Standardized prevalence ratios for atrial fibrillation in adult dialysis patients in Japan

Masaki Ohsawa, Kozo Tanno, Tomonori Okamura, Yuki Yonekura, Karen Kato, Yosuke Fujishima, Wataru Obara, Takaya Abe, Kazuyoshi Itai, Kuniaki Ogasawara, Shinichi Omama, Tanvir Chowdhury Turin, Naomi Miyamatsu, Yasuhiro Ishibashi, Yoshihiro Morino, Tomonori Itoh, Toshiyuki Onoda, Toru Kuribayashi, Shinji Makita, Yuki YoshidaMotoyuki Nakamura, Fumitaka Tanaka, Mutsuko Ohta, Kiyomi Sakata, Akira Okayama

Research output: Contribution to journalArticle

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Abstract

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. 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. 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. 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.

Original languageEnglish
Pages (from-to)272-276
Number of pages5
JournalJournal of Epidemiology
Volume26
Issue number5
DOIs
Publication statusPublished - 2016

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Keywords

  • Atrial fibrillation
  • End-stage renal disease
  • Standardized prevalence ratio

ASJC Scopus subject areas

  • Epidemiology

Cite this

Ohsawa, M., Tanno, K., Okamura, T., Yonekura, Y., Kato, K., Fujishima, Y., Obara, W., Abe, T., Itai, K., Ogasawara, K., Omama, S., Turin, T. C., Miyamatsu, N., Ishibashi, Y., Morino, Y., Itoh, T., Onoda, T., Kuribayashi, T., Makita, S., ... Okayama, A. (2016). Standardized prevalence ratios for atrial fibrillation in adult dialysis patients in Japan. Journal of Epidemiology, 26(5), 272-276. https://doi.org/10.2188/jea. JE20150077