Document Detail


Epidemiology of hypertension in the elderly with chronic kidney disease.
MedLine Citation:
PMID:  20610360     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
As the population of the United States ages, the prevalence of age-related chronic conditions such as hypertension and chronic kidney disease (CKD) will also increase. Available studies in nationally representative samples and select outpatient populations indicate that hypertension is very common in older adults with CKD, and despite the use of medication it is often poorly controlled. Generally, less than one-third of the elderly patients with CKD achieve a level of blood pressure control consistent with that of the current guideline recommendations. However, limited evidence is available from observational studies and clinical trials to inform management of hypertension in the elderly population with CKD. The available published data suggest that the relationship between clinical outcomes and the treatment of hypertension among older adults with CKD is complex and distinct from that of their younger counterparts. Larger and more robust analyses are needed for a better understanding of the association between hypertension, its treatment, and clinical events in elderly patients with CKD.
Authors:
Michael J Fischer; Ann M O'Hare
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.; Review    
Journal Detail:
Title:  Advances in chronic kidney disease     Volume:  17     ISSN:  1548-5609     ISO Abbreviation:  Adv Chronic Kidney Dis     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-08     Completed Date:  2010-08-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101209214     Medline TA:  Adv Chronic Kidney Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  329-40     Citation Subset:  IM    
Copyright Information:
Published by Elsevier Inc.
Affiliation:
Jesse Brown VA Medical Center, Chicago, IL 60141, USA. fischerm@uic.edu <fischerm@uic.edu>
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Aged, 80 and over
Antihypertensive Agents / therapeutic use
Chronic Disease
Female
Health Knowledge, Attitudes, Practice
Humans
Hypertension / complications*,  drug therapy,  epidemiology
Kidney Diseases / epidemiology*,  etiology
Male
United States / epidemiology
Grant Support
ID/Acronym/Agency:
K23AG28980/AG/NIA NIH HHS
Chemical
Reg. No./Substance:
0/Antihypertensive Agents

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