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, Jean-Michel, Pantelis SARAFIDIS, Michel AZIZI, Grzegorz BILO, Thilo BURKARD 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
Authors
HALIMI, Jean-Michel, Pantelis SARAFIDIS, Michel AZIZI, Grzegorz BILO, Thilo BURKARD, Michael BURSZTYN, Miguel CAMAFORT, Neil CHAPMAN, Santina COTTONE, de Backer TINE, Jaap DEINUM, Philippe DELMOTTE, Maria DOROBANTU, Michalis DOUMAS, Rainer DUSING, Beatrice DULY-BOUHANICK, Jean-Pierre FAUVEL, Pierre FESLER, Zbigniew GACIONG, Eugenia GKALIAGKOUSI, Daniel GORDIN, Guido GRASSI, Charalampos GRASSOS, Dominique GUERROT, Justine HUART, Raffaele IZZO, Fernando Jaen AGUILA, Zoltan JARAI, Thomas KAHAN, Ilkka KANTOLA, Eva KOCIANOVA, Florian P LIMBOURG, Marilucy LOPEZ-SUBLET, Francesca MALLAMACI, Athanasios MANOLIS, Maria MARKETOU, Gert MAYER, Alberto MAZZA, Iain M MACINTYRE, Jean-Jacques MOURAD, Maria Lorenza MUIESAN, Edgar NASR, Peter NILSSON, Anna OLIVERAS, Olivier ORMEZZANO, Vitor PAIXAO-DIAS, Ioannis PAPADAKIS, Dimitris PAPADOPOULOS, Sabine PERL, Jorge POLONIA, Roberto PONTREMOLI, Giacomo PUCCI, Nicolas Roberto ROBLES, Sebastien RUBIN, Luis Miguel RUILOPE, Lars Christian RUMP, Sahrai SAEED, Elias SANIDAS, Riccardo SARZANI, Roland SCHMIEDER, Francois SILHOL, Sekib SOKOLOVIC, Marit SOLBU, Miroslav SOUČEK (203 Czech Republic, belonging to the institution), George STERGIOU, Isabella SUDANO, Ramzi TABBALAT, Istemihan TENGIZ, Helen TRIANTAFYLLIDI, Konstontinos TSIOUFIS, Jan VACLAVIK, van der Giet MARKUS, Van der Niepen PATRICIA, Franco VEGLIO, Reto M VENZIN, Margus VIIGIMAA, Thomas WEBER, Jiri WIDIMSKY, Gregoire WUERZNER, Parounak ZELVEIAN, Pantelis ZEBEKAKIS, Stephan LUEDERS, Alexandre PERSU, Reinhold KREUTZ and Liffert VOGT
Edition
Journal of Hypertension, PHILADELPHIA, LIPPINCOTT WILLIAMS & WILKINS, 2024, 0263-6352
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: 1550%) 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 (<6 months) 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 = 0.003), GLP1-RA (10% [10- 20%] vs. 5% [5- 10%], P = 0.003) and mineralocorticoid receptor antagonists (20% [1030%] vs. 15% [10- 20%], P = 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.
HALIMI, Jean-Michel, Pantelis SARAFIDIS, Michel AZIZI, Grzegorz BILO, Thilo BURKARD, Michael BURSZTYN, Miguel CAMAFORT, Neil CHAPMAN, Santina COTTONE, de Backer TINE, Jaap DEINUM, Philippe DELMOTTE, Maria DOROBANTU, Michalis DOUMAS, Rainer DUSING, Beatrice DULY-BOUHANICK, Jean-Pierre FAUVEL, Pierre FESLER, Zbigniew GACIONG, Eugenia GKALIAGKOUSI, Daniel GORDIN, Guido GRASSI, Charalampos GRASSOS, Dominique GUERROT, Justine HUART, Raffaele IZZO, Fernando Jaen AGUILA, Zoltan JARAI, Thomas KAHAN, Ilkka KANTOLA, Eva KOCIANOVA, Florian P LIMBOURG, Marilucy LOPEZ-SUBLET, Francesca MALLAMACI, Athanasios MANOLIS, Maria MARKETOU, Gert MAYER, Alberto MAZZA, Iain M MACINTYRE, Jean-Jacques MOURAD, Maria Lorenza MUIESAN, Edgar NASR, Peter NILSSON, Anna OLIVERAS, Olivier ORMEZZANO, Vitor PAIXAO-DIAS, Ioannis PAPADAKIS, Dimitris PAPADOPOULOS, Sabine PERL, Jorge POLONIA, Roberto PONTREMOLI, Giacomo PUCCI, Nicolas Roberto ROBLES, Sebastien RUBIN, Luis Miguel RUILOPE, Lars Christian RUMP, Sahrai SAEED, Elias SANIDAS, Riccardo SARZANI, Roland SCHMIEDER, Francois SILHOL, Sekib SOKOLOVIC, Marit SOLBU, Miroslav SOUČEK, George STERGIOU, Isabella SUDANO, Ramzi TABBALAT, Istemihan TENGIZ, Helen TRIANTAFYLLIDI, Konstontinos TSIOUFIS, Jan VACLAVIK, van der Giet MARKUS, Van der Niepen PATRICIA, Franco VEGLIO, Reto M VENZIN, Margus VIIGIMAA, Thomas WEBER, Jiri WIDIMSKY, Gregoire WUERZNER, Parounak ZELVEIAN, Pantelis ZEBEKAKIS, Stephan LUEDERS, Alexandre PERSU, Reinhold KREUTZ and Liffert VOGT. 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. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS, 2024, vol. 42, No 9, p. 1544-1554. ISSN 0263-6352. Available from: https://dx.doi.org/10.1097/HJH.0000000000003756.
@article{2429657, author = {Halimi, JeanandMichel and Sarafidis, Pantelis and Azizi, Michel and Bilo, Grzegorz and Burkard, Thilo and Bursztyn, Michael and Camafort, Miguel and Chapman, Neil and Cottone, Santina and Tine, de Backer and Deinum, Jaap and Delmotte, Philippe and Dorobantu, Maria and Doumas, Michalis and Dusing, Rainer and DulyandBouhanick, Beatrice and Fauvel, JeanandPierre and Fesler, Pierre and Gaciong, Zbigniew and Gkaliagkousi, Eugenia and Gordin, Daniel and Grassi, Guido and Grassos, Charalampos and Guerrot, Dominique and Huart, Justine and Izzo, Raffaele and Aguila, Fernando Jaen and Jarai, Zoltan and Kahan, Thomas and Kantola, Ilkka and Kocianova, Eva and Limbourg, Florian P and LopezandSublet, Marilucy and Mallamaci, Francesca and Manolis, Athanasios and Marketou, Maria and Mayer, Gert and Mazza, Alberto and MacIntyre, Iain M and Mourad, JeanandJacques and Muiesan, Maria Lorenza and Nasr, Edgar and Nilsson, Peter and Oliveras, Anna and Ormezzano, Olivier and PaixaoandDias, Vitor and Papadakis, Ioannis and Papadopoulos, Dimitris and Perl, Sabine and Polonia, Jorge and Pontremoli, Roberto and Pucci, Giacomo and Robles, Nicolas Roberto and Rubin, Sebastien and Ruilope, Luis Miguel and Rump, Lars Christian and Saeed, Sahrai and Sanidas, Elias and Sarzani, Riccardo and Schmieder, Roland and Silhol, Francois and Sokolovic, Sekib and Solbu, Marit and Souček, Miroslav and Stergiou, George and Sudano, Isabella and Tabbalat, Ramzi and Tengiz, Istemihan and Triantafyllidi, Helen and Tsioufis, Konstontinos and Vaclavik, Jan and Markus, van der Giet and Patricia, Van der Niepen and Veglio, Franco and Venzin, Reto M and Viigimaa, Margus and Weber, Thomas and Widimsky, Jiri and Wuerzner, Gregoire and Zelveian, Parounak and Zebekakis, Pantelis and Lueders, Stephan and Persu, Alexandre and Kreutz, Reinhold and Vogt, Liffert}, article_location = {PHILADELPHIA}, article_number = {9}, doi = {http://dx.doi.org/10.1097/HJH.0000000000003756}, keywords = {albuminuria; chronic kidney disease; glomerular filtration rate; hypertension; management; screening}, language = {eng}, issn = {0263-6352}, journal = {Journal of Hypertension}, title = {Screening and management of hypertensive patients with chronic kidney disease referred to Hypertension Excellence Centres among 27 countries. A pilot survey based on questionnaire}, url = {https://journals.lww.com/jhypertension/abstract/2024/09000/screening_and_management_of_hypertensive_patients.12.aspx}, volume = {42}, year = {2024} }
TY - JOUR ID - 2429657 AU - Halimi, Jean-Michel - Sarafidis, Pantelis - Azizi, Michel - Bilo, Grzegorz - Burkard, Thilo - Bursztyn, Michael - Camafort, Miguel - Chapman, Neil - Cottone, Santina - Tine, de Backer - Deinum, Jaap - Delmotte, Philippe - Dorobantu, Maria - Doumas, Michalis - Dusing, Rainer - Duly-Bouhanick, Beatrice - Fauvel, Jean-Pierre - Fesler, Pierre - Gaciong, Zbigniew - Gkaliagkousi, Eugenia - Gordin, Daniel - Grassi, Guido - Grassos, Charalampos - Guerrot, Dominique - Huart, Justine - Izzo, Raffaele - Aguila, Fernando Jaen - Jarai, Zoltan - Kahan, Thomas - Kantola, Ilkka - Kocianova, Eva - Limbourg, Florian P - Lopez-Sublet, Marilucy - Mallamaci, Francesca - Manolis, Athanasios - Marketou, Maria - Mayer, Gert - Mazza, Alberto - MacIntyre, Iain M - Mourad, Jean-Jacques - Muiesan, Maria Lorenza - Nasr, Edgar - Nilsson, Peter - Oliveras, Anna - Ormezzano, Olivier - Paixao-Dias, Vitor - Papadakis, Ioannis - Papadopoulos, Dimitris - Perl, Sabine - Polonia, Jorge - Pontremoli, Roberto - Pucci, Giacomo - Robles, Nicolas Roberto - Rubin, Sebastien - Ruilope, Luis Miguel - Rump, Lars Christian - Saeed, Sahrai - Sanidas, Elias - Sarzani, Riccardo - Schmieder, Roland - Silhol, Francois - Sokolovic, Sekib - Solbu, Marit - Souček, Miroslav - Stergiou, George - Sudano, Isabella - Tabbalat, Ramzi - Tengiz, Istemihan - Triantafyllidi, Helen - Tsioufis, Konstontinos - Vaclavik, Jan - Markus, van der Giet - Patricia, Van der Niepen - Veglio, Franco - Venzin, Reto M - Viigimaa, Margus - Weber, Thomas - Widimsky, Jiri - Wuerzner, Gregoire - Zelveian, Parounak - Zebekakis, Pantelis - Lueders, Stephan - Persu, Alexandre - Kreutz, Reinhold - Vogt, Liffert PY - 2024 TI - Screening and management of hypertensive patients with chronic kidney disease referred to Hypertension Excellence Centres among 27 countries. A pilot survey based on questionnaire JF - Journal of Hypertension VL - 42 IS - 9 SP - 1544-1554 EP - 1544-1554 PB - LIPPINCOTT WILLIAMS & WILKINS SN - 02636352 KW - albuminuria KW - chronic kidney disease KW - glomerular filtration rate KW - hypertension KW - management KW - screening UR - https://journals.lww.com/jhypertension/abstract/2024/09000/screening_and_management_of_hypertensive_patients.12.aspx N2 - 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: 1550%) 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 (<6 months) 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 = 0.003), GLP1-RA (10% [10- 20%] vs. 5% [5- 10%], P = 0.003) and mineralocorticoid receptor antagonists (20% [1030%] vs. 15% [10- 20%], P = 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. ER -
HALIMI, Jean-Michel, Pantelis SARAFIDIS, Michel AZIZI, Grzegorz BILO, Thilo BURKARD, Michael BURSZTYN, Miguel CAMAFORT, Neil CHAPMAN, Santina COTTONE, de Backer TINE, Jaap DEINUM, Philippe DELMOTTE, Maria DOROBANTU, Michalis DOUMAS, Rainer DUSING, Beatrice DULY-BOUHANICK, Jean-Pierre FAUVEL, Pierre FESLER, Zbigniew GACIONG, Eugenia GKALIAGKOUSI, Daniel GORDIN, Guido GRASSI, Charalampos GRASSOS, Dominique GUERROT, Justine HUART, Raffaele IZZO, Fernando Jaen AGUILA, Zoltan JARAI, Thomas KAHAN, Ilkka KANTOLA, Eva KOCIANOVA, Florian P LIMBOURG, Marilucy LOPEZ-SUBLET, Francesca MALLAMACI, Athanasios MANOLIS, Maria MARKETOU, Gert MAYER, Alberto MAZZA, Iain M MACINTYRE, Jean-Jacques MOURAD, Maria Lorenza MUIESAN, Edgar NASR, Peter NILSSON, Anna OLIVERAS, Olivier ORMEZZANO, Vitor PAIXAO-DIAS, Ioannis PAPADAKIS, Dimitris PAPADOPOULOS, Sabine PERL, Jorge POLONIA, Roberto PONTREMOLI, Giacomo PUCCI, Nicolas Roberto ROBLES, Sebastien RUBIN, Luis Miguel RUILOPE, Lars Christian RUMP, Sahrai SAEED, Elias SANIDAS, Riccardo SARZANI, Roland SCHMIEDER, Francois SILHOL, Sekib SOKOLOVIC, Marit SOLBU, Miroslav SOUČEK, George STERGIOU, Isabella SUDANO, Ramzi TABBALAT, Istemihan TENGIZ, Helen TRIANTAFYLLIDI, Konstontinos TSIOUFIS, Jan VACLAVIK, van der Giet MARKUS, Van der Niepen PATRICIA, Franco VEGLIO, Reto M VENZIN, Margus VIIGIMAA, Thomas WEBER, Jiri WIDIMSKY, Gregoire WUERZNER, Parounak ZELVEIAN, Pantelis ZEBEKAKIS, Stephan LUEDERS, Alexandre PERSU, Reinhold KREUTZ and Liffert VOGT. Screening and management of hypertensive patients with chronic kidney disease referred to Hypertension Excellence Centres among 27 countries. A pilot survey based on questionnaire. \textit{Journal of Hypertension}. PHILADELPHIA: LIPPINCOTT WILLIAMS \&{} WILKINS, 2024, vol.~42, No~9, p.~1544-1554. ISSN~0263-6352. Available from: https://dx.doi.org/10.1097/HJH.0000000000003756.