Ethnicity and Hypertension Management in Chronic Kidney Disease
Author Information
Author(s): Sally Hull, Gavin Dreyer, Ellena Badrick, Alistair Chesser, Yaqoob Muhammad Magdi
Primary Institution: Centre for health sciences, Queen Mary University, London, UK
Hypothesis
The study aims to examine the effect of ethnicity on the prevalence and management of hypertension and associated chronic kidney disease (CKD).
Conclusion
There are significant variations in the prevalence of hypertension and CKD management among different ethnic groups in the UK.
Supporting Evidence
- The crude prevalence of hypertension was 9.5%, with variations by ethnicity.
- South Asian groups had a lower prevalence of stage 3 CKD compared to Whites.
- Less than 50% of patients with CKD achieved target blood pressure control.
Takeaway
This study found that different ethnic groups have different rates of high blood pressure and kidney disease, and they are treated differently by doctors.
Methodology
A cross-sectional study analyzing routinely collected data from general practice hypertension registers in 148 practices in London.
Potential Biases
Potential bias due to the exclusion of certain ethnic groups and reliance on self-reported ethnicity.
Limitations
The study relies on routine clinical data, which may vary in accuracy and completeness, and it excludes patients with diabetes.
Participant Demographics
The cohort included 45.3% males, with a diverse ethnic representation from a socially deprived area in East London.
Statistical Information
P-Value
p<0.001
Confidence Interval
95% CI: 0.67 - 0.88 for CKD stage 3 prevalence in South Asians compared to Whites.
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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