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May 6, 2007Therapeutic Apheresis and Dialysis

In 65,393 chronic hemodialysis patients in Japan, hypertension prevalence was 77.5% and was significantly associated with volume excess, including change in body weight (OR 1.176; 95% CI 1.159-1.194).

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Population

65,393 chronic hemodialysis patients from the Japanese Society for Dialysis Therapy registry, mean age 60.9…

Design

Cross-sectional

Key result

In 65,393 chronic hemodialysis patients in Japan, hypertension prevalence was 77.5% and was significantly associated with volume excess, including change in body weight (OR 1.176; 95% CI 1.159-1.194).

Authors

KIKunitoshi IsekiSNShigeru NakaiTSTakahiro Shinzato

Discussion

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Overview

Volume assessment should be prioritized in hypertensive hemodialysis patients; leaves open whether targeted interventions improve control in prospective trials.

Study Design

Type

Cross-Sectional (n=65,393)

Multicenter

Yes

Structured PICO

P
Population
65,393 chronic hemodialysis patients aged 20 years and older in Japan, analyzed cross-sectionally to determine the prevalence and risk factors for hypertension.
O
Outcome
Prevalence and determinants of hypertension (defined as predialysis systolic blood pressure ≥140 mm Hg or diastolic blood pressure ≥90 mm Hg)

Main Result

Odds Ratio: 1.176 (95% CI 1.159–1.194)

p-value: p=<0.0001

Hypertension is highly prevalent (77.5%) and poorly controlled among chronic hemodialysis patients in Japan, with volume excess being a major determinant.

Cite This Study

Iseki et al. (2007) conducted a cross-sectional in Chronic hemodialysis (n=65,393). Change in body weight by dialysis session (DeltaBW) was evaluated on Hypertension (predialysis SBP ≥140 mm Hg or DBP ≥90 mm Hg) (OR 1.176, 95% CI 1.159-1.194, p=<0.0001). In 65,393 chronic hemodialysis patients in Japan, hypertension prevalence was 77.5% and was significantly associated with volume excess, including change in body weight (OR 1.176; 95% CI 1.159-1.194).

synapsesocial.com/papers/6ab0cd22a36f39afe37fe9fdhttps://doi.org/10.1111/j.1744-9987.2007.00479.x
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Also Consider

Synapse has enriched one closely related paper. Consider it for comparative context:

  1. 1Mortality Risk Factors in Patients Treated by Chronic Hemodialysis2008 · 532 citations