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Investigation of Chronic Kidney Disease in Rural Community of Tangshan

Received: 2 March 2019     Accepted: 16 April 2019     Published: 30 April 2019
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Abstract

The chronic kidney disease (CKD) may not have any obvious symptoms. When the patient is initially diagnosed, the renal function has been severely damaged and even progresses to end-stage renal disease. It spends the giant medical expenditure to the government and the people, especially the residents in rural areas will face a huge financial burden. Regular renal function examination is very important and necessary, which can early detect CKD and then treat the CKD, especially in patients with diabetes and cardiovascular disease. Through screening of early renal disease, we can effectively delay the deterioration of kidney function and reduce the occurrence of complications. Materials and Methods: 272 employees’ family members' health examination data of our hospital were collected, including age, sex, blood pressure, BMI, creatinine, fasting blood glucose, hematocrit and urine routine, and then the glomerular filtration rate was calculated by MDRD formula to investigate the prevalence rate of chronic kidney disease. Result: Estimated glomerular filtration rate< 60 ml/min/1.73 M2 (at least chronic kidney disease stage 3) was 29 cases (10.6%).There 62 people of aged 61-70 were 13 found to be ill and the prevalence rate was 20.9%;but especially among 15 people over 71 years old, 7 of them were ill and the prevalence rate was as high as 46.6%. Discussions: It is worth noting that the subjects are family members of hospital staff who are relatively convenient to visit medical aid. But we also found that hyperuricemia is high up to 17.6% in this survey. Hyperuricemia also accelerates the decline of glomerular filtration rate and increases the risk of renal failure. Conclusion: Therefore, the actual prevalence rate of chronic kidney disease in rural community residents of this region may be higher. The renal disease screening and dietary education should be promoted as soon as possible to reduce the incidence of chronic kidney disease in the rural region.

Published in Asia-Pacific Journal of Medicine (Volume 2, Issue 1)
Page(s) 1-4
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Chronic Kidney Disease (CKD), End Stage Renal Disease (ESRD), Estimated Glomerular Filtration Rate (eGFR), Microalbumin/Creatinine Ratio (ACR)

References
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[4] Roman R, Alexander K, Michael K, Alexandra D, and Rainer O. Survival analysis of conservative vs. dialysis treatment of elderly patients with CKD stage 5. PLoS One 2017; 12(7): e0181345.
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[16] Lee WC, Fang HY, Chen HC, Chen CJ, Yang CH, Hang CL, Wu CJ, Fang CY. Anemia: A significant cardiovascular mortality risk after ST-segment elevation myocardial infarction complicated by the comorbidities of hypertension and kidney disease. PLoS One 2017; 12(7): e0180165.
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Cite This Article
  • APA Style

    Ping Liu, Chienwen Chen, Mingjie Zhang, Lijuan Lu, Dong Chen, et al. (2019). Investigation of Chronic Kidney Disease in Rural Community of Tangshan. Asia-Pacific Journal of Medicine, 2(1), 1-4.

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    ACS Style

    Ping Liu; Chienwen Chen; Mingjie Zhang; Lijuan Lu; Dong Chen, et al. Investigation of Chronic Kidney Disease in Rural Community of Tangshan. Asia-Pac. J. Med. 2019, 2(1), 1-4.

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    AMA Style

    Ping Liu, Chienwen Chen, Mingjie Zhang, Lijuan Lu, Dong Chen, et al. Investigation of Chronic Kidney Disease in Rural Community of Tangshan. Asia-Pac J Med. 2019;2(1):1-4.

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  • @article{10037934,
      author = {Ping Liu and Chienwen Chen and Mingjie Zhang and Lijuan Lu and Dong Chen and Fuli Chai and Miaopei Chen and Chienyi Ma},
      title = {Investigation of Chronic Kidney Disease in Rural Community of Tangshan},
      journal = {Asia-Pacific Journal of Medicine},
      volume = {2},
      number = {1},
      pages = {1-4},
      url = {https://www.sciencepublishinggroup.com/article/10037934},
      abstract = {The chronic kidney disease (CKD) may not have any obvious symptoms. When the patient is initially diagnosed, the renal function has been severely damaged and even progresses to end-stage renal disease. It spends the giant medical expenditure to the government and the people, especially the residents in rural areas will face a huge financial burden. Regular renal function examination is very important and necessary, which can early detect CKD and then treat the CKD, especially in patients with diabetes and cardiovascular disease. Through screening of early renal disease, we can effectively delay the deterioration of kidney function and reduce the occurrence of complications. Materials and Methods: 272 employees’ family members' health examination data of our hospital were collected, including age, sex, blood pressure, BMI, creatinine, fasting blood glucose, hematocrit and urine routine, and then the glomerular filtration rate was calculated by MDRD formula to investigate the prevalence rate of chronic kidney disease. Result: Estimated glomerular filtration rate< 60 ml/min/1.73 M2 (at least chronic kidney disease stage 3) was 29 cases (10.6%).There 62 people of aged 61-70 were 13 found to be ill and the prevalence rate was 20.9%;but especially among 15 people over 71 years old, 7 of them were ill and the prevalence rate was as high as 46.6%. Discussions: It is worth noting that the subjects are family members of hospital staff who are relatively convenient to visit medical aid. But we also found that hyperuricemia is high up to 17.6% in this survey. Hyperuricemia also accelerates the decline of glomerular filtration rate and increases the risk of renal failure. Conclusion: Therefore, the actual prevalence rate of chronic kidney disease in rural community residents of this region may be higher. The renal disease screening and dietary education should be promoted as soon as possible to reduce the incidence of chronic kidney disease in the rural region.},
     year = {2019}
    }
    

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  • TY  - JOUR
    T1  - Investigation of Chronic Kidney Disease in Rural Community of Tangshan
    AU  - Ping Liu
    AU  - Chienwen Chen
    AU  - Mingjie Zhang
    AU  - Lijuan Lu
    AU  - Dong Chen
    AU  - Fuli Chai
    AU  - Miaopei Chen
    AU  - Chienyi Ma
    Y1  - 2019/04/30
    PY  - 2019
    T2  - Asia-Pacific Journal of Medicine
    JF  - Asia-Pacific Journal of Medicine
    JO  - Asia-Pacific Journal of Medicine
    SP  - 1
    EP  - 4
    PB  - Science Publishing Group
    UR  - http://www.sciencepg.com/article/10037934
    AB  - The chronic kidney disease (CKD) may not have any obvious symptoms. When the patient is initially diagnosed, the renal function has been severely damaged and even progresses to end-stage renal disease. It spends the giant medical expenditure to the government and the people, especially the residents in rural areas will face a huge financial burden. Regular renal function examination is very important and necessary, which can early detect CKD and then treat the CKD, especially in patients with diabetes and cardiovascular disease. Through screening of early renal disease, we can effectively delay the deterioration of kidney function and reduce the occurrence of complications. Materials and Methods: 272 employees’ family members' health examination data of our hospital were collected, including age, sex, blood pressure, BMI, creatinine, fasting blood glucose, hematocrit and urine routine, and then the glomerular filtration rate was calculated by MDRD formula to investigate the prevalence rate of chronic kidney disease. Result: Estimated glomerular filtration rate< 60 ml/min/1.73 M2 (at least chronic kidney disease stage 3) was 29 cases (10.6%).There 62 people of aged 61-70 were 13 found to be ill and the prevalence rate was 20.9%;but especially among 15 people over 71 years old, 7 of them were ill and the prevalence rate was as high as 46.6%. Discussions: It is worth noting that the subjects are family members of hospital staff who are relatively convenient to visit medical aid. But we also found that hyperuricemia is high up to 17.6% in this survey. Hyperuricemia also accelerates the decline of glomerular filtration rate and increases the risk of renal failure. Conclusion: Therefore, the actual prevalence rate of chronic kidney disease in rural community residents of this region may be higher. The renal disease screening and dietary education should be promoted as soon as possible to reduce the incidence of chronic kidney disease in the rural region.
    VL  - 2
    IS  - 1
    ER  - 

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Author Information
  • Hemodialysis Center of Likang Hospital, Tangshan City, China

  • Hemodialysis Center of Likang Hospital, Tangshan City, China

  • Hemodialysis Center of Likang Hospital, Tangshan City, China

  • Hemodialysis Center of Likang Hospital, Tangshan City, China

  • Department of Nutrition of Hospital of North China University of Technology, Tangshan City, China

  • Hemodialysis Center of Likang Hospital, Tangshan City, China

  • Department of Medical Research of Pingtung Christian Hospital, Pingtung City, Taiwan

  • Department of Medicine of Tai-tung Christian Hospital, Tai-tung City, Taiwan

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