Screening and management of hypertensive patients with chronic kidney disease referred to Hypertension Excellence Centres among 27 countries. A pilot survey based on questionnaire

Halimi JM, Sarafidis P, Azizi M, Bilo G, Burkard T, Bursztyn M, Camafort M, Chapman N, Cottone S, de Backer T, Deinum J, Delmotte P, Dorobantu M, Doumas M, Dusing R, Duly-Bouhanick B, Fauvel JP, Fesler P, Gaciong Z, Gkaliagkousi E, Gordin D, Grassi G, Grassos C, Guerrot D, Huart J, Izzo R, Aguila FJ, Jarai Z, Kahan T, Kantola I, Kocianov E, Limbourg FP, Lopez-Sublet M, Mallamaci F, Manolis A, Marketou M, Mayer G, Mazza A, MacIntyre IM, Mourad JJ, Muiesan ML, Nasr E, Nilsson P, Oliveras A, Ormezzano O, Paixão-Dias V, Papadakis I, Papadopoulos D, Perl S, Polonia J, Pontremoli R, Pucci G, Robles NR, Rubin S, Ruilope LM, Rump LC, Saeed S, Sanidas E, Sarzani R, Schmieder R, Silhol F, Sokolovic S, Solbu M, Soucek M, Stergiou G, Sudano I, Tabbalat R, Tengiz I, Triantafyllidi H, Tsioufis K, Vaclav J, van der Giet M, Van der Niepen P, Veglio F, Venzin RM, Viigimaa M, Weber T, Widimsky J, Wuerzner G, Zelveian P, Zebekakis P, Lueders S, Persu A, Kreutz R, Vogt L (2024)


Publication Type: Journal article

Publication year: 2024

Journal

Book Volume: 42

Pages Range: 1544-1554

Journal Issue: 9

DOI: 10.1097/HJH.0000000000003756

Abstract

Objective: Real-life management of hypertensive patients with chronic kidney disease (CKD) is unclear. Methods: A survey was conducted in 2023 by the European Society of Hypertension (ESH) to assess management of CKD patients referred to ESH-Hypertension Excellence Centres (ESH-ECs) at first referral visit. The questionnaire contained 64 questions with which ESH-ECs representatives were asked to estimate preexisting CKD management quality. Results: Overall, 88 ESH-ECs from 27 countries participated (fully completed surveys: 66/88 [75.0%]). ESH-ECs reported that 28% (median, interquartile range: 15–50%) had preexisting CKD, with 10% of them (5–30%) previously referred to a nephrologist, while 30% (15–40%) had resistant hypertension. The reported rate of previous recent (<6months) estimated glomerular filtration rate (eGFR) and urine albumin–creatinine ratio (UACR) testing were 80% (50–95%) and 30% (15–50%), respectively. The reported use of renin-angiotensin system blockers was 80% (70–90%). When a nephrologist was part of the ESH-EC teams the reported rates SGLT2 inhibitors (27.5% [20 – 40%] vs. 15% [10 – 25], P ¼ 0.003), GLP1-RA (10% [10 – 20%] vs. 5% [5 – 10%], P ¼ 0.003) and mineralocorticoid receptor antagonists (20% [10 – 30%] vs. 15% [10 – 20%], P ¼ 0.05) use were greater as compared to ESH-ECs without nephrologist participation. The rate of reported resistant hypertension, recent eGFR and UACR results and management of CKD patients prior to referral varied widely across countries. Conclusions: Our estimation indicates deficits regarding CKD screening, use of nephroprotective drugs and referral to nephrologists before referral to ESH-ECs but results varied widely across countries. This information can be used to build specific programs to improve care in hypertensives with CKD.

Authors with CRIS profile

Involved external institutions

Avicenne Hospital / Hôpital Avicienne FR France (FR) Metropolitan Hospital GR Greece (GR) Medicana International Izmir Hospital TR Turkey (TR) Hôpital Edouard Herriot FR France (FR) Centre Hospitalier Universitaire de Montpellier (CHU/CHRU MTP) FR France (FR) Wrocław Medical University / Uniwersytet Medyczny we Wrocławiu PL Poland (PL) Aristotle University of Thessaloniki GR Greece (GR) Helsinki University Central Hospital (HUCH) / Helsingin seudun yliopistollinen keskussairaala (HYKS) FI Finland (FI) University of Milano-Bicocca / Università degli Studi di Milano-Bicocca, UNIMIB IT Italy (IT) Hospital Center University Rouen / Centre hospitalier universitaire de Rouen (CHU) FR France (FR) Centre Hospitalier Universitaire de Liège (CHU Liège) BE Belgium (BE) Università degli Studi di Napoli Federico II IT Italy (IT) Complejo Hospitalario Universitario de Granada ES Spain (ES) St. Imre Teaching Hospital HU Hungary (HU) Karolinska Institute SE Sweden (SE) Turku University Hospital / Turun yliopistollinen keskussairaala (TYKS) FI Finland (FI) Hôpital Bretonneau FR France (FR) Medizinische Hochschule Hannover (MHH) / Hannover Medical School DE Germany (DE) St. Anne's University Hospital / Sv. Anny v Brně CZ Czech Republic (CZ) Universitätsspital Zürich (USZ) CH Switzerland (CH) Abdali Hospital JO Jordan (JO) National and Kapodistrian University of Athens GR Greece (GR) University Hospital Ostrava / Fakultní Nemocnice Ostrava CZ Czech Republic (CZ) Charité - Universitätsmedizin Berlin DE Germany (DE) Universitair Ziekenhuis Brussel BE Belgium (BE) University of Turin / Università degli Studi di Torino (UNITO) IT Italy (IT) Kantonsspital Graubünden CH Switzerland (CH) Tallinn University of Technology EE Estonia (EE) Klinikum Wels-Grieskirchen AT Austria (AT) General University Hospital in Prague / Všeobecná Fakultní Nemocnice v Praze (VFN) CZ Czech Republic (CZ) Lausanne University Hospital / Centre hospitalier universitaire vaudois (CHUV) CH Switzerland (CH) St. Josefs-Hospital Cloppenburg gemeinnützige GmbH DE Germany (DE) Cliniques universitaires Saint-Luc (CHU St-Luc) BE Belgium (BE) Amsterdam University Medical Centers (Amsterdam UMC) / Amsterdam Universitair Medische Centra NL Netherlands (NL) Consiglio Nazionale delle Ricerche (CNR) / National Research Council of Italy IT Italy (IT) University General Hospital of Heraklion GR Greece (GR) Medizinische Universität Innsbruck AT Austria (AT) Western General Hospital GB United Kingdom (GB) Hôpital Franco-Britannique FR France (FR) Università degli Studi di Brescia IT Italy (IT) Saint George Hospital University Medical Center LB Lebanon (LB) Lund University / Lunds universitet SE Sweden (SE) Universitat Pompeu Fabra (UPF) ES Spain (ES) Hôpital Albert Michallon FR France (FR) Centro Hospitalar de Vila Nova de Gaia PT Portugal (PT) Laikο General Hospital of Athens GR Greece (GR) Medizinische Universität Graz AT Austria (AT) Ospedale Policlinico San Martino IT Italy (IT) Università degli Studi di Perugia IT Italy (IT) Centre Hospitalier Universitaire de Bordeaux / CHU Bordeaux FR France (FR) Heinrich-Heine-Universität Düsseldorf DE Germany (DE) Haukeland University Hospital / Haukeland universitetssykehus NO Norway (NO) Università Politecnica delle Marche (UNIVPM) / Marche Polytechnic University IT Italy (IT) Université Sorbonne Paris Cité FR France (FR) Instituto Auxologico Italiano IT Italy (IT) Universitätsspital Basel CH Switzerland (CH) Hadassah Medical Center / מרכז רפואי הדסה‎‎ IL Israel (IL) Universitat de Barcelona (UB) / University of Barcelona ES Spain (ES) Imperial College Healthcare NHS Trust GB United Kingdom (GB) Policlinico Universitario Paolo Giaccone IT Italy (IT) University Hospital Ghent BE Belgium (BE) General Hospital of Attica (KAT) / γενικο νοσοκομειο αττικης GR Greece (GR) Radboud University Nijmegen Medical Centre / Radboudumc of voluit Radboud Universitair Medisch Centrum (UMC) NL Netherlands (NL) European Society of Hypertension (ESH) IT Italy (IT) Bucharest Emergency University Hospital RO Romania (RO) Université Fédérale de Toulouse Midi-Pyrénées FR France (FR) Hôpital de la Timone FR France (FR) Plava Medical Group BA Bosnia And Herzegovina (BA) University Hospital of North Norway / Universitetssykehuset Nord-Norge (UNN) NO Norway (NO)

How to cite

APA:

Halimi, J.M., Sarafidis, P., Azizi, M., Bilo, G., Burkard, T., Bursztyn, M.,... Vogt, L. (2024). Screening and management of hypertensive patients with chronic kidney disease referred to Hypertension Excellence Centres among 27 countries. A pilot survey based on questionnaire. Journal of Hypertension, 42(9), 1544-1554. https://doi.org/10.1097/HJH.0000000000003756

MLA:

Halimi, Jean Michel, et al. "Screening and management of hypertensive patients with chronic kidney disease referred to Hypertension Excellence Centres among 27 countries. A pilot survey based on questionnaire." Journal of Hypertension 42.9 (2024): 1544-1554.

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