologie und Rheumatologie Traunstein"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernd","family":"Kowall","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum Essen, Institut f\u00fcr Medizinische Informatik, Biometrie und Epidemiologie"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelia","family":"Blume","sequence":"additional","affiliation":[{"name":"Leibniz Universit\u00e4t Hannover, Institut f\u00fcr Technische Chemie, Hannover"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,8,4]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1007\/BF03652358","article-title":"Pr\u00e4valenz chronischer Krankheiten und Qualit\u00e4tsindikatoren in einer Bremer Hausarztpraxis","volume":"85","author":"G Edigi","year":"2009","journal-title":"Z Allg Med"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1007\/s10389-016-0773-0","article-title":"Chronic kidney disease in primary care in Germany","volume":"25","author":"I Gergei","year":"2017","journal-title":"J Public Health"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"85","DOI":"10.3238\/arztebl.2016.0085","article-title":"The Prevalence of Renal Failure. 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