Chapter 10 Blood pressure profile of prevalent patients receiving renal replacement therapy in England, Wales and Northern Ireland in 2010: national and centre-specific analyses.

BACKGROUND: The UK Renal Registry (UKRR) assesses blood pressure (BP) control annually for patients receiving renal replacement therapy (RRT) at renal centres in England, Wales and Northern Ireland.

METHODS: Patients receiving RRT on 31st December 2010 with a BP reading in either the fourth or third quarter of 2010 were included. Summary statistics were calculated for each renal centre and country.

RESULTS: Data completeness for BP measurements submitted to the UKRR for all modalities were little changed from previous years: it was better for HD patients (64% for pre-HD measurements) than for PD patients (44%) or transplant recipients (36%). In 2010, the median pre-and post-HD SBP were 140 mmHg and 128 mmHg respectively. The median SBP of patients on PD was 138 mmHg. Transplant recipients had a median SBP of 134 mmHg. Median DBP were 71 mmHg (pre-HD), 67 mmHg (post-HD), 80 mmHg (PD ) and 79 mmHg (transplant). Only 25.6% of PD patients achieved the Renal Association guideline of SBP <130 mmHg and DBP <80 mmHg. Amongst transplant patients, 27.7% achieved the Renal Association guideline of SBP <130 mmHg and DBP <80 mmHg.

CONCLUSION: In 2010 there continued to be significant variation in the achievement of BP standards between UK renal centres.