Janis M. Dionne
University of British Columbia
PrehypertensionRisk assessmentInternal medicineEndocrinologyEtiologyAmbulatory blood pressureRenal functionCardiologyIntensive care medicinePediatricsEvidence-based medicineKidney diseaseDiseaseMEDLINERenal replacement therapyTurner syndromeGuidelinePopulationMasked HypertensionTransplantationAortic stiffnessPediatric hypertensionPharmacotherapyNephrologyMedicineCohortBlood pressureBiologyGastroenterology
Publications 52
#1Janis M. Dionne (UBC: University of British Columbia)H-Index: 18
#2Shuai Jiang (Johns Hopkins University)H-Index: 3
Last. Joshua Samuels (University of Texas Health Science Center at Houston)H-Index: 30
view all 8 authors...
Consensus blood pressure guidelines vary in their recommended ambulatory blood pressure targets for children with chronic kidney disease (CKD) because of limited research in this area. We analyzed longitudinal ambulatory blood pressure monitoring data from 679 children with moderate CKD enrolled in the observational CKiD (Chronic Kidney Disease in Children) cohort by time-varying mean arterial pressure (MAP) percentile categories based on the highest wake or sleep MAP percentile. Analyses were s...
#1Janis M. Dionne (UBC: University of British Columbia)H-Index: 18
The blood pressure (BP) of neonates, especially those born premature, changes rapidly over the first days and weeks of life. Neonatal BPs may be affected by maternal factors, perinatal factors or e...
#1Elizabeth L. Digby (UBC: University of British Columbia)H-Index: 2
#2Jessica Liauw (UBC: University of British Columbia)H-Index: 7
Last. Sarah M. Nikkel (UBC: University of British Columbia)H-Index: 27
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OBJECTIVES To determine etiologies and outcomes of fetal hyperechogenic kidneys (HEK). METHODS We conducted a retrospective chart review of HEK in British Columbia (January 2013 - December 2019) and literature review. RESULTS We identified 20 cases of HEK without other anomalies (isolated) in our provincial cohort, one was lost to follow-up. Eight had testable genetic etiologies (ADPKD, ARPKD, Bardet-Biedl syndrome, HNF1B-related disorder). The remaining seven did not have an identifiable geneti...
#1Janis M. Dionne (UBC: University of British Columbia)H-Index: 18
Abstract The ultimate goal of recognizing and treating hypertension in childhood is to prevent target-organ damage during childhood and to reduce the risk of adulthood cardiovascular disease. The quality of evidence to guide blood pressure management in children is lower than in adult medicine yet some common findings support clinical practice recommendations. Oscillometric devices are commonly replacing manual blood pressure measurements but evidence shows that readings are not equivalent betwe...
2 CitationsSource
#1Blake Sandery (UBC: University of British Columbia)
#2Janis M. Dionne (UBC: University of British Columbia)H-Index: 18
#1Janis M. Dionne (UBC: University of British Columbia)H-Index: 18
#2Stephen Bremner (BSMS: Brighton and Sussex Medical School)H-Index: 3
Last. Heike Rabe (BSMS: Brighton and Sussex Medical School)H-Index: 22
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Objectives To determine the recommended blood pressure (BP) measurement methods in neonates after systematically analyzing the literature regarding proper BP cuff size and measurement location and method. Study design A literature search was conducted in MEDLINE, PubMed, Embase, Cochrane Library, and CINAHL from 1946 to 2017 on BP in neonates Results Of 3587 nonduplicate publications identified, 34 were appropriate for inclusion in the analysis. Four studies evaluating BP cuff size support a rec...
5 CitationsSource
#1Doreen M. Rabi (U of C: University of Calgary)H-Index: 29
#2Kerry McBrien (U of C: University of Calgary)H-Index: 17
Last. Stella S. Daskalopoulou (MUHC: McGill University Health Centre)H-Index: 48
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Abstract Hypertension Canada's 2020 guidelines for the prevention, diagnosis, risk assessment, and treatment of hypertension in adults and children provide comprehensive, evidence-based guidance for health care professionals and patients. Hypertension Canada develops the guidelines using rigourous methodology, carefully mitigating the risk of bias in our process. All draft recommendations undergo critical review by expert methodologists without conflict to ensure quality. Our guideline panel is ...
41 CitationsSource
#1Sinead Glackin (UBC: University of British Columbia)H-Index: 1
#2Nazrul Islam (Harvard University)H-Index: 16
Last. Angela M. Devlin (UBC: University of British Columbia)H-Index: 26
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BACKGROUND/OBJECTIVE: Blood pressure abnormalities may play an important role in macrovascular damage in type 1 diabetes. Little is known about blood pressure abnormalities and macrovascular damage in children with type 1 diabetes. METHODS: Children with type 1 diabetes (n = 57) for a short (3 months-2 years; n = 24) or long duration (>/=5 years; n = 33) and a group of control children without diabetes (n = 29) completed 24-h ambulatory blood pressure monitoring (ABPM). Carotid intima media thic...
1 CitationsSource
#1Kristen Favel (UBC: University of British Columbia)
#2Janis M. Dionne (UBC: University of British Columbia)H-Index: 18
Background Decision-making in pediatric end-stage renal disease (ESRD) is a complex process for patients, families, and physicians. We evaluated the factors influencing the timing of initiation of renal replacement therapy (RRT) and choice of modality in children with ESRD.
#1Camilla S. Hanson (USYD: University of Sydney)H-Index: 18
#2Talia Gutman (USYD: University of Sydney)H-Index: 10
Last. Allison Tong (USYD: University of Sydney)H-Index: 60
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Rationale & Objective: Chronic kidney disease (CKD) has wide-ranging and long-term consequences for young people and their families. The omission of outcomes that are important to young people with CKD and their caregivers limits knowledge to guide shared decision making. We aimed to identify the outcomes that are important to young people with CKD and their caregivers. Study Design: We used the nominal group technique whereby participants identified and ranked outcomes and explained their prior...
13 CitationsSource