End stage renal disease patients on haemodialysis profiled epidemiologically at medical college of sub-Himalayan region of India
Abstract
Background: Mostly, end organ damage becomes the reason for morbidity and mortality among patients with non-communicable diseases (NCDs) due their chronicity. Derangement of renal function along with brain and heart damage are considered to be a significant problem of NCDs. The objectives of this study were on this background of end stage renal disease (ESRD) as a common complication for common NCDs, present study was planned to study the distribution of responsible NCDs.
Methods: Over three-year period, all the cases reported GFR <15ml/min/1.73m2 were studied.
Results: Total 100 patients (male:65) were studied with mean age of 51.0±13.0 years. Diabetes mellitus (38.0%), hypertension (28.0%), and glomerulonephritis (16.0%) were three leading cause for ESRD. Idiopathic cause was observed among 12.0% patients. Fifteen percent patients could not survive.
Conclusions: NCDs mainly diabetes mellitus and hypertension observed to be most common cause for ESRD.
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Joshi R, Cardona M, Iyengar S, Sukumar A, Raju CR, Raju KR, et al. Chronic diseases now a leading cause of death in rural India-mortality data from the Andhra Pradesh rural health initiative. Int J Epidemiol. 2006;35(6):1522-9.
World Health Organization. Global burden of disease study, 2003. Accessed at: http://www.healthdata.org/sites/default/files/files/policy_report/2019/GBD_2017_Booklet.pdf.
Schieppati A, Giuseppe R. Chronic renal diseases as a public health problem: epidemiology social and economic implications. Kidney Int. 2005;68:s7-10.
Reddy KS, Bhah B, Verghese C, Ramadoss A. Responding to threat of chronic India. Lancet. 2005;366(9498):1746-51.
Mohan V, Sandeep S, Deepa R, Shah B, Varghese C. Epidemiology of type 2 diabetes: Indian scenario. Indian J Med Res. 2007;125(3):217-30.
Kher V. ESRD in developing countries Nephrology forum. Kidney Int. 2002;62(1):350-62.
Mani MK. Experience with a program for prevention of chronic renal failure in India. Kidney Int. 2005;67(94):75-8.
Agarwal SK, Dash SC, Irshad M, Raju S, Singh R, Pandey RM. Prevalence of chronic renal failure in adults in Delhi. India Nephrol Dial Transplant. 2005;20(8):1638-42.
Modi GK, Jha V. The incidence of end-stage renal disease in India: a population-based study. Kidney Int. 2006;70(12):2131-3.
Mittal S, Kher V, Gulati S, Agarwal LK, Arora P. Chronic renal failure in India. Renal Failure. 1997;19(6):763-0.
CKD registry of India: Indian society of nephrology. (online) Available at: http://www.ckdri.org/1st;annualreportckd/ppf.
Agarwal SK. Chronic kidney disease and its prevention in India. Kidney Int. 2005;68:S42-5.
Hidai H, Hyudo T. Changing dialysis re-imbursement policy in Japan: cost of incentive for quality-based care. Nephrol Dialysis Transpl. 2003;18:463.
Pastan S, Bailey J. Dialysis therapy: review article. New Engl J Med. 1998;338:1428-37.
Mittal S, Kher V, Gulati S. Chronic renal failure in India. Ren Fail. 1997;19:763-0.
Sakhuja V, Jha V, Ghosh AK, Ahmed S, Saha TK. Chronic renal failure in India. Nephrol Dial Transplant. 1994;9:871-2.
Levey AS, Coresh J, Bolton K, Culleton B, Harvey KS, Ikizler TA, et al. K/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Am J Kidney Dis. 2002;39:S1-266.
Shah SD, Raut KB, Khakurel S. Chronic renal failure in a developing country. Nephrol Dial Transplant. 2003;18:455.
Dash SC, Agarwal SK. Incidence of chronic kidney disease in India. Nephrol Dial Transplant. 2006;21:232-3.
K/DOQI: Anemia guidelines in CKD patients. Amer J Kidney Dis. 2006;47:s1-s146.
European best practice guidelines working group: revised European best practice guidelines of anemia in patients with chronic renal failure. Nephron Dial Transplant. 2004;19(2):1-47.
Eckardt KU: Erythropoietin: oxygen-dependent control of erythropoiesis and its failure in renal disease. Nephron. 1994;67:7-2.
Kher V. End-stage renal disease in developing countries. Kidney Int. 2002;62:350-62.
Perdue ST, Terasaki PI. Analysis of interracial variation in kidney transplant and patient survival. Transplant. 1982;34:75.
Evans RW, Manninen DL, Garrison Jr LP, Hart LG, Blagg CR, Gutman RA, et al. The quality of life of patients with end-stage renal disease. New Eng J Med. 1985;312(9):553-9.