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Relationship between sex and cardiovascular mortality in chronic kidney disease: A systematic review and meta-analysis
by
Amin, Janaki
, Phillips, Jacqueline K.
, Shajahan, Sultana
, Hildreth, Cara M.
in
Bias
/ Biology and Life Sciences
/ Cardiovascular disease
/ Cardiovascular diseases
/ Chronic kidney failure
/ Confidence intervals
/ Demographic aspects
/ Diabetes
/ Dialysis
/ Estimates
/ Evaluation
/ Gender aspects
/ Gender differences
/ Geographical distribution
/ Health risks
/ Heart attacks
/ Heart failure
/ Hemodialysis
/ Kidney diseases
/ Kidneys
/ Mathematical analysis
/ Medicine
/ Medicine and Health Sciences
/ Men
/ Meta-analysis
/ Mortality
/ Mortality risk
/ Patient outcomes
/ Patients
/ Physical Sciences
/ Research and Analysis Methods
/ Risk
/ Sex
/ Sex differences
/ Stroke
/ Subgroups
/ Systematic review
/ Women
/ Womens health
2021
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Relationship between sex and cardiovascular mortality in chronic kidney disease: A systematic review and meta-analysis
by
Amin, Janaki
, Phillips, Jacqueline K.
, Shajahan, Sultana
, Hildreth, Cara M.
in
Bias
/ Biology and Life Sciences
/ Cardiovascular disease
/ Cardiovascular diseases
/ Chronic kidney failure
/ Confidence intervals
/ Demographic aspects
/ Diabetes
/ Dialysis
/ Estimates
/ Evaluation
/ Gender aspects
/ Gender differences
/ Geographical distribution
/ Health risks
/ Heart attacks
/ Heart failure
/ Hemodialysis
/ Kidney diseases
/ Kidneys
/ Mathematical analysis
/ Medicine
/ Medicine and Health Sciences
/ Men
/ Meta-analysis
/ Mortality
/ Mortality risk
/ Patient outcomes
/ Patients
/ Physical Sciences
/ Research and Analysis Methods
/ Risk
/ Sex
/ Sex differences
/ Stroke
/ Subgroups
/ Systematic review
/ Women
/ Womens health
2021
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Relationship between sex and cardiovascular mortality in chronic kidney disease: A systematic review and meta-analysis
by
Amin, Janaki
, Phillips, Jacqueline K.
, Shajahan, Sultana
, Hildreth, Cara M.
in
Bias
/ Biology and Life Sciences
/ Cardiovascular disease
/ Cardiovascular diseases
/ Chronic kidney failure
/ Confidence intervals
/ Demographic aspects
/ Diabetes
/ Dialysis
/ Estimates
/ Evaluation
/ Gender aspects
/ Gender differences
/ Geographical distribution
/ Health risks
/ Heart attacks
/ Heart failure
/ Hemodialysis
/ Kidney diseases
/ Kidneys
/ Mathematical analysis
/ Medicine
/ Medicine and Health Sciences
/ Men
/ Meta-analysis
/ Mortality
/ Mortality risk
/ Patient outcomes
/ Patients
/ Physical Sciences
/ Research and Analysis Methods
/ Risk
/ Sex
/ Sex differences
/ Stroke
/ Subgroups
/ Systematic review
/ Women
/ Womens health
2021
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Relationship between sex and cardiovascular mortality in chronic kidney disease: A systematic review and meta-analysis
Journal Article
Relationship between sex and cardiovascular mortality in chronic kidney disease: A systematic review and meta-analysis
2021
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Overview
Chronic kidney disease (CKD) is a significant health challenge associated with high cardiovascular mortality risk. Historically, cardiovascular mortality risk has been found to higher in men than women in the general population. However, recent research has highlighted that this risk may be similar or even higher in women than men in the CKD population. To address the inconclusive and inconsistent evidence regarding this relationship between sex and cardiovascular mortality within CKD patients, a systematic review and meta-analysis of articles published between January 2004 and October 2020 using PubMed/Medline, EMBASE, Scopus and Cochrane databases was performed. Forty-eight studies were included that reported cardiovascular mortality among adult men relative to women with 95% confidence intervals (CI) or provided sufficient data to calculate risk estimates (RE). Random effects meta-analysis of reported and calculated estimates revealed that male sex was associated with elevated cardiovascular mortality in CKD patients (RE 1.13, CI 1.03–1.25). Subsequent subgroup analyses indicated higher risk in men in studies based in the USA and in men receiving haemodialysis or with non-dialysis-dependent CKD. Though men showed overall higher cardiovascular mortality risk than women, the increased risk was marginal, and appropriate risk awareness is necessary for both sexes with CKD. Further research is needed to understand the impact of treatment modality and geographical distribution on sex differences in cardiovascular mortality in CKD.
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