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Cohort study
Hypertensive disorders of pregnancy predict chronic kidney disease and end-stage renal disease
  1. Ayub Akbari
  1. Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada
  1. Correspondence to: Dr Ayub Akbari
    Department of Medicine, University of Ottawa, 1967 Riverside Drive, Suite 5-25, Ottawa, Ontario, Canada K1T 4A9, aakbari{at}

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Commentary on: Wang IK, Muo CH, Chang YC, et al. Association between hypertensive disorders during pregnancy and end-stage renal disease: a population-based study. CMAJ 2013;185:207–13.


Chronic kidney disease (CKD) is a global public health problem. Data from Third National Health and Nutrition Examination Survey in the USA suggests that 11% of the US population has CKD.1 CKD is associated with high risk of cardiovascular mortality, morbidity and progression to end-stage renal disease (ESRD). Prevention of ESRD is best affected by the early detection of CKD and the institution of effective therapy to prevent progression, such as blood pressure control and inhibition of the renin angiotensin system.2 Risk …

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