Powe NR, Hermann JA, Coresh J, Whelton PW, Klag MJ
Attribution of hypertension as the underlying cause of ESRD:
does race matter?
Am Soc Nephrol
J Am Soc Nephrol (abstract)
(Nov) 6:400 1995
It is well known that the incidence of nephrosclerosis is higher
in blacks than in whites. This study used the USRDS Case Mix
Severity datset (n=4897 patients) to examine the interesting
premise that a certain portion of the higher incidence of
hypertensive ESRD in blacks may be due to physician bias. Even
after adjustment for age, gender, diabetes, blood pressure, and
social factors, the probability of having an assigned diagnosis
of hypertensive ESRD was twice that in blacks than in whites.
Among diabetic patients, blacks had a higher risk than whites of
being assigned a dx of hypertensive ESRD vs. diabetic ESRD.
Among non-diabetics there was a higher chance among blacks of
being labelled with a diagnosis of hypertensive ESRD than ESRD of
unknown etiology.
(Daugirdas)
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Am Soc Nephrol
CRF by problems area :
Etiology
H: Pathophysiology :
Kidney in hypertension