Chronic kidney disease in women: a cross sectional screening in a tertiary care hospital in Varanasi
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Abstract
Background: Chronic Kidney Disease is no longer considered just a health burden today but a major health priority owing to its high treatment costs and poor outcome. World Kidney Day and International Women’s Day in 2018 coincided, thus offering an opportunity to reflect on the importance of women’s health, and specifically their kidney health. The current study aims to identify chronic kidney disease in women through a cross sectional screening in hospital based camp in Varanasi on World Kidney Day.
Methods: 138 females attending a health camp were screened for clinical parameters like serum creatinine, random blood sugar, and pregnancy complications. Demographic and anthropometric parameters were noted. Ordinal logistic regression analysis was used to find the predictors of chronic kidney disease stages.
Results: The median age of the participants was 36 years. The prevalence of chronic kidney disease was 6.4% with 1.4% of Stage 1, 2.1% of Stage 2, 1.4% of Stage 3 and 1.4% of Stage 4. Women with diabetes were nearly 4 times at a greater risk of developing higher stages of chronic kidney disease compared to women without it. With a unit increase in serum creatinine levels, women were nearly 13 times more likely to develop higher stages of chronic kidney disease.
Conclusion: Serum creatinine levels and diabetes were the significant predictors for the development of higher stages of chronic kidney disease. Early screening for kidney diseases in women could reduce the load of health care delivery system that is involved in renal replacement therapies.
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Piccoli GB, Alrukhaimi M, Liu ZH, Zakharova E, Levin A, et al. Women and kidney disease: reflections on World Kidney Day 2018. Kidney Int. 2018; 93: 278–283. Ref.: https://goo.gl/J8WNB9
Luyckx, VA, Brenner BM. Birth weight, malnutrition and kidney-associated outcomes—a global concern. Nat Rev Nephrol. 2015; 11: 135-139. Ref.: https://goo.gl/Rezeuq
Levey AS, Coresh J, Balk E, Kausz AT, Levin A, et al. National Kidney Foundation practice guidelines for chronic kidney disease: evaluation, classification, and stratification. Ann Intern Med. 2003; 139: 137–147. Ref.: https://goo.gl/t2V8cj
Woodhouse S, Batten W, Hendrick H, Malek PA. The glomerular filtration rate: an important test for diagnosis, staging, and treatment of chronic kidney disease. Lab Med. 2015; 37: 244–246. Ref.: https://goo.gl/XeVH4U
Ležaić V, Bajčetić S, Peruničić-Peković G, Bukvić D, Dimković N, et al. Screening of elderly for chronic kidney disease. Kidney Blood Press. Res. 2012; 35: 497–503. Ref.: https://goo.gl/oPwqUH
Singh AK, Farag YM, Mittal BV, Subramanian KK, Reddy SR, et al. Epidemiology and risk factors of chronic kidney disease in India–results from the SEEK (Screening and Early Evaluation of Kidney Disease) study. BMC Nephrol. 2013; 14: 114. Ref.: https://goo.gl/kcqhkG
Ruggenenti P, Schieppati A, Remuzzi G. Progression, remission, regression of chronic renal diseases. Lancet. 2001; 357: 1601–1608. Ref.: https://goo.gl/WFfKdR
Kher V. End-stage renal disease in developing countries. Kidney Int. 2002; 62: 350–362. Ref.: https://goo.gl/4tbJ2u
Jha V. End‐stage renal care in developing countries: the India experience. Ren Fail. 2004; 26: 201–208. Ref.: https://goo.gl/wucW1c
Modi GK, Jha V. The incidence of end-stage renal disease in India: a population-based study. Kidney Int. 2006; 70: 2131–2133. Ref.: https://goo.gl/FQ1RQm
Sakhuja V, Sud K. End-stage renal disease in India and Pakistan: burden of disease and management issues. Kidney Int. 2003; 63: S115–S118. Ref.: https://goo.gl/9NXFyY
Saran R, Robinson B, Abbott KC, Agodoa LY, Albertus P. et al. US Renal Data System 2016 annual data report: epidemiology of kidney disease in the United States. Am J kidney Dis. 2017; 69: A7–A8. Ref.: https://goo.gl/awrkmj
Stats F. National Chronic Kidney Disease Fact Sheet. 2017; Ref.: https://goo.gl/uKezR9
Pounds LL, Teodorescu VJ. Chronic kidney disease and dialysis access in women. J Vasc Surg. 2013; 57: 49S–53S. Ref.: https://goo.gl/Hmn4aS
Levey AS, Eckardt KU, Tsukamoto Y, Levin A, Coresh J, et al. Definition and classification of chronic kidney disease: a position statement from Kidney Disease: Improving Global Outcomes (KDIGO). Kidney Int. 2005; 67: 2089–2100. Ref.: https://goo.gl/BmRZTL
Varma PP. Prevalence of chronic kidney disease in India-Where are we heading? Indian J Nephrol. 2015; 25: 133-135. Ref.: https://goo.gl/GQNFZX
Webster AC, Nagler EV, Morton RL, Masson P. Chronic kidney disease. Lancet. 2017; 389: 1238–1252. Ref.: https://goo.gl/bCDzNv
Maric C. Sex, diabetes and the kidney. Am J Physiol Physiol. 2009; 296: F680–F688. Ref.: https://goo.gl/x962ZS
Carrero JJ, Hecking M, Chesnaye NC, Jager KJ. Sex and gender disparities in the epidemiology and outcomes of chronic kidney disease. Nat Rev Nephrol. 2018; 14: 151-164. Ref.: https://goo.gl/jWwF6D