A large proportion of dialysis and renal transplant patients fail to achieve target blood pressure standards, with no significant improvement over an 8-year period.
Many renal units still fail to return blood pressure data to the Renal Registry. In England, Northern Ireland and Wales, the percentage of HD patients achieving the combined blood pressure standard (<140/90 pre-dialysis) averages 43% (inter unit range 16-60%) and post-dialysis (<130/80) average 48% (range 22-66%). On average 27% (range 12-48%) of PD patients achieve the standard of <130/80 and 26% of renal transplant patients (range 16-40%). Over the last 8 years there has been no significant change in systolic or diastolic blood pressure achievement. Better comorbidity data returns are required by the Registry to perform blood pressure survival analyses.
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Harper et al. (2007) studied this question.
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