Risk of Chronic Kidney Disease in Hospitalized Patients with Hidradenitis Suppurativa.


Journal

Dermatology (Basel, Switzerland)
ISSN: 1421-9832
Titre abrégé: Dermatology
Pays: Switzerland
ID NLM: 9203244

Informations de publication

Date de publication:
2023
Historique:
received: 22 07 2021
accepted: 23 06 2023
medline: 7 12 2023
pubmed: 25 7 2023
entrez: 24 7 2023
Statut: ppublish

Résumé

Hidradenitis suppurativa (HS) is associated with several comorbidities such as diabetes mellitus and cardiovascular diseases. These comorbidities are also risk factors for chronic kidney disease (CKD), yet little is known about the risk of CKD in HS patients. The objective was to study the prevalence of CKD in HS patients. Cross-sectional population-based study using the United States National Inpatient Sample database between January 1, 2002 and December 31, 2012 was performed. We identified 23,767 hospital admissions for HS patients and 95,068 admissions for age- and gender-matched controls. The prevalence of CKD in HS patients was 6.3% (1,497/23,767) compared to non-HS controls which was 4.3% (4,052/95,068). The association of CKD was strongest in HS patients, who were ≥60 years old, 16.9% (475/2,811), male 7.3% (695/9,556), obese 7.8% (407/5,209), diabetic 12.5% (890/7,105), hyperlipidemic 13.3% (416/3,126), and had cardiovascular diseases 12.5% (631/5,045). The crude odds ratio of CKD in HS patients was 1.5 (95% CI: 1.420-1.605) compared to non-HS patients. The association remained significant after adjusting for important covariates with adjusted odds ratio of CKD in HS patients of 1.1 (95% CI: 1.014-1.176) compared to non-HS patients. Our findings show that there is a possible association of HS with CKD. Any signs of CKD should be assessed by a nephrologist as early diagnosis can hopefully prevent further progression.

Sections du résumé

BACKGROUND BACKGROUND
Hidradenitis suppurativa (HS) is associated with several comorbidities such as diabetes mellitus and cardiovascular diseases. These comorbidities are also risk factors for chronic kidney disease (CKD), yet little is known about the risk of CKD in HS patients.
OBJECTIVES OBJECTIVE
The objective was to study the prevalence of CKD in HS patients.
METHODS METHODS
Cross-sectional population-based study using the United States National Inpatient Sample database between January 1, 2002 and December 31, 2012 was performed.
RESULTS RESULTS
We identified 23,767 hospital admissions for HS patients and 95,068 admissions for age- and gender-matched controls. The prevalence of CKD in HS patients was 6.3% (1,497/23,767) compared to non-HS controls which was 4.3% (4,052/95,068). The association of CKD was strongest in HS patients, who were ≥60 years old, 16.9% (475/2,811), male 7.3% (695/9,556), obese 7.8% (407/5,209), diabetic 12.5% (890/7,105), hyperlipidemic 13.3% (416/3,126), and had cardiovascular diseases 12.5% (631/5,045). The crude odds ratio of CKD in HS patients was 1.5 (95% CI: 1.420-1.605) compared to non-HS patients. The association remained significant after adjusting for important covariates with adjusted odds ratio of CKD in HS patients of 1.1 (95% CI: 1.014-1.176) compared to non-HS patients.
CONCLUSIONS CONCLUSIONS
Our findings show that there is a possible association of HS with CKD. Any signs of CKD should be assessed by a nephrologist as early diagnosis can hopefully prevent further progression.

Identifiants

pubmed: 37487485
pii: 000531960
doi: 10.1159/000531960
pmc: PMC10711764
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

912-918

Informations de copyright

The Author(s). Published by S. Karger AG, Basel.

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Auteurs

Nouf Almuhanna (N)

Division of Dermatology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Division of Dermatology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Division of Dermatology, Department of Medicine, King Fahad Medical City, Riyadh, Saudi Arabia.

Sheldon W Tobe (SW)

Division of Nephrology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Northern Ontario School of Medicine, Sudbury, Ontario, Canada.

Raed Alhusayen (R)

Division of Dermatology, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Division of Dermatology, Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

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Classifications MeSH