Smoking as risk factor for chronic kidney disease: systematic review.

Autor:	Elihimas Júnior UF; Universidade Federal de Pernambuco., Elihimas HC; Universidade de Pernambuco., Lemos VM; Universidade Federal de Pernambuco., Leão Mde A; Universidade Federal de Pernambuco., Sá MP; Universidade de Pernambuco., França EE; Universidade Federal de Pernambuco., Lemos A; Universidade Federal de Pernambuco., Valente LM; Universidade Federal de Pernambuco., Markman Filho B; Universidade Federal de Pernambuco.
Jazyk:	English; Portuguese
Zdroj:	Jornal brasileiro de nefrologia [J Bras Nefrol] 2014 Oct-Dec; Vol. 36 (4), pp. 519-28.
DOI:	10.5935/0101-2800.20140074
Abstrakt:	Introduction: Chronic kidney disease (CKD) and smoking are public health problems. Objective: To assess smoking as a risk factor for progression of CKD. Methods: We conducted a systematic review in Medline, LILACS, SciELO, Google Scholar, Embase and Trials.gov with articles published until February/2013. Were included: cohort, clinical trials and case-control. Performed in humans, aged ≥ 18 years with smoking as a risk factor for progression of CKD. We excluded studies that reported no smoking and CKD in the title or had proposed to reduce smoking. Results: Among 94 citations, 12 articles were selected. Of these, six were multicenter conducted in developed countries, four were randomized. Males predominated 51-76%. There was associated with smoking progression in 11 studies. It was found that the consumption ≥ 15 packs/ year increases the risk of progression of CKD. Conclusion: Smoking is a risk factor for progression of CKD.
Databáze:	MEDLINE
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