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Frequency of albuminuria in primary care: a cross-sectional study
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Bramlage, Peter, Pittrow, David, Lehnert, Hendrik, Hoefler, Michael, Kirch, Wilhelm, Ritz, Eberhard and Wittchen, Hans-Ulrich (2007) Frequency of albuminuria in primary care: a cross-sectional study. European Journal of Cardiovascular Prevention & Rehabilitation, Vol.14 (No.1). pp. 107-113. doi:10.1097/01.hjr.0000224489.03221.de ISSN 1741-8267.
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Official URL: http://dx.doi.org/10.1097/01.hjr.0000224489.03221....
Abstract
Background We aimed to assess the point prevalence of microalbuminuria (MAU) in a sample of unselected consecutive primary-care attendees, with particular focus on patients with diabetes mellitus (with and without additional concomitant diseases) and those with hypertension.
Design Cross-sectional observational study in a nationwide representative sample of 1912 primary-care practices and a patient population consisting of 39 125 primary-care attendees. Diagnoses for diabetes, hypertension and co-morbidities were provided by the treating physician and complemented by blood pressure (BP) measurements and selected lab tests. Screening for microalbuminuria (>20 and <200 mu g/ml) was done with a spot urine dipstick test.
Results The clinical diagnosis of nephropathy was assigned to 7.6% of patients. The point prevalence of MAU was 19.0% in the total sample; the proportion was 33.6% in diabetics whereas the diagnosis was assigned to only 71% in the total sample. Amongst diabetic patients with MAU, 92.6% had BP above the target value of <130/80 mmHg. Frequency rates rose with increasing BP (e.g. 20.6% in diabetic patients with BP<120/70 mmHg, and 36.3% in diabetic patients with BP>140/90 mmHg). Of note, patients with MAU had a higher burden of co-morbidity compared to those without MAU.
Conclusions We found a high prevalence of MAU in primary care, particularly in diabetic patients. The frequency of MAU was closely related to the BP level and the degree of co-morbidity. The present study underlines the magnitude of the problem of MAU in primary care, and should serve as a starting point to initiate measures to address this important public health issue.
Item Type: | Journal Article | ||||
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Subjects: | Q Science > QM Human anatomy | ||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||
Journal or Publication Title: | European Journal of Cardiovascular Prevention & Rehabilitation | ||||
Publisher: | Lippincott Williams & Wilkins | ||||
ISSN: | 1741-8267 | ||||
Official Date: | February 2007 | ||||
Dates: |
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Volume: | Vol.14 | ||||
Number: | No.1 | ||||
Number of Pages: | 7 | ||||
Page Range: | pp. 107-113 | ||||
DOI: | 10.1097/01.hjr.0000224489.03221.de | ||||
Status: | Peer Reviewed | ||||
Publication Status: | Published | ||||
Access rights to Published version: | Restricted or Subscription Access |
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