Prevalence of pulmonary hypertension in peritoneal dialysis patients: a meta-analysis

Purpose Recent epidemiological evidence indicates an association between peritoneal dialysis (PD) patients and pulmonary hypertension (PH). However, the true prevalence of PH associated with PD has not been well described. So we conducted a meta-analysis to summarize the point prevalence of PH in ad...

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Veröffentlicht in:International urology and nephrology 2019-01, Vol.51 (1), p.175-180
Hauptverfasser: Li, Yuanyuan, Shang, Weifeng, Lu, Qiaofa, Zhang, Bo, Ren, Yali, Sun, Yanbo, Dong, Junwu
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container_end_page 180
container_issue 1
container_start_page 175
container_title International urology and nephrology
container_volume 51
creator Li, Yuanyuan
Shang, Weifeng
Lu, Qiaofa
Zhang, Bo
Ren, Yali
Sun, Yanbo
Dong, Junwu
description Purpose Recent epidemiological evidence indicates an association between peritoneal dialysis (PD) patients and pulmonary hypertension (PH). However, the true prevalence of PH associated with PD has not been well described. So we conducted a meta-analysis to summarize the point prevalence of PH in adults with PD. Methods PubMed, EMBASE, the Cochrane Collaboration, and the reference lists of relevant articles were searched to identify eligible studies. We used a random-effect meta-analysis model to estimate the prevalence of PH. We also performed sensitivity analyses and assessments of publishing bias. Results Fourteen observational studies ( n  = 1483 participants) were included in this meta-analysis. The result of analysis in random-effect model showed that the pooled prevalence was 21% (95% CI 16–28), with significant heterogeneity between these studies ( I 2  = 84%, p  
doi_str_mv 10.1007/s11255-018-2017-4
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However, the true prevalence of PH associated with PD has not been well described. So we conducted a meta-analysis to summarize the point prevalence of PH in adults with PD. Methods PubMed, EMBASE, the Cochrane Collaboration, and the reference lists of relevant articles were searched to identify eligible studies. We used a random-effect meta-analysis model to estimate the prevalence of PH. We also performed sensitivity analyses and assessments of publishing bias. Results Fourteen observational studies ( n  = 1483 participants) were included in this meta-analysis. The result of analysis in random-effect model showed that the pooled prevalence was 21% (95% CI 16–28), with significant heterogeneity between these studies ( I 2  = 84%, p  &lt; 0.01). Sensitivity analysis further demonstrated the results to be robust. Besides, the Egger’s test ( p  = 0.287) showed no significant publication bias. Conclusions PH is highly prevalent in patients with PD. Further studies are encouraged to definitively clarify the relationship between PH and PD.</description><identifier>ISSN: 0301-1623</identifier><identifier>EISSN: 1573-2584</identifier><identifier>DOI: 10.1007/s11255-018-2017-4</identifier><identifier>PMID: 30456547</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Humans ; Hypertension ; Hypertension, Pulmonary - diagnosis ; Hypertension, Pulmonary - epidemiology ; Kidney Failure, Chronic - therapy ; Medicine ; Medicine &amp; Public Health ; Meta-analysis ; Nephrology ; Nephrology - Original Paper ; Peritoneal dialysis ; Peritoneal Dialysis - adverse effects ; Peritoneal Dialysis - methods ; Peritoneal Dialysis - statistics &amp; numerical data ; Peritoneum ; Prevalence ; Pulmonary hypertension ; Sensitivity analysis ; Urology</subject><ispartof>International urology and nephrology, 2019-01, Vol.51 (1), p.175-180</ispartof><rights>Springer Nature B.V. 2018</rights><rights>International Urology and Nephrology is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-89edbc3964cfe0053dd1ee0b6b548c37ba6edfeeeed11f61c7f48b559300082d3</citedby><cites>FETCH-LOGICAL-c372t-89edbc3964cfe0053dd1ee0b6b548c37ba6edfeeeed11f61c7f48b559300082d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11255-018-2017-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11255-018-2017-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30456547$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Yuanyuan</creatorcontrib><creatorcontrib>Shang, Weifeng</creatorcontrib><creatorcontrib>Lu, Qiaofa</creatorcontrib><creatorcontrib>Zhang, Bo</creatorcontrib><creatorcontrib>Ren, Yali</creatorcontrib><creatorcontrib>Sun, Yanbo</creatorcontrib><creatorcontrib>Dong, Junwu</creatorcontrib><title>Prevalence of pulmonary hypertension in peritoneal dialysis patients: a meta-analysis</title><title>International urology and nephrology</title><addtitle>Int Urol Nephrol</addtitle><addtitle>Int Urol Nephrol</addtitle><description>Purpose Recent epidemiological evidence indicates an association between peritoneal dialysis (PD) patients and pulmonary hypertension (PH). However, the true prevalence of PH associated with PD has not been well described. So we conducted a meta-analysis to summarize the point prevalence of PH in adults with PD. Methods PubMed, EMBASE, the Cochrane Collaboration, and the reference lists of relevant articles were searched to identify eligible studies. We used a random-effect meta-analysis model to estimate the prevalence of PH. We also performed sensitivity analyses and assessments of publishing bias. Results Fourteen observational studies ( n  = 1483 participants) were included in this meta-analysis. The result of analysis in random-effect model showed that the pooled prevalence was 21% (95% CI 16–28), with significant heterogeneity between these studies ( I 2  = 84%, p  &lt; 0.01). Sensitivity analysis further demonstrated the results to be robust. Besides, the Egger’s test ( p  = 0.287) showed no significant publication bias. Conclusions PH is highly prevalent in patients with PD. 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Shang, Weifeng ; Lu, Qiaofa ; Zhang, Bo ; Ren, Yali ; Sun, Yanbo ; Dong, Junwu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-89edbc3964cfe0053dd1ee0b6b548c37ba6edfeeeed11f61c7f48b559300082d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension, Pulmonary - diagnosis</topic><topic>Hypertension, Pulmonary - epidemiology</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Meta-analysis</topic><topic>Nephrology</topic><topic>Nephrology - Original Paper</topic><topic>Peritoneal dialysis</topic><topic>Peritoneal Dialysis - adverse effects</topic><topic>Peritoneal Dialysis - methods</topic><topic>Peritoneal Dialysis - statistics &amp; numerical data</topic><topic>Peritoneum</topic><topic>Prevalence</topic><topic>Pulmonary hypertension</topic><topic>Sensitivity analysis</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Yuanyuan</creatorcontrib><creatorcontrib>Shang, Weifeng</creatorcontrib><creatorcontrib>Lu, Qiaofa</creatorcontrib><creatorcontrib>Zhang, Bo</creatorcontrib><creatorcontrib>Ren, Yali</creatorcontrib><creatorcontrib>Sun, Yanbo</creatorcontrib><creatorcontrib>Dong, Junwu</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; 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However, the true prevalence of PH associated with PD has not been well described. So we conducted a meta-analysis to summarize the point prevalence of PH in adults with PD. Methods PubMed, EMBASE, the Cochrane Collaboration, and the reference lists of relevant articles were searched to identify eligible studies. We used a random-effect meta-analysis model to estimate the prevalence of PH. We also performed sensitivity analyses and assessments of publishing bias. Results Fourteen observational studies ( n  = 1483 participants) were included in this meta-analysis. The result of analysis in random-effect model showed that the pooled prevalence was 21% (95% CI 16–28), with significant heterogeneity between these studies ( I 2  = 84%, p  &lt; 0.01). Sensitivity analysis further demonstrated the results to be robust. Besides, the Egger’s test ( p  = 0.287) showed no significant publication bias. Conclusions PH is highly prevalent in patients with PD. Further studies are encouraged to definitively clarify the relationship between PH and PD.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>30456547</pmid><doi>10.1007/s11255-018-2017-4</doi><tpages>6</tpages></addata></record>
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subjects Humans
Hypertension
Hypertension, Pulmonary - diagnosis
Hypertension, Pulmonary - epidemiology
Kidney Failure, Chronic - therapy
Medicine
Medicine & Public Health
Meta-analysis
Nephrology
Nephrology - Original Paper
Peritoneal dialysis
Peritoneal Dialysis - adverse effects
Peritoneal Dialysis - methods
Peritoneal Dialysis - statistics & numerical data
Peritoneum
Prevalence
Pulmonary hypertension
Sensitivity analysis
Urology
title Prevalence of pulmonary hypertension in peritoneal dialysis patients: a meta-analysis
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