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The prevalence of constipation in end-stage kidney disease patients: A cross-sectional observation study
The aim of our study was to determine the prevalence, distribution, and risk factors for constipation in peritoneal dialysis (PD) and hemodialysis (HD) patients in our center. In this cross-sectional study, 858 dialysis patients over 18 years of age (681 HD cases and 177 PD cases from our hospital)...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622587/ https://www.ncbi.nlm.nih.gov/pubmed/36316834 http://dx.doi.org/10.1097/MD.0000000000031552 |
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author | Zhang, Liuping Tang, Fang Wang, Fengmei Xie, Qinglei Xia, Meixia Jiang, Liangyunzi Wang, Ze-Mu Wang, Bin |
author_facet | Zhang, Liuping Tang, Fang Wang, Fengmei Xie, Qinglei Xia, Meixia Jiang, Liangyunzi Wang, Ze-Mu Wang, Bin |
author_sort | Zhang, Liuping |
collection | PubMed |
description | The aim of our study was to determine the prevalence, distribution, and risk factors for constipation in peritoneal dialysis (PD) and hemodialysis (HD) patients in our center. In this cross-sectional study, 858 dialysis patients over 18 years of age (681 HD cases and 177 PD cases from our hospital) were enrolled. A constipation assessment scale (CAS) questionnaire was used to evaluate constipation status. Logistic regression analysis was performed to define independent risk factors for CAS scores. The prevalence of constipation in HD and PD patients was 52.7% and 77.4%, respectively. The mean CAS score in HD and PD patients was 1.73 ± 2.31 and 2.42 ± 2.34, respectively. Age ≥ 65 and diabetic kidney disease for renal failure were independent risk factors associated with constipation in the HD population (OR = 1.67, 95% CI: 1.15–2.90, P = .019; OR = 3.31, 95% CI: 1.65–6.11, P < .001, respectively). In the PD population, only serum prealbumin was independently associated with constipation (OR = 0.88, 95% CI: 0.79–0.96, P = .007). The multivariable logistic regression analysis demonstrated that PD modality, age ≥ 65 and diabetic kidney disease for renal failure were independent risk factors for constipation (OR = 2.15, 95% CI: 1.41–3.32, P < .001; OR = 1.65, 95% CI: 1.13–2.33, P = .003; OR = 3.19, 95% CI: 1.76–5.093, P < .001, respectively). The prevalence of constipation in PD patients was higher than that in HD patients in our center. PD modality for renal replacement therapy, age ≥ 65 and diabetic kidney disease for renal failure were closely associated with constipation in dialysis patients. |
format | Online Article Text |
id | pubmed-9622587 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-96225872022-11-03 The prevalence of constipation in end-stage kidney disease patients: A cross-sectional observation study Zhang, Liuping Tang, Fang Wang, Fengmei Xie, Qinglei Xia, Meixia Jiang, Liangyunzi Wang, Ze-Mu Wang, Bin Medicine (Baltimore) 5200 The aim of our study was to determine the prevalence, distribution, and risk factors for constipation in peritoneal dialysis (PD) and hemodialysis (HD) patients in our center. In this cross-sectional study, 858 dialysis patients over 18 years of age (681 HD cases and 177 PD cases from our hospital) were enrolled. A constipation assessment scale (CAS) questionnaire was used to evaluate constipation status. Logistic regression analysis was performed to define independent risk factors for CAS scores. The prevalence of constipation in HD and PD patients was 52.7% and 77.4%, respectively. The mean CAS score in HD and PD patients was 1.73 ± 2.31 and 2.42 ± 2.34, respectively. Age ≥ 65 and diabetic kidney disease for renal failure were independent risk factors associated with constipation in the HD population (OR = 1.67, 95% CI: 1.15–2.90, P = .019; OR = 3.31, 95% CI: 1.65–6.11, P < .001, respectively). In the PD population, only serum prealbumin was independently associated with constipation (OR = 0.88, 95% CI: 0.79–0.96, P = .007). The multivariable logistic regression analysis demonstrated that PD modality, age ≥ 65 and diabetic kidney disease for renal failure were independent risk factors for constipation (OR = 2.15, 95% CI: 1.41–3.32, P < .001; OR = 1.65, 95% CI: 1.13–2.33, P = .003; OR = 3.19, 95% CI: 1.76–5.093, P < .001, respectively). The prevalence of constipation in PD patients was higher than that in HD patients in our center. PD modality for renal replacement therapy, age ≥ 65 and diabetic kidney disease for renal failure were closely associated with constipation in dialysis patients. Lippincott Williams & Wilkins 2022-10-28 /pmc/articles/PMC9622587/ /pubmed/36316834 http://dx.doi.org/10.1097/MD.0000000000031552 Text en Copyright © 2022 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC) (https://creativecommons.org/licenses/by-nc/4.0/) , where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. |
spellingShingle | 5200 Zhang, Liuping Tang, Fang Wang, Fengmei Xie, Qinglei Xia, Meixia Jiang, Liangyunzi Wang, Ze-Mu Wang, Bin The prevalence of constipation in end-stage kidney disease patients: A cross-sectional observation study |
title | The prevalence of constipation in end-stage kidney disease patients: A cross-sectional observation study |
title_full | The prevalence of constipation in end-stage kidney disease patients: A cross-sectional observation study |
title_fullStr | The prevalence of constipation in end-stage kidney disease patients: A cross-sectional observation study |
title_full_unstemmed | The prevalence of constipation in end-stage kidney disease patients: A cross-sectional observation study |
title_short | The prevalence of constipation in end-stage kidney disease patients: A cross-sectional observation study |
title_sort | prevalence of constipation in end-stage kidney disease patients: a cross-sectional observation study |
topic | 5200 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9622587/ https://www.ncbi.nlm.nih.gov/pubmed/36316834 http://dx.doi.org/10.1097/MD.0000000000031552 |
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