Skip Navigation


QJM Advance Access originally published online on January 15, 2009
QJM 2009 102(4):261-269; doi:10.1093/qjmed/hcn177
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
102/4/261    most recent
hcn177v1
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Dreyer, G.
Right arrow Articles by Yaqoob, M.M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Dreyer, G.
Right arrow Articles by Yaqoob, M.M.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© The Author 2009. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

The effect of ethnicity on the prevalence of diabetes and associated chronic kidney disease

G. Dreyer1,*, S. Hull2,*, Z. Aitken2, A. Chesser1 and M.M. Yaqoob1

From the 1Renal Department, Barts and the London NHS trust, Whitechapel, London E1 1BB, UK and 2Centre for Health Sciences, Queen Mary University of London, Whitechapel, London, E1 1BB UK

Address correspondence to Dr Gavin Dreyer, Renal Department, Basement of West Wing, Royal London Hospital, London, E1 1BB. email: Gavin.Dreyer{at}bartsandthelondon.nhs.uk

Received 17 September 2008 and in revised form 14 December 2008


  Abstract

Background: The effect of ethnicity on the prevalence of diabetes mellitus (DM) and associated chronic kidney disease (CKD) is unknown.

Aim: To establish the impact of ethnicity on the prevalence and severity of diabetes mellitus and associated CKD.

Design: Cross-sectional study of 34 359 adult diabetic patients in three primary care trusts in the UK.

Methods: Read coded data from general practice computers was used to analyse the relationship between ethnicity, DM and CKD.

Results: The prevalence of DM was 3.5% for Whites, 11% for South Asians and 8% for Black groups. The prevalence of CKD (stages 3–5) among diabetics was 18%. CKD stage 3 was more prevalent in Whites compared to South Asians—OR 0.79 (95% CI: 0.71–0.87) and Blacks—OR 0.49 (95% CI: 0.43–0.57). Among all CKD patients severity (CKD stages 4, 5) was associated with Black (OR 1.39, 95% CI: 1.06–1.81) and South Asian (OR 1.54, 95% CI: 1.26–1.88) ethnicity compared to Whites. Less than 50% of diabetics with CKD met the target blood pressure (BP) of 130/80 mmHg. The prevalence of a blood pressure > 150/90 mmHg in diabetics with CKD was South Asian 15.6%, White 13.9%, Black 21.8% (P < 0.001). Proteinuria was present in 8.6% of all diabetic patients. However, this increased to 18.6% in patients with CKD, and was more frequent in Black (22.6%) and South Asian (21%) patients compared to White patients (14.1%) (P < 0.001).

Conclusions: Significant disparities exist between the major ethnic groups in both disease prevalence and management. Future studies examining the management of CKD need to take variation by ethnicity into account.

*These authors contributed equally to this work.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?




Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.