Table 1.

Characteristics of included studies used to calculate pooled effect sizes for the association between SCT and CKD

Author, yearCountryTotal sampleNo. of SCTGeneral characteristicsSCT diagnosisCKD/ESRD diagnosisAdjustment variables
Oli et al,28 2004 United Kingdom 147 34 Race: predominantly Caribbean (77.3%) and African (22.7%)
Sample: participants with type 2 diabetes
Female: 55.8%
Age: 60.4 years (mean)
Hypertension: 75.2%
Diabetes: 100% 
HPLC and sickle solubility test UACR ≥2.5 in males and 3.5 in females Age, gender, race, and duration of diabetes 
Naik et al,8 2014 (ARIC) United States 3 185 217 Race: African
Sample: population based
Female: 61.4%
Age: 54.05 years (mean)
Hypertension: 55.7%
Diabetes: 19.2% 
Directly genotyped for rs334 eGFR <60 mL/min per 1.73 m2; UACR ≥30 mg/g or albumin excretion rate >30 mg per 24 hours; ESRD Age, sex, clinic or region, African ancestry, hypertension, and diabetes 
Naik et al,8 2014 (CARDIA) United States 776 72 Race: African
Sample: population based
Female: 64.3%
Age: 24.6 years (mean)
Hypertension: 2.9%
Diabetes: 0.3% 
Directly genotyped for rs334 (2%) and genetic imputation (98%) eGFR <60 mL/min per 1.73 m2; UACR ≥0 mg/g or albumin excretion rate >30 mg per 24 hours Age, sex, clinic or region, African ancestry, hypertension, and diabetes 
Naik et al,8 2014 (JHS) United States 1 941 164 Race: African
Sample: population based
Female: 58.7%
Age: 50.55 years (mean)
Hypertension: 55.5%
Diabetes: 17.5% 
Directly genotyped for rs334 (98%) and genetic imputation (2%) eGFR <60 mL/min per 1.73 m2; UACR ≥30 mg/g or albumin excretion rate >30 mg per 24 hours Age, sex, clinic or region, African ancestry, hypertension, and diabetes 
Naik et al,8 2014 (MESA) United States 1 469 151 Race: African
Sample: population based
Female: 54.6%
Age: 61.95 years (mean)
Hypertension: 58.8%
Diabetes: 20.8% 
Directly genotyped for rs334 (9%) and genetic imputation (91%) eGFR <60 mL/min per 1.73 m2; UACR ≥30 mg/g or albumin excretion rate >30 mg per 24 hours Age, sex, clinic or region, African ancestry, hypertension, and diabetes 
Naik et al,8 2014 (WHI) United States 7 356 644 Race: African
Sample: population based
Female: 100%
Age: 61.55 years (mean)
Hypertension: 58.3%
Diabetes: 17.4% 
Directly genotyped for rs334 (7%) and genetic imputation (93%) eGFR <60 mL/min per 1.73 m2; UACR ≥30 mg/g or albumin excretion rate >30 mg per 24 hours; ESRD Age, sex, clinic or region, African ancestry, hypertension, and diabetes 
Bucknor et al,20 2014 United States 13 825 2642 Race: African
Sample: retrospective study of adults registered in the Kaiser Permanente Northern California health system
Female: 77.1%
Age: 35.65 years (mean)
Hypertension: NP
Diabetes: 16.48% 
Diagnostic codes, isoelectric focusing, or HPLC ICD codes (ICD-9: 403.x, 585.1-585.6, 585.9) Age group (18-34, 35-49, ≥50 years), months of membership (12-47, 48-95, ≥96), gender, hyperlipidemia, obesity, and diabetes mellitus 
Dueker et al,21 2017 United States 8 927 739 Race: Dominican
Sample: population based
Female: 66.0%
Age: 67 years (mean)
Hypertension: NP
Diabetes: NP 
Directly genotyped for rs334 eGFR <60 mL/min per 1.73 m2 Age, sex, diabetes, and hypertension 
Kramer et al,19 2017 United States 324 16 Race: Caribbean
Sample: population based
Female: 58.6%
Age: 46.1 years (mean)
Hypertension: NP
Diabetes: NP 
Genetic imputation UACR ≥17 mg/g in males and ≥25 mg/g in females; eGFR <60 mL/min per 1.73 m2; composite of decreased eGFR and/or UACR Age, sex, diabetes, systolic blood pressure, use of antihypertensive medications, and the first 5 PCs calculated using data from all cohort participants 
Naik et al,10 2017 United States 5 349 109 Race: African
Sample: population based
Female: 62.7%
Age: 63.75 years (mean)
Hypertension: 70.4%
Diabetes: 29.5% 
Directly genotyped and a subset was DNA sequenced. Composite of decreased eGFR (<60 mL/min per 1.73 m2) and/or UACR ≥30 mg/g Age, sex, smoking, diabetes, hypertension, and APOL1 high-risk genotypes 
Hu et al,13 2019 United States 45 882 3411 Race: African
Sample: retrospective study of US Army soldiers on active duty between 2011 and 2014
Female: 28.2%
Age: ≥18 years
Hypertension: 10.1%
Diabetes: 1.22%. 
Hemoglobin electrophoresis ICD-9 (code 585, chronic glomerulonephritis [ICD-9 codes 583 and 587] renal sclerosis, nephrotic syndrome [ICD-9 code 581], including ESRD [ICD-9 code 585.6]) Gender, age, BMI, renal disease, hypertension, rhabdomyolysis, diabetes, rank category, service time, number of deployments, NSAID use, and AKI 
Olaniran et al,18 2020 United States 8 729 1251 Race: African
Sample: inpatient and outpatient data
Female: 83%
Age: 38 years (mean)
Hypertension: 24.9%
Diabetes: 20.5% 
Hb electrophoresis eGFR < 60 mL/min per 1.73 m2 Age, sex, hypertension, diabetes mellitus, history of cardiovascular disease, smoking status, AKI, ACEi/ARB use, UACR, baseline eGFR, and hemoglobin electrophoresis indications 
Masimango et al,9 2022 Democratic Republic of the Congo 901 75 Race: African
Sample: population based
Female: 53.6%
Age: 43.55 years (mean)
Hypertension: 19.5%
Diabetes: 5.2% 
Directly genotyped for rs334 eGFR <60 mL/min per 1.73 m2 and/or UACR ≥30 mg/g Age, sex, site, obesity, diabetes, hypertension, NSAIDs, medicinal plants, and smoking status 
Hulsizer et al,16 2022 United Kingdom 7 956 699 Race: African
Sample: population based
Female: 57.8%
Age: 51 years
Hypertension: 48.3%
Diabetes: 19.14% 
Whole exome sequencing and ICD codes ICD codes and self-report Gender, age at recruitment, top 10 PCs, and diabetes (type 1 and type 2) 
Verma et al,17 2022 (African individuals) United States 921 134 5012 Race: African
Sample: retrospective study of US veterans
Female: NP
Age: NP
Hypertension: NP
Diabetes: NP 
Directly genotyped (rs334-T) or imputed (rs33930165-T) markers ICD9, ICD10 codes, and CPT codes Sex, age, age squared, and the first 20 ancestry-specific PCs derived from the genetic data 
Verma et al,17 2022 (Hispanic individuals) United States 48 870 2164 Race: Hispanic
Sample: retrospective study of US veterans
Female: NP
Age: NP
Hypertension: NP
Diabetes: NP 
Directly genotyped (rs334-T) or imputed (rs33930165-T) markers ICD9, ICD10 codes, and CPT codes Sex, age, age squared, and the first 20 ancestry-specific PCs derived from the genetic data 
Stafford et al,22 2023 United States 2 894 1447 Race: predominantly African (72.7%)
Sample: retrospective study of the University of Colorado Health Data Compass data warehouse
Female: 70.4%
Age: 36 years (median)
Hypertension: NP
Diabetes: NP 
ICD codes ICD codes Age, sex, and race 
Author, yearCountryTotal sampleNo. of SCTGeneral characteristicsSCT diagnosisCKD/ESRD diagnosisAdjustment variables
Oli et al,28 2004 United Kingdom 147 34 Race: predominantly Caribbean (77.3%) and African (22.7%)
Sample: participants with type 2 diabetes
Female: 55.8%
Age: 60.4 years (mean)
Hypertension: 75.2%
Diabetes: 100% 
HPLC and sickle solubility test UACR ≥2.5 in males and 3.5 in females Age, gender, race, and duration of diabetes 
Naik et al,8 2014 (ARIC) United States 3 185 217 Race: African
Sample: population based
Female: 61.4%
Age: 54.05 years (mean)
Hypertension: 55.7%
Diabetes: 19.2% 
Directly genotyped for rs334 eGFR <60 mL/min per 1.73 m2; UACR ≥30 mg/g or albumin excretion rate >30 mg per 24 hours; ESRD Age, sex, clinic or region, African ancestry, hypertension, and diabetes 
Naik et al,8 2014 (CARDIA) United States 776 72 Race: African
Sample: population based
Female: 64.3%
Age: 24.6 years (mean)
Hypertension: 2.9%
Diabetes: 0.3% 
Directly genotyped for rs334 (2%) and genetic imputation (98%) eGFR <60 mL/min per 1.73 m2; UACR ≥0 mg/g or albumin excretion rate >30 mg per 24 hours Age, sex, clinic or region, African ancestry, hypertension, and diabetes 
Naik et al,8 2014 (JHS) United States 1 941 164 Race: African
Sample: population based
Female: 58.7%
Age: 50.55 years (mean)
Hypertension: 55.5%
Diabetes: 17.5% 
Directly genotyped for rs334 (98%) and genetic imputation (2%) eGFR <60 mL/min per 1.73 m2; UACR ≥30 mg/g or albumin excretion rate >30 mg per 24 hours Age, sex, clinic or region, African ancestry, hypertension, and diabetes 
Naik et al,8 2014 (MESA) United States 1 469 151 Race: African
Sample: population based
Female: 54.6%
Age: 61.95 years (mean)
Hypertension: 58.8%
Diabetes: 20.8% 
Directly genotyped for rs334 (9%) and genetic imputation (91%) eGFR <60 mL/min per 1.73 m2; UACR ≥30 mg/g or albumin excretion rate >30 mg per 24 hours Age, sex, clinic or region, African ancestry, hypertension, and diabetes 
Naik et al,8 2014 (WHI) United States 7 356 644 Race: African
Sample: population based
Female: 100%
Age: 61.55 years (mean)
Hypertension: 58.3%
Diabetes: 17.4% 
Directly genotyped for rs334 (7%) and genetic imputation (93%) eGFR <60 mL/min per 1.73 m2; UACR ≥30 mg/g or albumin excretion rate >30 mg per 24 hours; ESRD Age, sex, clinic or region, African ancestry, hypertension, and diabetes 
Bucknor et al,20 2014 United States 13 825 2642 Race: African
Sample: retrospective study of adults registered in the Kaiser Permanente Northern California health system
Female: 77.1%
Age: 35.65 years (mean)
Hypertension: NP
Diabetes: 16.48% 
Diagnostic codes, isoelectric focusing, or HPLC ICD codes (ICD-9: 403.x, 585.1-585.6, 585.9) Age group (18-34, 35-49, ≥50 years), months of membership (12-47, 48-95, ≥96), gender, hyperlipidemia, obesity, and diabetes mellitus 
Dueker et al,21 2017 United States 8 927 739 Race: Dominican
Sample: population based
Female: 66.0%
Age: 67 years (mean)
Hypertension: NP
Diabetes: NP 
Directly genotyped for rs334 eGFR <60 mL/min per 1.73 m2 Age, sex, diabetes, and hypertension 
Kramer et al,19 2017 United States 324 16 Race: Caribbean
Sample: population based
Female: 58.6%
Age: 46.1 years (mean)
Hypertension: NP
Diabetes: NP 
Genetic imputation UACR ≥17 mg/g in males and ≥25 mg/g in females; eGFR <60 mL/min per 1.73 m2; composite of decreased eGFR and/or UACR Age, sex, diabetes, systolic blood pressure, use of antihypertensive medications, and the first 5 PCs calculated using data from all cohort participants 
Naik et al,10 2017 United States 5 349 109 Race: African
Sample: population based
Female: 62.7%
Age: 63.75 years (mean)
Hypertension: 70.4%
Diabetes: 29.5% 
Directly genotyped and a subset was DNA sequenced. Composite of decreased eGFR (<60 mL/min per 1.73 m2) and/or UACR ≥30 mg/g Age, sex, smoking, diabetes, hypertension, and APOL1 high-risk genotypes 
Hu et al,13 2019 United States 45 882 3411 Race: African
Sample: retrospective study of US Army soldiers on active duty between 2011 and 2014
Female: 28.2%
Age: ≥18 years
Hypertension: 10.1%
Diabetes: 1.22%. 
Hemoglobin electrophoresis ICD-9 (code 585, chronic glomerulonephritis [ICD-9 codes 583 and 587] renal sclerosis, nephrotic syndrome [ICD-9 code 581], including ESRD [ICD-9 code 585.6]) Gender, age, BMI, renal disease, hypertension, rhabdomyolysis, diabetes, rank category, service time, number of deployments, NSAID use, and AKI 
Olaniran et al,18 2020 United States 8 729 1251 Race: African
Sample: inpatient and outpatient data
Female: 83%
Age: 38 years (mean)
Hypertension: 24.9%
Diabetes: 20.5% 
Hb electrophoresis eGFR < 60 mL/min per 1.73 m2 Age, sex, hypertension, diabetes mellitus, history of cardiovascular disease, smoking status, AKI, ACEi/ARB use, UACR, baseline eGFR, and hemoglobin electrophoresis indications 
Masimango et al,9 2022 Democratic Republic of the Congo 901 75 Race: African
Sample: population based
Female: 53.6%
Age: 43.55 years (mean)
Hypertension: 19.5%
Diabetes: 5.2% 
Directly genotyped for rs334 eGFR <60 mL/min per 1.73 m2 and/or UACR ≥30 mg/g Age, sex, site, obesity, diabetes, hypertension, NSAIDs, medicinal plants, and smoking status 
Hulsizer et al,16 2022 United Kingdom 7 956 699 Race: African
Sample: population based
Female: 57.8%
Age: 51 years
Hypertension: 48.3%
Diabetes: 19.14% 
Whole exome sequencing and ICD codes ICD codes and self-report Gender, age at recruitment, top 10 PCs, and diabetes (type 1 and type 2) 
Verma et al,17 2022 (African individuals) United States 921 134 5012 Race: African
Sample: retrospective study of US veterans
Female: NP
Age: NP
Hypertension: NP
Diabetes: NP 
Directly genotyped (rs334-T) or imputed (rs33930165-T) markers ICD9, ICD10 codes, and CPT codes Sex, age, age squared, and the first 20 ancestry-specific PCs derived from the genetic data 
Verma et al,17 2022 (Hispanic individuals) United States 48 870 2164 Race: Hispanic
Sample: retrospective study of US veterans
Female: NP
Age: NP
Hypertension: NP
Diabetes: NP 
Directly genotyped (rs334-T) or imputed (rs33930165-T) markers ICD9, ICD10 codes, and CPT codes Sex, age, age squared, and the first 20 ancestry-specific PCs derived from the genetic data 
Stafford et al,22 2023 United States 2 894 1447 Race: predominantly African (72.7%)
Sample: retrospective study of the University of Colorado Health Data Compass data warehouse
Female: 70.4%
Age: 36 years (median)
Hypertension: NP
Diabetes: NP 
ICD codes ICD codes Age, sex, and race 

ACEi/ARB, angiotensin-converting enzyme inhibitors and angiotensin II receptor blockers; AKI, acute kidney injury; ARIC, Atherosclerosis Risk in Communities Study; BMI, body mass index; CARDIA, Coronary Artery Risk Development in Young Adults; CPT, current procedural terminology codes; HPLC, high-performance liquid chromatography; ICD, International Classification of Diseases; JHS, Jackson Heart Study; MESA, Multi-Ethnic Study of Atherosclerosis; NP, not provided; NSAID: nonsteroidal anti-inflammatory drug; PC, principal component; UACR, urinary albumin-to-creatinine ratio; WHI, Women’s Health Initiative.

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