Prevalence of chronic kidney disease in Thai adults: a national health survey

Ong-Ajyooth, Leena; Vareesangthip, Kriengsak; Khonputsa, Panrasri; Aekplakorn, Wichai

doi:10.1186/1471-2369-10-35

Cited by 48 publications

(55 citation statements)

References 23 publications

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“…A similar association has been reported in a study in Taiwan [15], where 62% of the affected population was male. However, the majority of published studies have shown female-dominant CKD cohorts [4,22,23]. Further research is needed to determine the reasons for male dominance in our study area.…”

Section: Discussionmentioning

confidence: 99%

Risk factors associated with disease progression and mortality in chronic kidney disease of uncertain etiology: a cohort study in Medawachchiya, Sri Lanka

Senevirathna

Abeysekera

Nanayakkara

et al. 2011

Environ Health Prev Med

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Background The alarming rise in the prevalence of chronic kidney disease of uncertain etiology (CKDu) among the low socioeconomic farming community in the North Central Province of Sri Lanka has been recognized as an emerging public health issue in the country.Methods This study sought to determine the possible factors associated with the progression and mortality of CKDu. The study utilized a single-center cohort registered in 2003 and followed up until 2009 in a regional clinic in the endemic region, and used a Cox proportional hazards model. Results We repeatedly found an association between disease progression and hypertension. Men were at higher risk of CKDu than women. A significant proportion of the patients in this cohort were underweight, which emphasized the need for future studies on the nutritional status of these patients. Conclusions Compared with findings in western countries and other regions of Asia, we identified hypertension as a major risk factor for progression of CKDu in this cohort.

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Section: Discussionmentioning

confidence: 99%

Risk factors associated with disease progression and mortality in chronic kidney disease of uncertain etiology: a cohort study in Medawachchiya, Sri Lanka

Senevirathna

Abeysekera

Nanayakkara

et al. 2011

Environ Health Prev Med

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“…Even for the subjects of CKD stage 1-2, hazard ratios (HR) for all-cause mortality were still significantly higher in those with overt proteinuria compared to those with negative proteinuria. As for the elderly population with CKD, Hwang et al further proved that these populations had significantly higher HR of 1.5, 2.1 and 2.6 for groups with eGFR of [30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] Regarding the impact of CKD on medical care cost, CKD patients were reported to have higher chances of cardiovascular events and hospitalizations. Taiwan BNHI data showed that patients with CKD had higher rates of outpatient visits, hospitalizations and medical expenses compared to patients without CKD (unpubl.…”

Section: Impact Of Ckd/esrd On Public Healthmentioning

confidence: 99%

Epidemiology, impact and preventive care of chronic kidney disease in Taiwan

2010

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ABSTRACT:Chronic kidney disease (CKD) has emerged as a global public health burden. Taiwan has the highest incidence and prevalence rates of endstage renal disease (ESRD) in the world. In this review, the following key issues of CKD in Taiwan are addressed: epidemiological data, underlying diseases patterns, risk factors, public health concerns and a preventive project. Prevalence of CKD are reported to be 6.9% for CKD stage 3-5, 9.83% for clinically recognized CKD and 11.9% for CKD stage 1-5. However, overall awareness of CKD is low, 9.7% for CKD stage 1-3 and 3.5% for stage 1-5. Diabetes mellitus (43.2%), chronic glomerulonephritis (25.1%), hypertension (8.3%) and chronic interstitial nephritis (2.8%) are four major underlying renal diseases of ESRD. Older age, diabetes, hypertension, smoking, obesity, regular use of herbal medicine, family members (both relatives and spouses), chronic lead exposure and hepatitis C are associated with higher risk for CKD. Impact of CKD increases risk of allcause mortality and cardiovascular diseases, especially in those with overt proteinuria and advanced CKD stages. These impacts lead to increased medical costs. The nationwide CKD Preventive Project with multidisciplinary care program has proved its effectiveness in decreasing dialysis incidence, mortality and medical costs. It is crucially significant from Taiwan experience on CKD survey and preliminary outcome of the preventive project. Provision of a more comprehensive public health strategy and better care plan for CKD should be achieved by future international collaborative efforts and research.Chronic kidney disease (CKD) has emerged as a global public health burden for its increasing number of patients, high risk of progression to end-stage renal disease (ESRD), and poor prognosis of morbidity and mortality.1,2 It attracts worldwide attention to its epidemiology, risk factors, treatment plans and preventive actions.3 Estimated glomerular filtration rate (eGFR) has become a standard method to evaluate CKD based on diagnostic criteria and classification by the National Kidney Foundation, USA.4 However, the reported prevalence of CKD has varied among different countries because of the discrepancies in age, ethnic groups, survey policies and equations of eGFR calculation.5-10 The patterns of associated risk factors and targeting strategies are also quite diverse. Taiwan has the highest incidence and prevalence rates of ESRD in the world according to the United States Renal Data System (USRDS) Annual Data Report.11 Thus, it is worthwhile to make explicit the epidemiology, risk factors, impact and preventive strategies for CKD in Taiwan. We hope that this approach may provide valuable lessons and experiences to many countries that are suffering from serious CKD problems and are making efforts to tackle them. In this review, we aim to address the following key issues of CKD focusing on Taiwan: epidemiological data, underlying diseases patterns, risk factors, public health concerns and a preventive project. EPIDEMIOLOGY OF CKD...

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“…Based on the third National Health Examination Survey (NHES III), a national representative survey of the Thai population, the prevalence of age-adjusted CKD stage III-V in the year 2004 was 8.9%, and the prevalence of CKD stage V was 0.2% [2]. The report also showed the highest prevalence of CKD in the northeastern region of Thailand (10.8%).…”

Section: Introductionmentioning

confidence: 79%

“…Since the study hospital is a small 30-bed hospital that is responsible for healthcare services of 20,394 people in the area, these 63 patients constituted all CKD stage V patients in the area, indicating a 0.3% prevalence of CKD stage V, a little greater than the 0.2% prevalence given in the national report [2]. The patients were invited to participate in the study, and all of them gave informed consent and agreed to participate.…”

Section: Resultsmentioning

confidence: 99%

Associations among Spirituality, Health-Related Quality of Life, and Depression in Pre-Dialysis Chronic Kidney Disease Patients: An Exploratory Analysis in Thai Buddhist Patients

et al. 2015

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Abstract:There are numerous studies of quality of life (QOL) in chronic kidney disease (CKD) patients; however, there are a few studies of spirituality and its association with QOL. Previous studies were done focusing on Western cultures; thus, the study of CKD patients in Eastern cultures would reveal interesting insights. This study was conducted to explore the spirituality, QOL, and depression of Thai CKD patients, and the associations between spirituality, QOL, and depression. This cross-sectional descriptive study using structured questionnaires was approved by the Khon Kaen University Ethics Committee in Human Research, Thailand. A total of 63 pre-dialysis CKD stage V patients who visited the kidney diseases clinic as appointed at the outpatient department in a community hospital in northeastern Thailand were recruited. The patients were asked for consent and then interviewed. Spirituality was assessed by using the WHOQOL Spirituality, Religiousness and Personal Beliefs (WHOQOL-SRPB) and the Functional Assessment of OPEN ACCESSReligions 2015, 6 1250Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp). The 9-item Thai Health Status Assessment Instrument (9-THAI) was used to assess QOL. The Beck Depression Inventory-II (BDI-II) was used to evaluate the depression. The study patients had high WHOQOL-SRPB and FACIT-Sp spirituality scores (median = 18.0, and 44.0, respectively). The 9-THAI QOL scores were within the normal range of the Thai general, healthy population (physical health score [PHS]; median = 48.0, mental health score [MHS]; median = 32.0). Based on BDI-II scores, most patients were in the minimal depression group (63.5%). The Spearman rho correlation coefficients (rs) of PHS and WHOQOL-SRPB and FACIT-Sp were moderate with 0.34 for both spirituality measures. Similarly, also the mental health scores (MHS) correlated moderately with WHOQOL-SRPB (rs = 0.46) and FACIT-Sp (rs = 0.37). Depressive symptoms (BDI-II) strongly negatively correlated with WHOQOL-SRPB (rs = −0.58) and FACIT-Sp (rs = −0.55). Overall results were consistent with previous studies in Western contexts. Understanding spirituality would lead to the better management of depression and improving patient survival. These significant associations suggest that further research is needed on how provider knowledge of patient spirituality could affect the outcomes for patients both in terms of depression and patient survival.

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Prevalence of chronic kidney disease in Thai adults: a national health survey

Cited by 48 publications

References 23 publications

Risk factors associated with disease progression and mortality in chronic kidney disease of uncertain etiology: a cohort study in Medawachchiya, Sri Lanka

Risk factors associated with disease progression and mortality in chronic kidney disease of uncertain etiology: a cohort study in Medawachchiya, Sri Lanka

Epidemiology, impact and preventive care of chronic kidney disease in Taiwan

Associations among Spirituality, Health-Related Quality of Life, and Depression in Pre-Dialysis Chronic Kidney Disease Patients: An Exploratory Analysis in Thai Buddhist Patients

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