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High Prevalence of Early Chronic Kidney Disease in High Risk Outpatients

Bibliographic Data

ID22320349
AuthorsRamajana Temimovic (0000-0003-2376-9560), Senija Rasic (University of Sarajevo), Alma Muslimovic (University of Sarajevo)
Year2015
Volume27
Issue2
Pages79
Publication date2015-01-01
Open AccessNo
TypeARTICLE
VenueMateria Socio Medica (JOURNAL)
Journal identifiersISSN: 1512-7680 • E-ISSN: 1986-597X
PublisherScopeMed (PUBLISHER • TR)
DOI10.5455/msm.2015.27.79-82
PMID26005380
PMCIDPMC4404992
OpenAlexW2115489222
LanguageEN
Citations received1
References cited3

INTRODUCTION: Chronic kidney disease (CKD) is a significant public health problem. The aim of this study was to determine the presence of early stages of renal disease in hypertensive and diabetic outpatients without previously diagnosed renal damages. METHODS: In this cross-sectional study we studied a random sample of outpatients with essential hypertension and/or diabetes mellitus type 2 in the general practice ambulance of city Sarajevo. Renal function was evaluated by using MDRD (Modification of Diet in Renal Disease) equation and with measurement of renal biomarkers. K/DOQI classification was used to define the stages of CKD. RESULTS: The study included 200 patients, of whom 75 (37.5%) were females, mean age of 54.81 ± 6.1 years, and 125 (62.5%) male, mean age 52.46 ± 8.2 years. More than half of respondents (54.0%) were hypertensive during the follow up period. Early CKD was detected in 52% respondents. Higher prevalence of early CKD was verified in the group of patients who had hypertension associated with diabetes mellitus type 2 (59.6% vs. 47.2% in hypertension group vs. 54,0% in diabetic group, p<0.05). Significant negative correlation was found between estimated glomerular filtration rate and presence of albuminuria (p<0.001), duration of hypertension (p=0.003), duration of type 2 diabetes mellitus (p=0.021), stages of hypertension (p=0.012), female gender (p<0.001) and older age of subjects (p=0.040). CONCLUSION: Our results confirmed high prevalence of CKD and the importance of early detection of CKD in high risk groups of patients in order to prevent the progression of the same. Prevention of chronic kidney disease in our country is still not carried out satisfactorily. Required is a much greater collaboration between primary care health givers and nephrologists

Albuminuria · Cross-sectional study · Diabetes mellitus · Disease · Kidney disease · Pathology · Renal function · Type 2 Diabetes Mellitus · Blood Pressure and Hypertension Studies · Chronic Kidney Disease and Diabetes · Dialysis and Renal Disease Management · Medicine · Endocrinology · Internal Medicine

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Citations per year0.09
Citation span2015 - 2015 (1)
Highly citedNo

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