1. Investigation of the relationship between sensorineural hearing loss and associated comorbidities in patients with chronic kidney disease: A nationwide, population-based cohort study
- Author
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Fu-Huang Lin, Cheng-Ping Shih, Hung-Che Lin, Po-Jen Hsiao, Chi-Hsiang Chung, Wu-Chien Chien, Jenq-Shyong Chan, Kun-Lin Wu, and Chang-Huei Tsao
- Subjects
Male ,Pulmonology ,Epidemiology ,medicine.medical_treatment ,Otology ,Comorbidity ,Type 2 diabetes ,030204 cardiovascular system & hematology ,Deafness ,Cardiovascular Medicine ,urologic and male genital diseases ,0302 clinical medicine ,Endocrinology ,Medical Conditions ,Risk Factors ,Chronic Kidney Disease ,Medicine and Health Sciences ,030212 general & internal medicine ,Hearing Disorders ,education.field_of_study ,Multidisciplinary ,Incidence ,Liver Diseases ,Hazard ratio ,Middle Aged ,female genital diseases and pregnancy complications ,Type 2 Diabetes ,Cirrhosis ,Nephrology ,Cardiovascular Diseases ,Medicine ,Female ,Sensorineural hearing loss ,Hemodialysis ,Research Article ,Adult ,medicine.medical_specialty ,Adolescent ,Endocrine Disorders ,Hearing Loss, Sensorineural ,Science ,Chronic Obstructive Pulmonary Disease ,Population ,Taiwan ,Cardiology ,Gastroenterology and Hepatology ,Young Adult ,03 medical and health sciences ,Internal medicine ,Medical Dialysis ,medicine ,otorhinolaryngologic diseases ,Renal Diseases ,Diabetes Mellitus ,Humans ,Renal Insufficiency, Chronic ,education ,Retrospective Studies ,business.industry ,Correction ,Retrospective cohort study ,Cardiovascular Disease Risk ,medicine.disease ,Otorhinolaryngology ,Medical Risk Factors ,Metabolic Disorders ,business ,Kidney disease - Abstract
Hearing impairment was observed in patients with chronic kidney disease (CKD). Our purpose was to investigate the relationship between sensorineural hearing loss (SNHL) and associated comorbidities in the CKD population. We conducted a retrospective, population-based study to examine the risk of developing SNHL in patients with CKD. Population-based data from 2000-2010 from the Longitudinal Health Insurance Database of the Taiwan National Health Insurance Research Database was used in this study. The population sample comprised 185,430 patients who were diagnosed with CKD, and 556,290 without CKD to determine SNHL risk factors. Cox proportional hazard regression analysis demonstrated the CKD group had a significantly increased risk of SNHL compared with the non-CKD group [adjusted hazard ratio (HR), 3.42; 95% confidence interval (CI), 3.01-3.90, p < 0.001]. In the CKD group, the risk of SNHL (adjusted HR, 5.92) was higher among patients undergoing hemodialysis than among those not undergoing hemodialysis (adjusted HR, 1.40). Furthermore, subgroup analysis revealed an increased risk of SNHL in patients with CKD and comorbidities, including heart failure (adjusted HR, 7.48), liver cirrhosis (adjusted HR, 4.12), type 2 diabetes mellitus (adjusted HR, 3.98), hypertension (adjusted HR, 3.67), and chronic obstructive pulmonary disease (adjusted HR, 3.45). CKD is an independent risk of developing SNHL. Additionally, hemodialysis for uremia can increase the risk of SNHL. Cardiovascular, lung, liver, and metabolic comorbidities in CKD patients may further aggravate the risk of SNHL by inter-organ crosstalk. We should pay attention to SNHL in this high-risk population.
- Published
- 2020