ArticleBMC nephrology2011
The relationship of ethnicity to the prevalence and management of hypertension and associated chronic kidney disease.
Article in BMC nephrology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 43 citations in OpenAlex.
- Association of parity with the prevalence of hypertension in Japan: The Tohoku Medical Megabank Community-based cohort study.Journal of clinical hypertension (Greenwich, Conn.) · 2024Article
- Cardiovascular disease in older women with CKD.Clinical kidney journal · 2023Article
- Inequities in kidney health and kidney care.Nature reviews. Nephrology · 2023Review
- Kidney Function and Long-Term Risk of End-Stage Kidney Disease and Mortality in a Multiethnic Population.Kidney international reports · 2023Article
- Ethnic differences in hypertension management, medication use and blood pressure control in UK primary care, 2006-2019: a retrospective cohort study.The Lancet regional health. Europe · 2023Article
- The use of culturally adapted and translated depression screening questionnaires with South Asian haemodialysis patients in England.PloS one · 2023Article
- Hypertension and cardiovascular risk factor management in a multi-ethnic cohort of adults with CKD: a cross sectional study in general practice.Journal of nephrology · 2022Article
- Trans-ethnic Mendelian-randomization study reveals causal relationships between cardiometabolic factors and chronic kidney disease.International journal of epidemiology · 2022Article
- Association Between Renal Dysfunction and Low HDL Cholesterol Among the Elderly in China.Frontiers in cardiovascular medicine · 2021Article
- Uncoded chronic kidney disease in primary care: a cross-sectional study of inequalities and cardiovascular disease risk management.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Article
- Ethnic minority disparities in progression and mortality of pre-dialysis chronic kidney disease: a systematic scoping review.BMC nephrology · 2020Article
- Prevalence of chronic kidney disease in the community using data from OxRen: a UK population-based cohort study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2020Observational
- Improving coding and primary care management for patients with chronic kidney disease: an observational controlled study in East London.The British journal of general practice : the journal of the Royal College of General Practitioners · 2019Observational
- How do primary care doctors in England and Wales code and manage people with chronic kidney disease? Results from the National Chronic Kidney Disease Audit.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2018Article
- New perspectives on the role of melatonin in human sleep, circadian rhythms and their regulation.British journal of pharmacology · 2018Review
- The risk factors of 9-year follow-up on hypertension in middle-aged people in Tujia-Nationality settlement of China.Journal of human hypertension · 2017Article
- Baseline General Characteristics of the Korean Chronic Kidney Disease: Report from the KoreaN Cohort Study for Outcomes in Patients With Chronic Kidney Disease (KNOW-CKD).Journal of Korean medical science · 2017Article
- Smaller kidney size at birth in South Asians: findings from the Born in Bradford birth cohort study.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2016Article
- A peer outreach initiative to increase the registration of minorities as organ donors.Clinical kidney journal · 2015Article
- Research into practice: understanding ethnic differences in healthcare usage and outcomes in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe effect of ethnicity on the prevalence and management of hypertension and associated chronic kidney (CKD) disease in the UK is unknown.
methodsWe performed a cross sectional study of 49,203 adults with hypertension to establish the prevalence and management of hypertension and associated CKD by ethnicity. Routinely collected data from general practice hypertension registers in 148 practices in London between 1/1/07 and 31/3/08 were analysed.
resultsThe crude prevalence of hypertension was 9.5%, and by ethnicity was 8.2% for White, 11.3% for South Asian and 11.1% for Black groups. The prevalence of CKD stages 3-5 among those with hypertension was 22%. Stage 3 CKD was less prevalent in South Asian groups (OR 0.77, 95% CI 0.67 - 0.88) compared to Whites (reference population) with Black groups having similar rates to Whites. The prevalence of severe CKD (stages 4-5) was higher in the South Asian group (OR 1.53, 95% CI 1.17 - 2.0) compared to Whites, but did not differ between Black and White groups. In the whole hypertension cohort, achievement of target blood pressure (< 140/90 mmHg) was better in South Asian (OR 1.43, 95% CI 1.28 - 1.60) and worse in Black groups (OR 0.79, 95% CI 0.74 - 0.84) compared to White patients. Hypertensive medication was prescribed unequally among ethnic groups for any degree of blood pressure control.
conclusionsSignificant variations exist in the prevalence of hypertension and associated CKD and its management between the major ethnic groups. Among those with CKD less than 50% were treated to a target BP of ≤ 130/80 mmHg. Rates of ACE-I/ARB prescribing for those with CKD were less than optimal, with the lowest rates (58.5%) among Black groups.
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