The enigma of hypertensive ESRD: observations on incidence and trends in 18 European, Canadian, and Asian-Pacific populations, 1998 to 2002
| Autor: | John H, Stewart, Margaret R E, McCredie, Sheila M, Williams, Stanley S, Fenton, Lilyanna, Trpeski, Stephen P, McDonald, Kitty J, Jager, Paul C W, van Dijk, Patrik, Finne, Staffan, Schon, Torbjorn, Leivestad, Hans, Løkkegaard, Jean-Marie, Billiouw, Reinhard, Kramar, Angela, Magaz, E, Vela, Maria J, Garcia-Blasco, G A, Ioannidis, Y N, Lim |
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| Přispěvatelé: | Amsterdam Cardiovascular Sciences, Amsterdam Public Health, Medical Informatics |
| Rok vydání: | 2005 |
| Předmět: |
Male
medicine.medical_specialty Canada Native Hawaiian or Other Pacific Islander Population Disease Essential hypertension urologic and male genital diseases White People Diabetes Complications symbols.namesake Epidemiology medicine Humans Poisson regression education Stroke Aged education.field_of_study business.industry Incidence (epidemiology) Incidence Australia Middle Aged medicine.disease Surgery Europe Epidemiologic Studies Nephrology Hypertension symbols Kidney Failure Chronic Female business Kidney disease Demography New Zealand |
| Zdroj: | American journal of kidney diseases, 48(2), 183-191. W.B. Saunders Ltd |
| ISSN: | 1523-6838 0272-6386 |
| Popis: | Background: Despite improved treatment of hypertension and decreasing rates of stroke and coronary heart disease, the reported incidence of hypertensive end-stage renal disease (ESRD) increased during the 1990s. However, bias, particularly from variations in acceptance into ESRD treatment (ascertainment) and diagnosis (classification), has been a major source of error when comparing ESRD incidences or estimating trends. Methods: Age-standardized rates were calculated in persons aged 30 to 44, 45 to 64, and 65 to 74 years for 15 countries or regions (separately for the Europid and non-Europid populations of Canada, Australia, and New Zealand), and temporal trends were estimated by means of Poisson regression. For 10 countries or regions, population-based estimates of mean systolic blood pressures and prevalences of hypertension were extracted from published sources. Results: Hypertensive ESRD, comprising ESRD attributed to essential hypertension or renal artery occlusion, was least common in Finland, non-Aboriginal Australians, and non-Polynesian New Zealanders; intermediate in most European and Canadian populations; and most common in Aboriginal Australians and New Zealand Maori and Pacific Island people. Rates correlated with the incidence of all other nondiabetic ESRD, but not with diabetic ESRD or community rates of hypertension. Between 1998 and 2002, hypertensive ESRD did not increase in Northwestern Europe or non-Aboriginal Canadians, although it did so in Australia. Conclusion: Despite the likelihood of classification bias, the probability remains of significant variation in incidence of hypertensive ESRD within the group of Europid populations. These between-population differences are not explained by community rates of hypertension or ascertainment bias. |
| Databáze: | OpenAIRE |
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