Standardized Prevalence Ratios for Atrial Fibrillation in Adult Dialysis Patients in Japan
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- Ohsawa Masaki
- Department of Hygiene and Preventive Medicine, Iwate Medical University
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- Tanno Kozo
- Department of Hygiene and Preventive Medicine, Iwate Medical University
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- Okamura Tomonori
- Department of Preventive Medicine and Public Health, Keio University
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- Yonekura Yuki
- Department of Hygiene and Preventive Medicine, Iwate Medical University
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- Kato Karen
- Division of Nephrology, Iwate Prefectural Central Hospital
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- Fujishima Yosuke
- Department of Urology, Iwate Medical University
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- Obara Wataru
- Department of Urology, Iwate Medical University
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- Abe Takaya
- Department of Urology, Iwate Medical University
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- Itai Kazuyoshi
- Department of Nutritional Sciences, Morioka University
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- Ogasawara Kuniaki
- Department of Neurosurgery, Iwate Medical University
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- Omama Shinichi
- Department of Neurosurgery, Iwate Medical University
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- Turin Tanvir Chowdhury
- Department of Community Health Sciences, University of Calgary
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- Miyamatsu Naomi
- Department of Clinical Nursing, Shiga University of Medical Science
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- Ishibashi Yasuhiro
- Department of Internal Medicine, Iwate Medical University
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- Morino Yoshihiro
- Department of Internal Medicine, Iwate Medical University
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- Itoh Tomonori
- Department of Internal Medicine, Iwate Medical University
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- Onoda Toshiyuki
- Department of Hygiene and Preventive Medicine, Iwate Medical University
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- Kuribayashi Toru
- Department of Health and Physical Education, Faculty of Education, Iwate University
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- Makita Shinji
- Department of Internal Medicine, Iwate Medical University
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- Yoshida Yuki
- Department of Neurosurgery, Iwate Medical University
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- Nakamura Motoyuki
- Department of Internal Medicine, Iwate Medical University
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- Tanaka Fumitaka
- Department of Internal Medicine, Iwate Medical University
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- Ohta Mutsuko
- Iwate Health Service Association
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- Sakata Kiyomi
- Department of Hygiene and Preventive Medicine, Iwate Medical University
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- Okayama Akira
- The Research Institute of Strategy for Prevention
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Description
Background: While it is assumed that dialysis patients in Japan have a higher prevalence of atrial fibrillation (AF) than the general population, the magnitude of this difference is not known.<BR>Methods: Standardized prevalence ratios (SPRs) for AF in dialysis patients (n = 1510) were calculated compared to data from the general population (n = 26 454) living in the same area.<BR>Results: The prevalences of AF were 3.8% and 1.6% in dialysis patients and the general population, respectively. In male subjects, these respective values were 4.9% and 3.3%, and in female subjects they were 1.6% and 0.6%. The SPRs for AF were 2.53 (95% confidence interval [CI], 1.88–3.19) in all dialysis patients, 1.80 (95% CI, 1.30–2.29) in male dialysis patients, and 2.13 (95% CI, 0.66–3.61) in female dialysis patients.<BR>Conclusions: The prevalence of AF in dialysis patients was twice that in the population-based controls. Since AF strongly contributes to a higher risk of cardiovascular mortality and morbidity in the general population, further longitudinal studies should be conducted regarding the risk of several outcomes attributable to AF among Japanese dialysis patients.
Journal
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- Journal of Epidemiology
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Journal of Epidemiology 26 (5), 272-276, 2016
Japan Epidemiological Association