Treatment and Control of Hypertension Among Adults With Chronic Kidney Disease, 2011 to 2019.


Journal

Hypertension (Dallas, Tex. : 1979)
ISSN: 1524-4563
Titre abrégé: Hypertension
Pays: United States
ID NLM: 7906255

Informations de publication

Date de publication:
Dec 2023
Historique:
medline: 17 11 2023
pubmed: 14 9 2023
entrez: 14 9 2023
Statut: ppublish

Résumé

Hypertension frequently accompanies chronic kidney disease (CKD) as etiology and sequela. We examined contemporary trends in hypertension treatment and control in a national sample of adults with CKD. We evaluated 5% cross-sectional samples of adults with CKD between 2011 and 2019 in the Veterans Health Administration. We defined CKD as a sustained estimated glomerular filtration rate value <60 mL/min per 1.73 m The annual samples ranged between n=22 110 and n=33 039 individuals, with a mean age of 72 years, 96% of whom were men. Between 2011 and 2014, the age-adjusted proportion of adults with controlled BP declined from 78.0% to 72.2% ( Among adults with CKD treated in the Veterans Health Administration, the proportion with controlled BP declined between 2011 and 2015 followed by a modest increase, coinciding with fewer prescriptions for antihypertensive medications.

Sections du résumé

BACKGROUND UNASSIGNED
Hypertension frequently accompanies chronic kidney disease (CKD) as etiology and sequela. We examined contemporary trends in hypertension treatment and control in a national sample of adults with CKD.
METHODS UNASSIGNED
We evaluated 5% cross-sectional samples of adults with CKD between 2011 and 2019 in the Veterans Health Administration. We defined CKD as a sustained estimated glomerular filtration rate value <60 mL/min per 1.73 m
RESULTS UNASSIGNED
The annual samples ranged between n=22 110 and n=33 039 individuals, with a mean age of 72 years, 96% of whom were men. Between 2011 and 2014, the age-adjusted proportion of adults with controlled BP declined from 78.0% to 72.2% (
CONCLUSIONS UNASSIGNED
Among adults with CKD treated in the Veterans Health Administration, the proportion with controlled BP declined between 2011 and 2015 followed by a modest increase, coinciding with fewer prescriptions for antihypertensive medications.

Identifiants

pubmed: 37706307
doi: 10.1161/HYPERTENSIONAHA.123.21523
doi:

Substances chimiques

Antihypertensive Agents 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2533-2543

Commentaires et corrections

Type : CommentIn

Auteurs

Joshua D Martinez (JD)

Division of Nephrology, Department of Medicine, Stanford University School of Medicine and VA Palo Alto Health Care System, CA (J.D.M., M.E.M.-R., A.C.P., M.K.T.).

I-Chun Thomas (IC)

Geriatric Research and Education Clinical Center, VA Palo Alto Health Care System, CA (I.-C.T., M.C.O., M.K.T.).

Maria E Montez-Rath (ME)

Division of Nephrology, Department of Medicine, Stanford University School of Medicine and VA Palo Alto Health Care System, CA (J.D.M., M.E.M.-R., A.C.P., M.K.T.).

Alan C Pao (AC)

Division of Nephrology, Department of Medicine, Stanford University School of Medicine and VA Palo Alto Health Care System, CA (J.D.M., M.E.M.-R., A.C.P., M.K.T.).

Enrica Fung (E)

Division of Nephrology, Department of Medicine, Loma Linda University School of Medicine and Loma Linda VA Health Care System, CA (E.F.).

Vivek Charu (V)

Quantitative Sciences Unit, Department of Medicine (V.C.), Stanford University School of Medicine, CA.
Department of Pathology (V.C.), Stanford University School of Medicine, CA.

John J Sim (JJ)

Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA (J.J.S., J.A.).
Department of Medicine, Division of Nephrology and Hypertension, Kaiser Permanente Los Angeles Medical Center, CA (J.J.S.).

Jaejin An (J)

Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA (J.J.S., J.A.).
Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA (J.A.).

Michelle C Odden (MC)

Geriatric Research and Education Clinical Center, VA Palo Alto Health Care System, CA (I.-C.T., M.C.O., M.K.T.).
Department of Epidemiology and Population Health (M.C.O.), Stanford University School of Medicine, CA.

Manjula Kurella Tamura (M)

Division of Nephrology, Department of Medicine, Stanford University School of Medicine and VA Palo Alto Health Care System, CA (J.D.M., M.E.M.-R., A.C.P., M.K.T.).
Geriatric Research and Education Clinical Center, VA Palo Alto Health Care System, CA (I.-C.T., M.C.O., M.K.T.).

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