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Assessment of Vascular Function in Patients With Chronic Kidney Disease
08:50

Assessment of Vascular Function in Patients With Chronic Kidney Disease

Published on: June 16, 2014

Epidemiology of hypertension in the elderly with chronic kidney disease

Michael J Fischer1, Ann M O'Hare

  • 1Jesse Brown VA Medical Center, Chicago, IL 60141, USA. fischerm@uic.edu <fischerm@uic.edu>

Advances in Chronic Kidney Disease
|July 9, 2010
PubMed

Insights

Hypertension is common and poorly controlled in older adults with chronic kidney disease (CKD). More research is needed to understand optimal blood pressure management strategies for this growing population.

Area of Science:

  • Gerontology
  • Nephrology
  • Cardiology

Background:

  • Aging populations are experiencing increased rates of chronic conditions like hypertension and chronic kidney disease (CKD).
  • Hypertension is highly prevalent in elderly individuals with CKD, frequently remaining uncontrolled despite medication.
  • Current guidelines for blood pressure control are met by fewer than one-third of elderly CKD patients.

Purpose of the Study:

  • To review the current evidence on hypertension management in older adults with CKD.
  • To highlight the complexities and distinctiveness of hypertension treatment outcomes in this demographic.
  • To identify the need for further research in this area.

Main Methods:

  • Review of available observational studies and clinical trials.
  • Analysis of data from nationally representative samples and outpatient populations.
  • Synthesis of existing literature on hypertension and CKD in the elderly.

Main Results:

  • Hypertension is a significant comorbidity in elderly patients with CKD.
  • Blood pressure control is often inadequate in this population.
  • The relationship between hypertension treatment and clinical outcomes in older adults with CKD differs from younger individuals.

Conclusions:

  • Evidence for guiding hypertension management in elderly CKD patients is limited.
  • The association between hypertension, its treatment, and clinical events in this group requires further investigation.
  • Larger, robust analyses are necessary to inform clinical practice and improve patient outcomes.

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