title: A systematic review investigating the cumulative incidence of chronic kidney disease in young adults with impaired glucose tolerance.
abstract: BACKGROUND
  It is known that risk of chronic kidney disease (CKD) is elevated in patients with diabetes mellitus but it is not clear whether the risk is also elevated with impaired glucose tolerance (IGT). If the risk is increased, it is not known if this is confined to people with IGT who progress to type 2 diabetes (T2DM). The purpose of this systematic review is to determine the relative risk of CKD in young adults (aged 18 to 40 years) with IGT (exposed group) compared to those without glycaemic abnormality (comparator group).
  
  
  METHODS
  The following electronic databases will be systematically searched from inception to January 2015 for relevant studies: CINAHL, EMBASE, MEDLINE, PubMed, Cochrane libraries and grey literature. Two independent reviewers will screen search results, extract data, select studies for inclusion and assess their quality. Studies including young adults (aged 18 to 40 years) with IGT containing any of the following CKD markers will be included: estimated glomerular filtration rate (eGFR), albumin creatinine ratio (ACR), protein creatinine ratio (PCR), serum creatinine (SCr) and creatinine clearance (CrCl) levels. Studies at any time period after diagnosis of IGT and with any length of follow-up will be included. The proportion of IGT participants reporting each outcome will be documented. Relative risks (RR) and odds ratios (OR) will be extracted or calculated from raw data. If possible, study results will be combined in a meta-analysis.
  
  
  CONCLUSIONS
  The results of this comprehensive review will establish the evidence for the association between IGT and the risk of developing CKD in young adults (aged 18 to 40 years).
  
  
  BACKGROUND
  PROSPERO CRD42014007081.
authors.affiliation: Primary Care Clinical Sciences, University of Birmingham, Birmingham, B15 2TT, UK. FXJ733@bham.ac.uk.
authors.forename: Ferozkhan
authors.initials: F
authors.lastname: Jadhakhan
authors.affiliation: Primary Care Clinical Sciences, University of Birmingham, Birmingham, B15 2TT, UK. t.p.marshall@bham.ac.uk.
authors.forename: Tom
authors.initials: T
authors.lastname: Marshall
authors.affiliation: Primary Care Clinical Sciences, University of Birmingham, Birmingham, B15 2TT, UK. p.s.gill@bham.ac.uk.
authors.forename: Paramjit
authors.initials: P
authors.lastname: Gill
mesh_terms: D000293:Adolescent; D000328:Adult; D015897:Comorbidity; D018149:Glucose Intolerance / Q000453:epidemiology*; D006801:Humans; D015994:Incidence; D051436:Renal Insufficiency, Chronic / Q000453:epidemiology*; D055815:Young Adult