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Is early chronic kidney disease an important risk factor for cardiovascular disease?
A Background Paper prepared for the UK Consensus Conference on Early Chronic Kidney Disease
Renal Unit, Western Infirmary Glasgow, Dumbarton Road, Glasgow, UK
Correspondence to: Conal Daly, Consultant Nephrologist, Renal Unit, Western Infirmary Glasgow, Dumbarton Road, Glasgow, UK. Email: Conal.Daly@NorthGlasgow.Scot.NHS.UK
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| Introduction |
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Patients with severe chronic kidney disease (CKD) who require renal replacement therapy (RRT), either dialysis or renal transplantation, have a markedly increased risk of cardiovascular disease [1–4]. This increased incidence and prevalence of vascular disease accounts for much of the reduced life expectancy of these patients. The average life expectancy of a 40- to 44-year-old white male in the general population in the US is more than 35 years. However, if he is on long-term dialysis he can expect, on average, to live for only eight more years [4]. In Scotland, a patient aged between 20 and 44 on starting renal replacement can expect to survive, on average, a further 16.9 years [5]. Once patients have reached RRT, modification of traditional risk factors such as smoking, obesity, hyperlipidaemia and hypertension may have a disappointing impact upon overall mortality. One of the reasons adduced for
| Definition of chronic kidney disease |
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| Studies describing association between CKD and CVD |
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| Conclusion |
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