Incidence and etiology of end-stage renal disease in madinah munawarah area : any changing trends?

In this prospective study, we show that the incidence of treated end-stage renal disease (ESRD) in Madinah Munawarah Area-Saudi Arabia (KSA) increased from 65.2 per million population (PMP) in 1988 to 137.5 PMP 2001. The highest incidence (40.6%) was in the age group 40 to 59 years with predominance...

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Bibliographic Details
Published in:Saudi journal of kidney diseases and transplantation 2004-10, Vol.15 (4), p.497-502
Main Authors: Vakil, Javed Ahmad M., Ashfaquddin, Muhammad, Muhammad, Abd al-Rahman O., Sirwal, Irshad Ahmad
Format: Article
Language:English
Subjects:
Diseases
Kidneys
Treatment
الأمراض
الفشل الكلوي
الكلى
المرضى
علم الأمراض
مسببات الأمراض
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Summary:In this prospective study, we show that the incidence of treated end-stage renal disease (ESRD) in Madinah Munawarah Area-Saudi Arabia (KSA) increased from 65.2 per million population (PMP) in 1988 to 137.5 PMP 2001. The highest incidence (40.6%) was in the age group 40 to 59 years with predominance of males (61.6%). Diabetes mellitus was the major etiology of ESRD in this area (42.5%) and remained as such over the past 11 years; this is the highest figure for this etiology in KSA. Hypertension as a co-morbidity is very common (74.5%). All diabetics were hypertensive at the start of renal replacement therapy (RRT). Ischemic heart disease is common in the chronic renal disease patients before RRT (27.4%). Most patients presented very late with ESRD (69.9%) without previous correction of the modifiable risk factors. The medical and general community at large should be informed of the benefits of early correction of the modifiable factors and the safety of the present RRT.
ISSN:1319-2442
2320-3838