title: Blood pressure control before and after starting dialysis.
abstract: OBJECTIVE
  We have previously reported a study on the adequacy of management of hypertension in patients developing end-stage renal failure (ESRF) over a period of 3 years from a single health district in the UK (n = 107). There were significant shortcomings in all aspects of management of hypertension including blood pressure (BP) control.
  
  
  METHODS
  In this report, we have compared BP control in the same cohort of patients before and after starting renal replacement therapy (RRT).
  
  
  RESULTS
  BP control improved significantly after the patients were established on dialysis (mean 158/ 87 mm Hg pre-RRT vs. 152/82 mm Hg post-RRT; p < 0.0001), and fewer antihypertensive agents were prescribed to control BP (mean 2.45 vs. 1.74) in this period (p < 0.0001). Moreover, patients on continuous ambulatory peritoneal dialysis (n = 50) had a better systolic BP control compared with the haemodialysis patients (n = 57; p = 0.03).
  
  
  CONCLUSIONS
  This study shows significant improvement in BP control in a cohort of patients with ESRF following the start of dialysis.
authors.affiliation: Nottingham City Hospital, Nottingham, UK. Indranil.Dasgupta@heartsol.wmids.nhs.uk
authors.forename: Indranil
authors.initials: I
authors.lastname: Dasgupta
authors.forename: Richard
authors.initials: R
authors.lastname: Burden
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001794:Blood Pressure; D005260:Female; D006801:Humans; D006973:Hypertension / Q000188:drug therapy* / Q000503:physiopathology; D007676:Kidney Failure, Chronic / Q000503:physiopathology* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010531:Peritoneal Dialysis, Continuous Ambulatory; D006435:Renal Dialysis