Alistair Chesser

AV Chobanian

BI Freedman

BM Brenner

C Millett

CA Peralta

Chronic Kidney Disease in Adults

DFJ Ansell

E Falaschetti

Ellena Badrick

G Dreyer

Gavin Dreyer

J Feehally

JH Young

JT Wright

M Ashworth

M Othman

MJ Klag

Muhammad Magdi Yaqoob

N Nakao

P Primatesta

PC van den Hoogen

PJ Savage

R Mathur

S de Lusignan

SA Nasser

Sally Hull

SD Navaneethan

SM Campbell

T Ekbom

The National Service Framework for Renal Services - Part Two

WH Kao

BMC Nephrology

English

PubMed

Springer - Publisher Connector

The relationship of ethnicity to the prevalence and management of hypertension and associated chronic kidney disease

Hull, S

Dreyer, G

Badrick, E

Chesser, A

Yaqoob, MM

Queen Mary Research Online

Abstract
          
            Background
            The effect of ethnicity on the prevalence and management of hypertension and associated chronic kidney (CKD) disease in the UK is unknown.
          
          
            Methods
            We 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.
          
          
            Results
            The 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 (&lt; 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.
          
          
            Conclusions
            Significant 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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Crossref

A: Ethnic disparities in blood pressure management in patients with hypertension after the introduction of pay for performance. Ann Fam Med

al: MYH9 is associated with nondiabetic end-stage renal disease in African Americans. Nat Genet

Blood pressure and decline in kidney function: findings from the Systolic Hypertension in the Elderly Program (SHEP).

Blood pressure and end-stage renal disease in men.

Cardiovascular multimorbidity: the effect of ethnicity on prevalence and risk factor management.

Chronic Kidney Disease in Adults: UK Guidelines for Identification, Management and Referral.

Clinical effectiveness group.

Clinical Terms (the Read codes) Version 3 Reference manual.

Continued improvement in hypertension management in England: results from the Health Survey for England

Does earlier attainment of blood pressure goal translate into fewer cardiovascular events? Curr Hypertens Rep

DW: Polymorphisms in the non-muscle myosin heavy chain 9 gene (MYH9) are strongly associated with end-stage renal disease historically attributed to hypertension in African Americans. Kidney Int

Effect of social deprivation on blood pressure monitoring and control in England: a survey of data from the quality and outcomes framework. BMJ

Effects of pay for performance on the quality of primary care in England.

et al: Effect of blood pressure lowering and antihypertensive drug class on progression of hypertensive kidney disease: results from the AASK trial. JAMA

Feest TG, et al: UK Renal Registry Report.

Hypertension management in adults in primary care: pharmacological update. National Institue for Clinical Excellence Guidelines 2004, Last accessed 1/12/09.

Identifying patients with chronic kidney disease from general practice computer records. Fam Pract

Ideura T: Combination treatment of angiotensin-II receptor blocker and angiotensin-converting-enzyme inhibitor in non-diabetic renal disease (COOPERATE): a randomised controlled trial. Lancet

NR: Blood pressure levels and hypertension status among ethnic groups in England. J Hum Hypertens

Practice Guidelines for Chronic Kidney Disease: Evaluation, Classification and Stratification.

Prevention of stroke by antihypertensive drug treatment in older persons with isolated systolic hypertension.

Round Demographic Projections. Greater London Authority Data Management and Analysis Group

Schersten B: Cardiovascular events in elderly patients with isolated systolic hypertension. A subgroup analysis of treatment strategies in STOP-Hypertension-2.

Shahinfar S: Effects of losartan on renal and cardiovascular outcomes in patients with type 2 diabetes and nephropathy.

Shlipak MG: Control of hypertension in adults with chronic kidney disease in the United States. Hypertension

The National Service Framework for Renal Services - Part Two: Chronic Kidney Disease, Acute Renal Failure and End of Life Care.

The relation between blood pressure and mortality due to coronary heart disease among men in different parts of the world.

Tomson CR: Early detection of chronic kidney disease. BMJ

Weight loss interventions in chronic kidney disease: a systematic review and meta-analysis.

Yaqoob MM: The effect of ethnicity on the prevalence of diabetes and associated chronic kidney disease. QJM

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The relationship of ethnicity to the prevalence and management of hypertension and associated chronic kidney disease

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