The beneficial effects of menopausal hormone therapy on renal survival in postmenopausal Korean women from a nationwide health survey

Abstract Several studies have demonstrated the nephroprotective effects of estrogen on renal damage. In light of the inconsistent results of previous findings, this study aims to evaluate the in-depth role of menopausal hormone therapy (MHT) on the development of end stage renal disease (ESRD). 3,10...

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Autores principales: Shin Young Ahn, Yoon Jin Choi, Jieun Kim, Gang Jee Ko, Young Joo Kwon, Kyungdo Han
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/01839f6d1c7d4971a3beef0ddcaa02c3
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spelling oai:doaj.org-article:01839f6d1c7d4971a3beef0ddcaa02c32021-12-02T18:46:54ZThe beneficial effects of menopausal hormone therapy on renal survival in postmenopausal Korean women from a nationwide health survey10.1038/s41598-021-93847-92045-2322https://doaj.org/article/01839f6d1c7d4971a3beef0ddcaa02c32021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93847-9https://doaj.org/toc/2045-2322Abstract Several studies have demonstrated the nephroprotective effects of estrogen on renal damage. In light of the inconsistent results of previous findings, this study aims to evaluate the in-depth role of menopausal hormone therapy (MHT) on the development of end stage renal disease (ESRD). 3,109,506 Korean adult women who had undergone a medical examination in 2009 (index year) were initially identified for inclusion in this study. We excluded subjects had not experienced menopause naturally, had data missing for at least one variable, and were diagnosed with ESRD within 1 year from the index year. MHT data was obtained from self-reporting questionnaires and the primary outcome was the development of ESRD from the index year until December 31, 2018. A final total of 1,460,311 subjects were included in this study. The participants were divided into four groups according to the duration of MHT; no history of MHT, MHT < 2 years, 2 ≤ MHT < 5 years, MHT ≥ 5 years. During the 9-year study period, a total of 4905 participants developed ESRD. The participants who had a history of MHT use were found to have a 30% reduced risk of developing ESRD. Results from the subgroup analyses were similar to that of the primary study. The findings in this study demonstrate the beneficial effects of MHT on the development of ESRD in postmenopausal women. Based on results, our study may offer suggestions for further studies to investigate the therapeutic options on kidney disease.Shin Young AhnYoon Jin ChoiJieun KimGang Jee KoYoung Joo KwonKyungdo HanNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Shin Young Ahn
Yoon Jin Choi
Jieun Kim
Gang Jee Ko
Young Joo Kwon
Kyungdo Han
The beneficial effects of menopausal hormone therapy on renal survival in postmenopausal Korean women from a nationwide health survey
description Abstract Several studies have demonstrated the nephroprotective effects of estrogen on renal damage. In light of the inconsistent results of previous findings, this study aims to evaluate the in-depth role of menopausal hormone therapy (MHT) on the development of end stage renal disease (ESRD). 3,109,506 Korean adult women who had undergone a medical examination in 2009 (index year) were initially identified for inclusion in this study. We excluded subjects had not experienced menopause naturally, had data missing for at least one variable, and were diagnosed with ESRD within 1 year from the index year. MHT data was obtained from self-reporting questionnaires and the primary outcome was the development of ESRD from the index year until December 31, 2018. A final total of 1,460,311 subjects were included in this study. The participants were divided into four groups according to the duration of MHT; no history of MHT, MHT < 2 years, 2 ≤ MHT < 5 years, MHT ≥ 5 years. During the 9-year study period, a total of 4905 participants developed ESRD. The participants who had a history of MHT use were found to have a 30% reduced risk of developing ESRD. Results from the subgroup analyses were similar to that of the primary study. The findings in this study demonstrate the beneficial effects of MHT on the development of ESRD in postmenopausal women. Based on results, our study may offer suggestions for further studies to investigate the therapeutic options on kidney disease.
format article
author Shin Young Ahn
Yoon Jin Choi
Jieun Kim
Gang Jee Ko
Young Joo Kwon
Kyungdo Han
author_facet Shin Young Ahn
Yoon Jin Choi
Jieun Kim
Gang Jee Ko
Young Joo Kwon
Kyungdo Han
author_sort Shin Young Ahn
title The beneficial effects of menopausal hormone therapy on renal survival in postmenopausal Korean women from a nationwide health survey
title_short The beneficial effects of menopausal hormone therapy on renal survival in postmenopausal Korean women from a nationwide health survey
title_full The beneficial effects of menopausal hormone therapy on renal survival in postmenopausal Korean women from a nationwide health survey
title_fullStr The beneficial effects of menopausal hormone therapy on renal survival in postmenopausal Korean women from a nationwide health survey
title_full_unstemmed The beneficial effects of menopausal hormone therapy on renal survival in postmenopausal Korean women from a nationwide health survey
title_sort beneficial effects of menopausal hormone therapy on renal survival in postmenopausal korean women from a nationwide health survey
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/01839f6d1c7d4971a3beef0ddcaa02c3
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