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Examine eGFR trajectory patterns linked to kidney function and their associated elements over a 13-year follow-up. We investigated the longitudinal shifts in eGFR and their associated elements in 3366 study participants, grouped by kidney function, using a 2-level linear mixed-effects model analysis. Those participants who had pre-existing kidney issues displayed a modest improvement in eGFR, in contrast to the slight decline exhibited by the rest of the group. While a connectio