<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0864-2125</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina General Integral]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Gen Integr]]></abbrev-journal-title>
<issn>0864-2125</issn>
<publisher>
<publisher-name><![CDATA[ECIMED]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-21252021000400007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Detección de enfermedad renal crónica oculta mediante determinación de albuminuria en pacientes con diabetes mellitus]]></article-title>
<article-title xml:lang="en"><![CDATA[Detection of Hidden Chronic Kidney Disease by Determining Albumin Estimates in Patients with Diabetes Mellitus]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Milán]]></surname>
<given-names><![CDATA[Zoraida Caridad]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escalona-González]]></surname>
<given-names><![CDATA[Sergio Orlando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Pérez]]></surname>
<given-names><![CDATA[Manuel de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Laborí-Quesada]]></surname>
<given-names><![CDATA[Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mulet-Duarte]]></surname>
<given-names><![CDATA[Amis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pavón-Rojas]]></surname>
<given-names><![CDATA[Alejandro Jarol]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Las Tunas Facultad de Ciencias Médicas &#8220;Dr. Zoilo Enrique Marinello Vidaurreta&#8221; ]]></institution>
<addr-line><![CDATA[ Las Tunas]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Docente &#8220;Dr. Ernesto Guevara de la Serna&#8221;  ]]></institution>
<addr-line><![CDATA[ Las Tunas]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Policlínico Docente &#8220;Manuel Fajardo Rivero&#8221;  ]]></institution>
<addr-line><![CDATA[ Las Tunas]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>37</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-21252021000400007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-21252021000400007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-21252021000400007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La diabetes mellitus constituye la segunda causa de enfermedad renal crónica en Cuba. La estimación de albuminuria facilitaría la identificación precoz de esta.  Objetivo:  Determinar el valor predictor de enfermedad renal crónica oculta en la albuminuria de pacientes con diabetes mellitus de la Atención Primaria de Salud en Las Tunas.  Métodos:  Se realizó un estudio analítico de caso-control en 360 pacientes con diabetes mellitus pertenecientes al Policlínico &#8220;Manuel Fajardo Rivero&#8221;, en el período de enero de 2019 a febrero de 2020. La población en estudio fue dividida en dos grupos, atendiendo a la presencia (casos) o no (controles) de daño renal. El poder discriminatorio de la albuminuria como predictor de enfermedad renal crónica oculta se determinó mediante el área bajo la curva ROC, además se identificó el punto de corte óptimo. Se utilizó el análisis multivariado para identificar los factores predictores independientes de enfermedad renal.  Resultados:  La albuminuria mayor de 160 mg/24h fue identificada como predictor de enfermedad renal crónica oculta (OR: 2,278; IC de 95 %: 1,637-2,908) junto a la edad &#707; 65 años, los años de evolución de DM &#707; 8 años y la hipoalbuminemia. El poder discriminatorio fue bueno, índice C: 0,843 (IC de 95 %: 0,762-0,929). El punto de corte identificado de 160 mg/24h alcanzó una sensibilidad y especificidad de 90,00 % y 97,60 %, respectivamente.  Conclusiones:  La albuminuria pudiese ser un importante predictor independiente de enfermedad renal crónica oculta en pacientes con diabetes mellitus de la Atención Primaria de Salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Diabetes mellitus is the second cause of chronic kidney disease in Cuba. Albumin estimates would facilitate its early identification.  Objective: To determine the predictive value of albuminuria in hidden chronic kidney disease among patients with diabetes mellitus at primary healthcare level in Las Tunas.  Methods:  An analytical case-control study was carried out in 360 patients with diabetes mellitus belonging to Manuel Fajardo Rivero Polyclinic, in the period from January 2019 to February 2020. The study population was divided into two groups: occurrence (cases) or not (controls) of kidney damage. The discriminatory power of albuminuria as a predictor of hidden chronic kidney disease was determined by the area under the ROC curve, while its optimal cut-off point was also identified. Multivariate analysis was used to identify independent predictors of kidney disease.  Results:  Albuminuria over 160 mg on 24 hours was identified as a predictor of hidden chronic kidney disease (OR: 2.278; 95% CI: 1.637-2.908) together with age over 65 years, evolution of diabetes mellitus over 8 years, and hypoalbuminemia. The discriminatory power was good: The C index was 0.843 (95% CI: 0.762-0.929). The identified cut-off point of 160 mg in 24 hours reached a sensitivity and specificity of 90.00% and 97.60%, respectively.  Conclusions:  Albuminuria could be an important independent predictor of hidden chronic kidney disease in patients with diabetes mellitus at primary healthcare level.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[enfermedad renal crónica oculta]]></kwd>
<kwd lng="es"><![CDATA[albuminuria]]></kwd>
<kwd lng="es"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="es"><![CDATA[atención primaria de salud]]></kwd>
<kwd lng="en"><![CDATA[hidden chronic kidney disease]]></kwd>
<kwd lng="en"><![CDATA[albumin]]></kwd>
<kwd lng="en"><![CDATA[diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[primary healthcare]]></kwd>
</kwd-group>
</article-meta>
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