Nationwide Glaucoma incidence in end stage renal disease patients and kidney transplant recipients

Abstract Glaucoma shares common risk factors with chronic kidney disease (CKD) but previous cross-sectional studies have demonstrated discrepancies in the risk of glaucoma in CKD patients. This study enrolled kidney transplantation recipients (KTRs) (n = 10,955), end stage renal disease (ESRD) patie...

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Autores principales: Jong Joo Moon, Yong Woo Kim, Baek-Lok Oh, Kyungdo Han, Dong Ki Kim, Kwon Wook Joo, Yon Su Kim, Ki Ho Park, Hajeong Lee, Yong Chul Kim, Jin Wook Jeoung
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:da5fa494abf148a683c6366097b30eda2021-12-02T14:23:05ZNationwide Glaucoma incidence in end stage renal disease patients and kidney transplant recipients10.1038/s41598-021-86846-32045-2322https://doaj.org/article/da5fa494abf148a683c6366097b30eda2021-04-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-86846-3https://doaj.org/toc/2045-2322Abstract Glaucoma shares common risk factors with chronic kidney disease (CKD) but previous cross-sectional studies have demonstrated discrepancies in the risk of glaucoma in CKD patients. This study enrolled kidney transplantation recipients (KTRs) (n = 10,955), end stage renal disease (ESRD) patients (n = 10,955) and healthy controls (n = 10,955) from National Health Insurance Service database of the Republic of Korea. A Cox proportional hazard regression model was used to calculate the hazard ratios (HR) for primary open-angle glaucoma (POAG) and primary angle-closure glaucoma (PACG) incidences. The incidence of POAG was higher in ESRD patients (3.36/1,000 person-years, P < 0.0001) and KTRs (3.22 /1,000 person-years, P < 0.0001), than in healthy controls (1.20/1,000 person-years). However, POAG risk showed no significant increase in either ESRD patients (P = 0.07) or KTRs (P = 0.08) when adjusted for the confounding factors. The incidence of PACG was significantly higher in ESRD patients (0.41/1,000 person-years) than in healthy controls (0.14/1,000 person-years, P = 0.008). The PACG incidence was significantly lower in KTRs than in ESRD patients (HR = 0.35, P = 0.015). In conclusion, this nationwide cohort study demonstrated that kidney transplantation can reduce the risk of PACG but not POAG in ESRD patients.Jong Joo MoonYong Woo KimBaek-Lok OhKyungdo HanDong Ki KimKwon Wook JooYon Su KimKi Ho ParkHajeong LeeYong Chul KimJin Wook JeoungNature 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
Jong Joo Moon
Yong Woo Kim
Baek-Lok Oh
Kyungdo Han
Dong Ki Kim
Kwon Wook Joo
Yon Su Kim
Ki Ho Park
Hajeong Lee
Yong Chul Kim
Jin Wook Jeoung
Nationwide Glaucoma incidence in end stage renal disease patients and kidney transplant recipients
description Abstract Glaucoma shares common risk factors with chronic kidney disease (CKD) but previous cross-sectional studies have demonstrated discrepancies in the risk of glaucoma in CKD patients. This study enrolled kidney transplantation recipients (KTRs) (n = 10,955), end stage renal disease (ESRD) patients (n = 10,955) and healthy controls (n = 10,955) from National Health Insurance Service database of the Republic of Korea. A Cox proportional hazard regression model was used to calculate the hazard ratios (HR) for primary open-angle glaucoma (POAG) and primary angle-closure glaucoma (PACG) incidences. The incidence of POAG was higher in ESRD patients (3.36/1,000 person-years, P < 0.0001) and KTRs (3.22 /1,000 person-years, P < 0.0001), than in healthy controls (1.20/1,000 person-years). However, POAG risk showed no significant increase in either ESRD patients (P = 0.07) or KTRs (P = 0.08) when adjusted for the confounding factors. The incidence of PACG was significantly higher in ESRD patients (0.41/1,000 person-years) than in healthy controls (0.14/1,000 person-years, P = 0.008). The PACG incidence was significantly lower in KTRs than in ESRD patients (HR = 0.35, P = 0.015). In conclusion, this nationwide cohort study demonstrated that kidney transplantation can reduce the risk of PACG but not POAG in ESRD patients.
format article
author Jong Joo Moon
Yong Woo Kim
Baek-Lok Oh
Kyungdo Han
Dong Ki Kim
Kwon Wook Joo
Yon Su Kim
Ki Ho Park
Hajeong Lee
Yong Chul Kim
Jin Wook Jeoung
author_facet Jong Joo Moon
Yong Woo Kim
Baek-Lok Oh
Kyungdo Han
Dong Ki Kim
Kwon Wook Joo
Yon Su Kim
Ki Ho Park
Hajeong Lee
Yong Chul Kim
Jin Wook Jeoung
author_sort Jong Joo Moon
title Nationwide Glaucoma incidence in end stage renal disease patients and kidney transplant recipients
title_short Nationwide Glaucoma incidence in end stage renal disease patients and kidney transplant recipients
title_full Nationwide Glaucoma incidence in end stage renal disease patients and kidney transplant recipients
title_fullStr Nationwide Glaucoma incidence in end stage renal disease patients and kidney transplant recipients
title_full_unstemmed Nationwide Glaucoma incidence in end stage renal disease patients and kidney transplant recipients
title_sort nationwide glaucoma incidence in end stage renal disease patients and kidney transplant recipients
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/da5fa494abf148a683c6366097b30eda
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