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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Nature Portfolio
2021
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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) |
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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 |
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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 |
work_keys_str_mv |
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