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学科主题: 临床医学
题名:
Improvement of awareness, treatment and control of hypertension among chronic kidney disease patients in China from 1999 to 2005
作者: Wang, Yu1,2; Zhang, Luxia1,2; Li, Xiaomei1,2; Xu, Yulan3; Yang, Min4; Qian, Jiaqi5; Wang, Lining6; Chen, Nan7; Gu, Yong8; Chen, Mangmang9; Xing, Changying10; Chen, Xiangmei11; Hou, Fanfan12; Yu, Xueqing13; Cheng, Xiaomiao14; Guo, Lanzhong15; Wei, Chongyi16; Huang, Guodong17; Zhang, Qing18; Wang, Rong19; Wang, Li20; Mei, Changlin21; Li, Youyun22; Liu, Zhihong23; Zhao, Liancheng24,25; Wu, Yangfeng26; Wang, Hai Yan1,2
关键词: awareness ; chronic kidney disease ; control ; treatment
刊名: HYPERTENSION RESEARCH
发表日期: 2009-06-01
DOI: 10.1038/hr.2009.38
卷: 32, 期:6, 页:444-449
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Peripheral Vascular Disease
研究领域[WOS]: Cardiovascular System & Cardiology
关键词[WOS]: RISK-FACTOR INTERVENTION ; BLOOD-PRESSURE CONTROL ; OPTIMAL TREATMENT HOT ; DIABETIC-NEPHROPATHY ; RENAL-FUNCTION ; TRIAL ; PROGRESSION ; PREVALENCE ; MANAGEMENT ; OUTCOMES
英文摘要:

Controlling hypertension is important to protect renal function and prevent cardiovascular disease in chronic kidney disease (CKD) patients. However, data on hypertension awareness, treatment and control among CKD patients are limited. Two nationwide surveys were conducted in China in 1999-2000 and 2004-2005 among, respectively, 1328 and 1244 adult, non-dialysis, hypertensive CKD patients, to assess the status of hypertension awareness, treatment and control and associated factors. A standard questionnaire was adopted, and blood pressure (BP) was measured by trained staff according to a standard protocol in both surveys. Compared with the data from 1999-2000, the data from 2004-2005 showed increased awareness (87.2 vs. 75.7%, P<0.001), treatment (85.9 vs. 80.4%, P-0.001) and control (30.0 vs. 21.1%, P<0.001, by the general threshold of BP<140/90 mm Hg; 7.7 vs. 5.9%, P=0.075, by an optimal threshold of BP<130/80 mm Hg) of hypertension. The odds ratios for general BP control were 1.4 (95% confidence index (CI), 1.1-1.7) for female gender, 1.1 (95% CI, 1.0-1.1) for high estimated glomerular filtration rate, 1.3 (95% CI, 1.1-1.6) for treatment in a local hospital, 2.8 (95% CI, 2.0-3.9) for hypertension awareness and 1.7 (95% CI, 1.4-1.9) for combined treatment. General physicians from local hospitals made greater contributions to the total improvement. Lack of treatment was mainly due to patients not recognizing the necessity for it. This is the first report of hypertension awareness, treatment and control among hypertensive CKD patients from a developing country. Improvement of awareness and general control of hypertension were demonstrated. Education of both physicians and patients regarding optimal BP control should be reinforced in the future. Hypertension Research (2009) 32, 444-449; doi: 10.1038/hr.2009.38

语种: 英语
项目资助者: Ministry of Education Foundation of China
WOS记录号: WOS:000266628200005
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/53715
Appears in Collections:北京大学第一临床医学院_肾脏内科_期刊论文

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作者单位: 1.Shang Hai Chang Zheng Hosp, Dept Nephrol, Shanghai, Peoples R China
2.Luzhou Med Coll, Affiliated Hosp, Luzhou, Peoples R China
3.Nanjing Gen Hosp Nan Jing Mil Command, Nanjing, Peoples R China
4.Minist Hlth, Key Lab Renal Dis, Beijing, Peoples R China
5.Li Hui Li Hosp, Dept Nephrol, Ning Bo Med Ctr, Ningbo, Peoples R China
6.An Gang Tie Dong Hosp, Anshan, Peoples R China
7.China PLA Gen Hosp, Dept Nephrol, Beijing, Peoples R China
8.Dong Yang Chinese Tadit Med Hosp, Dongyang, Peoples R China
9.Affiliated Hosp 1, Xin Xiang Med Sch, Xingxiang, Peoples R China
10.Shandong Prov Hosp, Dept Nephrol, Jinan, Peoples R China
11.Si Chuan Prov Hosp, Div Nphrol, Chengdu, Peoples R China
12.Peking Univ, Div Renal, Dept Med, Hosp 1,Inst Nephrol, Beijing 100034, Peoples R China
13.Wen Zhou Med Coll, Dept Nephrol, Affiliated Hosp 1, Wenzhou, Peoples R China
14.Shanghai Jiao Tong Univ, Dept Nephrol, Ren Ji Hosp, Sch Med, Shanghai 200030, Peoples R China
15.China Med Univ, Dept Nephrol, Hosp 1, Shenyang, Peoples R China
16.Shanghai Jiao Tong Univ, Dept Nephrol, Rui Jin Hosp, Sch Med, Shanghai 200030, Peoples R China
17.Fu Dan Univ, Dept Nephrol, Hua Shan Hosp, Shanghai, Peoples R China
18.Nanjing Med Univ, Dept Nephrol, Affiliated Hosp 1, Nanjing, Peoples R China
19.So Med Univ, Div Renal, Nanfang Hosp, Guangzhou, Peoples R China
20.Zhong Shan Univ, Dept Nephrol, Affiliated Hosp 1, Guangzhou, Peoples R China
21.Cent S Univ, Dept Nephrol, Xiangya Hosp, Changsha, Peoples R China
22.Guang Xi Chinese Tradit Med Coll, Affiliated Hosp 2, Liuzhou, Peoples R China
23.Qing Dao Univ, Dept Nephrol, Yan Tai Yu Huang Ding Hosp, Sch Med, Yantai, Peoples R China
24.Chinese Acad Med Sci, Dept Epidemiol, Fu Wai Hosp, Beijing 100037, Peoples R China
25.Chinese Acad Med Sci, Cardiovasc Inst, Beijing 100037, Peoples R China
26.Peking Univ, Dept Epidemiol & Biostat, Sch Publ Hlth, Beijing 100871, Peoples R China

Recommended Citation:
Wang, Yu,Zhang, Luxia,Li, Xiaomei,et al. Improvement of awareness, treatment and control of hypertension among chronic kidney disease patients in China from 1999 to 2005[J]. HYPERTENSION RESEARCH,2009,32(6):444-449.
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