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Autor(en) / Beteiligte
Titel
Prevalence, awareness, treatment, and control of hypertension in the non-dialysis chronic kidney disease patients
Ist Teil von
  • Chinese medical journal, 2013-06, Vol.126 (12), p.2276-2280
Ort / Verlag
China: Department of Nephrology, State key Laboratory of Kidney Disease,Chinese PLA General Hospital, Beijing 100853, China%Nephrology Institute of the Chinese People's Liberation Army,Chinese People's Liberation Army Key Laboratory of Nephrology, Beijing 100853, China%Department of Nephrology, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China%Department of Nephrology, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, China%Department of Nephrology, Zhongshan Hospital, Fudan University,Shanghai 200032, China%Department of Nephrology, First Affliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong 510080, China
Erscheinungsjahr
2013
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
  • Background Data on the epidemiology of hypertension in Chinese non-dialysis chronic kidney disease (CKD) patients are limited.The aim of the present study was to investigate the prevalence,awareness,treatment,and control of hypertension in the non-dialysis CKD patients through a nationwide,multicenter study in China.Methods The survey was performed in 61 tertiary hospitals in 31 provinces,municipalities,and autonomous regions in China (except Hong Kong,Macao,and Taiwan).Trained physicians collected demographic and clinical data and measured blood pressure (BP) using a standardized protocol.Hypertension was defned as systolic BP ≥140 mmHg and/or diastolic BP ≥90 mmHg,and/or use of antihypertensive medications.BP 〈140/90 mmHg and 〈130/80 mmHg were used as the 2 thresholds of hypertension control.In multivariate logistic regression with adjustment for sex and age,we analyzed the association between CKD stages and uncontrolled hypertension in non-dialysis CKD patients.Results The analysis included 8927 non-dialysis CKD patients.The prevalence,awareness,and treatment of hypertension in non-dialysis CKD patients were 67.3%,85.8%,and 81.0%,respectively.Of hypertensive CKD patients,33.1% and 14.1% had controlled BP to 〈140/90 mmHg and 〈130/80 mmHg,respectively.With successive CKD stages,the prevalence of hypertension in non-dialysis CKD patients increased,but the control of hypertension decreased (P〈0.001).When the threshold of BP 〈130/80 mmHg was considered,the risk of uncontrolled hypertension in CKD 2,3a,3b,4,and 5 stages increased 1.3,1.4,1.4,2.5,and 4.0 times compared with CKD 1 stage,respectively (P〈0.05).Using the threshold of 〈140/90 mmHg,the risk of uncontrolled hypertension increased in advanced stages (P〈0.05).Conclusions The prevalence of hypertension Chinese non-dialysis CKD patients was high,and the hypertension control was suboptimal.With successive CKD stages,the risk of uncontrolled hypertension increased.
Sprache
Englisch
Identifikatoren
ISSN: 0366-6999
eISSN: 2542-5641
DOI: 10.3760/cma.j.issn.0366-6999.20130835
Titel-ID: cdi_wanfang_journals_zhcmj201312014

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