Journal of Diabetology (Jan 2016)
Hospital-based prevalence of chronic kidney disease among the newly registered patients with diabetes
Abstract
Chronic kidney disease (CKD) is proved to be a major public health issue worldwide and an important contributor to the overall non-communicable disease burden. It increases risk of mortality, end-stage renal disease and accelerated cardiovascular disease (CVD). Diabetes is the biggest contributor to CKD and end stage renal disease (ESRD). In Bangladesh, very few data on CKD is available. This study aimed to estimate the prevalence of CKD among the newly registered diabetic patients at BIRDEM (Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders), a referral center for diabetes in Bangladesh. Methods: The study included all diabetic patients aged 18 - 80 years and were registered in the year 2012. Socio-demographic (age, sex, residence, income, literacy), clinical (obesity, blood pressure) and biochemical (blood glucose, lipids, eGFR) information were collected from the BIRDEM registry. CKD was defined according to the K/ DOQI guidelines. Results: A total of 1317 type 2 diabetic patients of age 18 to 80 years were studied. Of them, men and women were 54.7% and 45.3%, respectively. The overall prevalence of CKD (eGFR ≤60 (ml/min/m2)) was 13.9%. The prevalence was significantly higher in women than men (21.3 v. 7.8%, p50y), higher sBP (≥140mmHg) and taking oral hypoglycemic agent (OHA) were significant. Conclusions: Thus, the study concludes that the prevalence of CKD among the newly registered diabetic patients is quite high in Bangladesh. The female diabetic patients with older age and with higher SBP bear the brunt of CKD. Considering high prevalence of CKD with severe lifelong complications it is of utmost importance for early detection and intervention at the primary health care (PHC) level.
