UK Renal Registry 13th Annual Report (December 2010): Chapter 11: blood pressure profile of prevalent patients receiving renal replacement therapy in England, Wales and Northern Ireland in 2009: national and centre-specific analyses

Nephron Clin Pract. 2011:119 Suppl 2:c215-24. doi: 10.1159/000331779. Epub 2011 Aug 26.

Abstract

Background: The UK Renal Registry (UKRR) assesses blood pressure (BP) control annually for patients receiving Renal Replacement Therapy (RRT) at renal centres in England, Wales and Northern Ireland.

Methods: Patients alive and receiving RRT on 31st December 2009 with a BP reading in either the fourth or third quarter of 2009 were included. Summary statistics were calculated for each renal centre and country.

Results: Data completeness for BP measurements submitted to the UKRR for all modalities improved from the previous year and was better for HD patients (67% for pre-HD measurements) than for PD patients (44%) or transplant recipients (37%). In 2009, the median pre-and post-HD SBP were 142 mmHg and 129 mmHg respectively. The median SBP of patients on PD was 137 mmHg. Transplant recipients had a median SBP of 134 mmHg. Median DBP were 74 mmHg (pre-HD), 68 mmHg (post-HD), 79 mmHg (PD) and 79 mmHg (transplant). Only 26.7% of PD patients achieved the Renal Association guideline of SBP <130 mmHg and DBP <80 mmHg. Amongst transplant patients, 27.2% achieved the Renal Association guideline of SBP <130 mmHg and DBP <80 mmHg.

Conclusion: In 2009 there continued to be significant variation in the achievement of BP standards between UK renal centres.

Publication types

  • Comparative Study
  • Multicenter Study

MeSH terms

  • Ambulatory Care Facilities / standards
  • Ambulatory Care Facilities / trends
  • Annual Reports as Topic*
  • Blood Pressure Determination / standards
  • Blood Pressure Determination / trends*
  • England / epidemiology
  • Humans
  • Hypertension / diagnosis
  • Hypertension / epidemiology
  • Hypertension / physiopathology
  • Kidney Failure, Chronic / epidemiology
  • Kidney Failure, Chronic / physiopathology*
  • Kidney Failure, Chronic / therapy*
  • Northern Ireland / epidemiology
  • Prevalence
  • Registries*
  • Renal Replacement Therapy / standards*
  • Renal Replacement Therapy / trends
  • United Kingdom / epidemiology
  • Wales / epidemiology