Primary Open-angle Glaucoma and Increased Risk of Chronic Kidney Disease.

Abstract:

PRECIS:The association between primary open-angle glaucoma (POAG) and subsequent development of chronic kidney disease (CKD) was investigated using a nationwide, population-based, retrospective cohort in South Korea. POAG increases the risk of subsequent CKD development. PURPOSE:The purpose of this study was to investigate the risk of subsequent CKD development in patients with POAG. METHODS:In this nationwide, population-based longitudinal cohort, 1,025,340 beneficiaries in the 2002-2013 Korean National Health Insurance database were included. We identified patients with incident POAG and evaluated the risk of subsequent CKD development using diagnostic codes from the database after 2-year wash-out periods. We applied time-varying covariate Cox regression analyses to determine the effect of POAG on the development of CKD: Model 1 included only POAG as a time-varying covariate; Model 2 included Model 1 and demographic information; and Model 3 included Model 2, comorbidity, comedication, and the Charlson Comorbidity Index score. RESULTS:The fixed cohort included 478,303 eligible subjects, and of these subjects, 1749 suffered incident POAG, and 3157 developed CKD. POAG was associated with an increased risk of CKD development [hazard ratio (HR)=7.63; 95% confidence interval (CI), 5.89-9.87] in Model 1; HR=3.54 (95% CI, 2.73-4.58) in Model 2; and HR=2.90 (95% CI, 2.24-3.76) in Model 3]. CONCLUSION:POAG increased the risk of subsequent CKD in the general population, suggesting that POAG and CKD might share a common pathogenic mechanism.

journal_name

J Glaucoma

journal_title

Journal of glaucoma

authors

Park SJ,Byun SJ,Park JY,Kim M

doi

10.1097/IJG.0000000000001390

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

1067-1073

issue

12

eissn

1057-0829

issn

1536-481X

journal_volume

28

pub_type

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