Source:http://linkedlifedata.com/resource/pubmed/id/15563572
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2004-12-23
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pubmed:abstractText |
The objective of this study was to determine whether racial or ethnic differences in prevalence of diabetic microalbuminuria were observed in a large primary care population in which comparable access to health care exists. A cross-sectional analysis of survey and automated laboratory data 2969 primary care diabetic patients of a large regional health maintenance organization was conducted. Study data were analyzed for racial/ethnic differences in microalbuminuria (30 to 300 mg albumin/g creatinine) and macroalbuminuria (>300 mg albumin/g creatinine) prevalence among diabetes registry-identified patients who completed a survey that assessed demographics, diabetes care, and depression. Computerized pharmacy, hospital, and laboratory data were linked to survey data for analysis. Racial/ethnic differences in the odds of microalbuminuria and macroalbuminuria were assessed by unconditional logistic regression, stratified by the presence of hypertension. Among those tested, the unadjusted prevalence of micro- or macroalbuminuria was 30.9%, which was similar among the various racial/ethnic groups. Among those without hypertension, microalbuminuria was twofold greater (odds ratio [OR] 2.01; 95% confidence interval [CI] 1.14 to 3.53) and macroalbuminuria was threefold greater (OR 3.17; 95% CI 1.09 to 9.26) for Asians as compared with whites. Among those with hypertension, adjusted odds of microalbuminuria were greater for Hispanics (OR 3.82; 95% CI 1.16 to 12.57) than whites, whereas adjusted odds of macroalbuminuria were threefold greater for blacks (OR 3.32; 95% CI 1.26 to 8.76) than for whites. For most racial/ethnic minorities, hypertriglyceridemia was significantly associated with greater odds of micro- and macroalbuminuria. Among a large primary care population, racial/ethnic differences exist in the adjusted prevalence of microalbuminuria and macroalbuminuria depending on hypertension status. In this setting, racial/ethnic differences in early diabetic nephropathy were observed despite comparable access to diabetes care.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
1046-6673
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pubmed:author |
pubmed-author:BoykoEdward JEJ,
pubmed-author:BushTerryT,
pubmed-author:CiechanowskiPaul SPS,
pubmed-author:KatonWayne JWJ,
pubmed-author:LinElizabeth H BEH,
pubmed-author:LudmanEvette JEJ,
pubmed-author:OliverMaliaM,
pubmed-author:SimonGreg EGE,
pubmed-author:Von KorffMichaelM,
pubmed-author:YoungBessie ABA
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pubmed:issnType |
Print
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pubmed:volume |
16
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
219-28
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:15563572-Aged,
pubmed-meshheading:15563572-Albuminuria,
pubmed-meshheading:15563572-Continental Population Groups,
pubmed-meshheading:15563572-Cross-Sectional Studies,
pubmed-meshheading:15563572-Diabetic Nephropathies,
pubmed-meshheading:15563572-Female,
pubmed-meshheading:15563572-Health Maintenance Organizations,
pubmed-meshheading:15563572-Humans,
pubmed-meshheading:15563572-Hypertriglyceridemia,
pubmed-meshheading:15563572-Male,
pubmed-meshheading:15563572-Middle Aged,
pubmed-meshheading:15563572-Prevalence,
pubmed-meshheading:15563572-Primary Health Care,
pubmed-meshheading:15563572-Risk Factors
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pubmed:year |
2005
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pubmed:articleTitle |
Racial and ethnic differences in microalbuminuria prevalence in a diabetes population: the pathways study.
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pubmed:affiliation |
Division of General Internal Medicine, Department of Medicine, University of Washington, Seattle, WA, USA. youngb@u.washington.edu
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't,
Research Support, N.I.H., Extramural
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