Prevalencia de enfermedad renal crónica en centros urbanos de atención primaria

Background: Chronic kidney disease (CKD) is a major worldwide public health problem and is associated with increased risk of cardiovascular disease and death. Aim: To assess CKD prevalence in urban Primary Care Services (PCS) of Concepcion, Chile. Material and Methods: The clinical records of 27.894...

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Autores principales:	Zúñiga SM,Carlos, Müller O,Hans, Flores O,Maritza
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2011
Materias:	Kidney diseases Prevalence Primary health care
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000900010
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spelling	oai:scielo:S0034-988720110009000102011-11-17Prevalencia de enfermedad renal crónica en centros urbanos de atención primariaZúñiga SM,CarlosMüller O,HansFlores O,Maritza Kidney diseases Prevalence Primary health care Background: Chronic kidney disease (CKD) is a major worldwide public health problem and is associated with increased risk of cardiovascular disease and death. Aim: To assess CKD prevalence in urban Primary Care Services (PCS) of Concepcion, Chile. Material and Methods: The clinical records of 27.894 adults aged 55 ± 18 years (66% females), consulting in outpatient clinics and in whom serum creatinine was measured, with or without assessment of urine albumin levels, were reviewed. The glomerular filtration rate (eGFR) was estimated using the Modification of Diet in Renal Disease (MDRD)-4 equation. CKD was defined as an eGFR < 60 ml/min/1.73 m2 and classified according to the National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NFK-KDOQI) guidelines. Results: Mean eGFR was 77.1 ± 16.3 ml/min/1.73 m2. Twelve percent of subjects had CKD (women, 14.5% and men 7,4%, p < 0,05). The prevalence of stages 3, 4 and 5 of CKD were 11.6, 0.3 and 0.2 % respectively. eGFR was negatively correlated with age ( r = -0,54, p < 0,05). Among patients with an eGFR < 60 ml/min/1.73 m2, 96.3% had eGFR 30-59, 2.3% 15-29 and 1.4 % < of 15. Seventy nine percent were women. 75.1% were aged 65 years or more, 26.8% had a serum creatinine equal or less than 1.0 mg/dL and 40.5% had microalbuminuria. Only 1% of outpatients ascribed to Cardiovascular or Diabetes Programs had the diagnosis of CKD registered. Independent risk predictors of CKD were age > 60 years, female sex and microalbuminuria. Conclusions: This study showed a high prevalence of CKD in ambulatory patients, mainly among women and older people. The low level of diagnosis of CKD in cardiovascular and diabetes programs is of concern.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.139 n.9 20112011-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000900010es10.4067/S0034-98872011000900010
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Kidney diseases Prevalence Primary health care
spellingShingle	Kidney diseases Prevalence Primary health care Zúñiga SM,Carlos Müller O,Hans Flores O,Maritza Prevalencia de enfermedad renal crónica en centros urbanos de atención primaria
description	Background: Chronic kidney disease (CKD) is a major worldwide public health problem and is associated with increased risk of cardiovascular disease and death. Aim: To assess CKD prevalence in urban Primary Care Services (PCS) of Concepcion, Chile. Material and Methods: The clinical records of 27.894 adults aged 55 ± 18 years (66% females), consulting in outpatient clinics and in whom serum creatinine was measured, with or without assessment of urine albumin levels, were reviewed. The glomerular filtration rate (eGFR) was estimated using the Modification of Diet in Renal Disease (MDRD)-4 equation. CKD was defined as an eGFR < 60 ml/min/1.73 m2 and classified according to the National Kidney Foundation Kidney Disease Outcomes Quality Initiative (NFK-KDOQI) guidelines. Results: Mean eGFR was 77.1 ± 16.3 ml/min/1.73 m2. Twelve percent of subjects had CKD (women, 14.5% and men 7,4%, p < 0,05). The prevalence of stages 3, 4 and 5 of CKD were 11.6, 0.3 and 0.2 % respectively. eGFR was negatively correlated with age ( r = -0,54, p < 0,05). Among patients with an eGFR < 60 ml/min/1.73 m2, 96.3% had eGFR 30-59, 2.3% 15-29 and 1.4 % < of 15. Seventy nine percent were women. 75.1% were aged 65 years or more, 26.8% had a serum creatinine equal or less than 1.0 mg/dL and 40.5% had microalbuminuria. Only 1% of outpatients ascribed to Cardiovascular or Diabetes Programs had the diagnosis of CKD registered. Independent risk predictors of CKD were age > 60 years, female sex and microalbuminuria. Conclusions: This study showed a high prevalence of CKD in ambulatory patients, mainly among women and older people. The low level of diagnosis of CKD in cardiovascular and diabetes programs is of concern.
author	Zúñiga SM,Carlos Müller O,Hans Flores O,Maritza
author_facet	Zúñiga SM,Carlos Müller O,Hans Flores O,Maritza
author_sort	Zúñiga SM,Carlos
title	Prevalencia de enfermedad renal crónica en centros urbanos de atención primaria
title_short	Prevalencia de enfermedad renal crónica en centros urbanos de atención primaria
title_full	Prevalencia de enfermedad renal crónica en centros urbanos de atención primaria
title_fullStr	Prevalencia de enfermedad renal crónica en centros urbanos de atención primaria
title_full_unstemmed	Prevalencia de enfermedad renal crónica en centros urbanos de atención primaria
title_sort	prevalencia de enfermedad renal crónica en centros urbanos de atención primaria
publisher	Sociedad Médica de Santiago
publishDate	2011
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000900010
work_keys_str_mv	AT zunigasmcarlos prevalenciadeenfermedadrenalcronicaencentrosurbanosdeatencionprimaria AT mullerohans prevalenciadeenfermedadrenalcronicaencentrosurbanosdeatencionprimaria AT floresomaritza prevalenciadeenfermedadrenalcronicaencentrosurbanosdeatencionprimaria
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Prevalencia de enfermedad renal crónica en centros urbanos de atención primaria

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