End stage renal disease patients on haemodialysis profiled epidemiologically at medical college of sub-Himalayan region of India

Authors

  • Pankaj Kumar gupta Department of Medicine, SLBS Government Medical College, Himachal Pradesh, India
  • Dinesh Kumar Department of Community Medicine, Dr. RP Government Medical College, Himachal Pradesh, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20191642

Keywords:

Diabetes mellitus, End stage renal disease, Glomerular filtration rate, Haemodialysis, Hypertension, Non-communicable diseases

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.

Metrics

Metrics Loading ...

References

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.

Downloads

Published

2019-04-26

How to Cite

gupta, P. K., & Kumar, D. (2019). End stage renal disease patients on haemodialysis profiled epidemiologically at medical college of sub-Himalayan region of India. International Journal of Research in Medical Sciences, 7(5), 1594–1597. https://doi.org/10.18203/2320-6012.ijrms20191642

Issue

Section

Original Research Articles