| Are adverse pregnancy outcomes risk factors for development of end-stage renal disease in women with diabetes? | |
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MedLine Citation:
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PMID: 20494895 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: It is unknown whether adverse pregnancy-related outcomes in women with pregestational diabetes are associated with later development of end-stage renal disease (ESRD) or death. METHODS: We linked data from the Medical Birth Registry of Norway with data from the Norwegian Renal Registry and the Norwegian Cause of Death Registry. Data from up to three pregnancies for women with a first singleton delivery from 1967 to 1994 were included and analysed in a cohort design using Cox regression. RESULTS: Altogether, 639,018 women were included in the analyses, among whom 2204 women had diabetes mellitus before pregnancy. Their first pregnancy was complicated by pre-eclampsia in 13.2%, low birth weight offspring (<2.5 kg) in 11.0% and preterm birth in 25.1%, and their risk of ESRD and death in the follow-up period of up to 37 years was markedly higher. In women with pregestational diabetes, pre-eclampsia and preterm birth were associated with significantly increased risks of ESRD and death in women with only one pregnancy, but not in women with two or more pregnancies. CONCLUSIONS: In women with pregestational diabetes, pre-eclampsia and preterm birth were associated with long-term increased risk of ESRD and death, but only in women who had only one pregnancy. |
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Authors:
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Miriam K Sandvik; Bjarne M Iversen; Lorentz M Irgens; Rolv Skjaerven; Torbjørn Leivestad; Eirik Søfteland; Bjørn Egil Vikse |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-05-20 |
Journal Detail:
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Title: Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association Volume: 25 ISSN: 1460-2385 ISO Abbreviation: Nephrol. Dial. Transplant. Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-10-21 Completed Date: 2011-02-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8706402 Medline TA: Nephrol Dial Transplant Country: England |
Other Details:
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Languages: eng Pagination: 3600-7 Citation Subset: IM |
Affiliation:
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Renal Research Group, Institute of Medicine, University of Bergen, Bergen, Norway. miriam.sandvik@med.uib.no |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Diabetic Nephropathies
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etiology*,
mortality Endothelium, Vascular / physiology Female Follow-Up Studies Humans Kidney Failure, Chronic / etiology* Pre-Eclampsia* Pregnancy Pregnancy in Diabetics* Premature Birth* Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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