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The Relationship between Gastroesophageal Reflux Disease and Chronic Kidney Disease

Gastroesophageal reflux disease (GERD) is commonly seen in patients with chronic kidney disease (CKD), although data on the relationship between these conditions are still limited. We aimed to explore whether CKD is related to a higher prevalence of GERD and its complications. National Inpatient Sam...

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Autores principales: Wang, Xiaoliang, Wright, Zachary, Patton-Tackett, Eva D., Song, Gengqing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10220558/
https://www.ncbi.nlm.nih.gov/pubmed/37240997
http://dx.doi.org/10.3390/jpm13050827
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author Wang, Xiaoliang
Wright, Zachary
Patton-Tackett, Eva D.
Song, Gengqing
author_facet Wang, Xiaoliang
Wright, Zachary
Patton-Tackett, Eva D.
Song, Gengqing
author_sort Wang, Xiaoliang
collection PubMed
description Gastroesophageal reflux disease (GERD) is commonly seen in patients with chronic kidney disease (CKD), although data on the relationship between these conditions are still limited. We aimed to explore whether CKD is related to a higher prevalence of GERD and its complications. National Inpatient Sample data were used in this retrospective analysis, including 7,159,694 patients. Patients who had a diagnosis of GERD with and without CKD were compared with patients without GERD. Complications associated with GERD that were analyzed included Barrett’s esophagus and esophageal stricture. Risk factors of GERD were used for variable adjustment analysis. Different stages of CKD were evaluated in patients with and without GERD. Bivariate analyses were performed using the chi-squared test or Fisher exact test (2-tailed) for categorical variables as appropriate to assess the difference. There were significantly different demographic characteristics between GERD patients with and without CKD regarding age, sex, race, and other co-mobilities. Interestingly, a greater prevalence of GERD was seen in CKD patients (23.5%) compared to non-CKD patients (14.8%), and this increased prevalence was consistently seen in all CKD stages. CKD patients also had 1.70 higher odds of risk of having GERD compared with non-CKD after adjustment. The association between different stages of CKD and GERD showed a similar trend. Interestingly, patients with early-stage CKD were found to have a higher prevalence and odds of risk of esophageal stricture and Barrett’s esophagus than non-CKD patients. CKD is associated with a high prevalence of GERD and its complications.
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spelling pubmed-102205582023-05-28 The Relationship between Gastroesophageal Reflux Disease and Chronic Kidney Disease Wang, Xiaoliang Wright, Zachary Patton-Tackett, Eva D. Song, Gengqing J Pers Med Article Gastroesophageal reflux disease (GERD) is commonly seen in patients with chronic kidney disease (CKD), although data on the relationship between these conditions are still limited. We aimed to explore whether CKD is related to a higher prevalence of GERD and its complications. National Inpatient Sample data were used in this retrospective analysis, including 7,159,694 patients. Patients who had a diagnosis of GERD with and without CKD were compared with patients without GERD. Complications associated with GERD that were analyzed included Barrett’s esophagus and esophageal stricture. Risk factors of GERD were used for variable adjustment analysis. Different stages of CKD were evaluated in patients with and without GERD. Bivariate analyses were performed using the chi-squared test or Fisher exact test (2-tailed) for categorical variables as appropriate to assess the difference. There were significantly different demographic characteristics between GERD patients with and without CKD regarding age, sex, race, and other co-mobilities. Interestingly, a greater prevalence of GERD was seen in CKD patients (23.5%) compared to non-CKD patients (14.8%), and this increased prevalence was consistently seen in all CKD stages. CKD patients also had 1.70 higher odds of risk of having GERD compared with non-CKD after adjustment. The association between different stages of CKD and GERD showed a similar trend. Interestingly, patients with early-stage CKD were found to have a higher prevalence and odds of risk of esophageal stricture and Barrett’s esophagus than non-CKD patients. CKD is associated with a high prevalence of GERD and its complications. MDPI 2023-05-13 /pmc/articles/PMC10220558/ /pubmed/37240997 http://dx.doi.org/10.3390/jpm13050827 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wang, Xiaoliang
Wright, Zachary
Patton-Tackett, Eva D.
Song, Gengqing
The Relationship between Gastroesophageal Reflux Disease and Chronic Kidney Disease
title The Relationship between Gastroesophageal Reflux Disease and Chronic Kidney Disease
title_full The Relationship between Gastroesophageal Reflux Disease and Chronic Kidney Disease
title_fullStr The Relationship between Gastroesophageal Reflux Disease and Chronic Kidney Disease
title_full_unstemmed The Relationship between Gastroesophageal Reflux Disease and Chronic Kidney Disease
title_short The Relationship between Gastroesophageal Reflux Disease and Chronic Kidney Disease
title_sort relationship between gastroesophageal reflux disease and chronic kidney disease
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10220558/
https://www.ncbi.nlm.nih.gov/pubmed/37240997
http://dx.doi.org/10.3390/jpm13050827
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