The burden of chronic kidney disease

Hamer, Rizwan; Nahas, A. Meguid El

doi:10.1136/bmj.332.7541.563

Cited by 175 publications

(118 citation statements)

References 13 publications

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“…The incidence of chronic kidney disease is increasing worldwide because of an aging population and higher prevalence of diabetes, hypertension, and cardiovascular diseases (1). As a result, in most Western countries the demand for dialysis is increasing more rapidly in elderly patients than in younger age groups (2)(3)(4).…”

Section: Introductionmentioning

confidence: 99%

Clinical Practices and Outcomes in Elderly Hemodialysis Patients

Canaud

Lin

Tentori

et al. 2011

Clinical Journal of the American Society of Nephrology

212

163

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SummaryBackground and objectives Demand for hemodialysis among elderly patients is increasing worldwide. Although clinical care of this high-risk group is complex and challenging, no guidelines exist to inform hemodialysis practices. The Dialysis Outcomes and Practice Patterns Study (DOPPS) provides a unique opportunity to assess dialysis practices and associated outcomes among elderly versus younger patients on chronic in-center hemodialysis in 12 countries. Results Although participant mean age increased over time in all DOPPS countries, the percentage of elderly varied widely. Overall, comorbidities and malnutrition were more common in the elderly. Fistulae were used less frequently among elderly versus younger patients in Europe and North America but not in Australia, New Zealand, and Japan. No difference in treatment time was observed between elderly and younger patients after normalizing for body weight. In all regions, ultrafiltration rates were lower among elderly patients. Elderly patients reported poorer quality of life with respect to the physical but not mental component scores. Mortality risk was three-to sixfold higher in the elderly group, whereas causes of death overall were similar for elderly and younger patients. Design, setting, participants, & measurements ConclusionsElderly patients represent a different proportion of DOPPS participants across countries, possibly reflecting differences in policies and clinical practices. In general, hemodialysis practices in the elderly reflected each region's clinical patterns, with some variation by age group depending upon the practice.

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Section: Introductionmentioning

confidence: 99%

Clinical Practices and Outcomes in Elderly Hemodialysis Patients

Canaud

Lin

Tentori

et al. 2011

Clinical Journal of the American Society of Nephrology

212

163

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“…According to Hamer and El Nahas (2006), the surge in the number of persons with CKD could be explained by the current epidemic of type 2 diabetes, the number of cases of which is likely to double over the next 20 years, and by the aging of the population (Bello et al, 2005). According to Martin and Burnier (2009), about 5% of the population in the industrialised countries is affected by CKD.…”

Section: Introductionmentioning

confidence: 99%

Feasibility, Acceptability, and Preliminary Effects of Educational Intervention to Strengthen Humanistic Practice Among Hemodialysis Nurses in the Canton of Vaud, Switzerland: A Pilot Study

Delmas

O’Reilly

Iglesias

et al. 2016

International Journal for Human Caring

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A mixed-design pilot study was undertaken to examine the feasibility, acceptability, and preliminary effects of an educational intervention based on the theory of human caring delivered to hemodialysis (HD) nurses in Switzerland. Participants were 9 nurses and 22 patients undergoing HD. Results showed that the proposed intervention had a high level of feasibility and acceptability. Following the intervention, participating nurses consolidated their caring attitudes/ behaviours toward patients undergoing HD. The patients, for their part, perceived significant changes in the nurses' caring attitudes/behaviours following the intervention. Further research is needed to examine its effects on a larger population of nurses and patients.

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“…In addition, CKD presents an unfavorable outcome and high cost for the affected individuals, affecting every aspect of people's health: physical (increased cardiovascular disease burden, morbidity, and mortality), social (low quality of life, loss of productivity, and employment), and psychological (family pressures and mental disorders) [1][2][3] . CKD culminates in end-stage renal disease (ESRD) or end-stage kidney disease , when there is progressive and irreversible loss of kidney function, a serious health outcome with a high economic and social cost, which requires dialytic renal replacement therapy (hemodialysis and peritoneal dialysis) or transplants for maintenance of life.…”

Section: Introductionmentioning

confidence: 99%

Prevalência de autorrelato de diagnóstico médico de doença renal crônica no Brasil: Pesquisa Nacional de Saúde, 2013

Moura

Andrade

Malta

et al. 2015

Rev. bras. epidemiol.

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ABSTRACT:Objective: To describe the profile of adults who reported medical diagnosis of chronic kidney disease (CKD), according to selected variables. Methods: In a cross-sectional study with individuals included in the National Health Survey of 2013, a household population-based study was conducted in rural and urban areas of Brazil. A total of 60,202 individuals aged ≥18 years who self-reported a medical diagnosis of chronic renal failure or kidney disease were evaluated. Descriptive statistics, including calculations of prevalence and 95% confidence intervals (95%CI), were calculated. Results: The prevalence of CKD was 1.4% (95%CI 1.3 -1.6). It was similar between sexes: male, 1.4% (95%CI 1.1 -1.6); and female, 1.5% ((95%CI 1.3 -1.7). southern Brazil showed the highest frequency of this indicator (2.1%; 95%CI 1.6 -2.7). The prevalence of dialysis among people with medical diagnosis of end stage renal disease was 7.4% (95%CI 4.4 -10.3), being greater in males (12.4%; 95%CI 6.5 -18.3). There was no difference between the age groups and schooling levels. CKD was referenced by 8.9% (95%CI 3.5 -14.3) of the individuals with brown skin, with no difference among races/skin color. Conclusion: These results reveal various aspects of CKD in Brazil. The distribution of CKD was unequal, burdening especially individuals with poor education, demanding greater investments in health programs for the confrontation of CKD. Thus, these data allow the planning of public policies aimed at the prevention of this disease and health promotion.

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The burden of chronic kidney disease

Abstract: Is rising rapidly worldwide

Cited by 175 publications

References 13 publications

Clinical Practices and Outcomes in Elderly Hemodialysis Patients

Clinical Practices and Outcomes in Elderly Hemodialysis Patients

Feasibility, Acceptability, and Preliminary Effects of Educational Intervention to Strengthen Humanistic Practice Among Hemodialysis Nurses in the Canton of Vaud, Switzerland: A Pilot Study

Prevalência de autorrelato de diagnóstico médico de doença renal crônica no Brasil: Pesquisa Nacional de Saúde, 2013

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