Display options
Cite
Ferguson TS, Tulloch-Reid MK, Younger-Coleman NO, et al. Prevalence of Chronic Kidney Disease among Patients Attending a Specialist Diabetes Clinic in Jamaica. West Indian Med J. 2015;64(3):201-8doi: 10.7727/wimj.2014.084.
Ferguson, T. S., Tulloch-Reid, M. K., Younger-Coleman, N. O., Wright-Pascoe, R. A., Boyne, M. S., Soyibo, A. K., & Wilks, R. J. (2015). Prevalence of Chronic Kidney Disease among Patients Attending a Specialist Diabetes Clinic in Jamaica. The West Indian medical journal, 64(3), 201-8. https://doi.org/10.7727/wimj.2014.084
Ferguson, T S, et al. "Prevalence of Chronic Kidney Disease among Patients Attending a Specialist Diabetes Clinic in Jamaica." The West Indian medical journal vol. 64,3 (2015): 201-8. doi: https://doi.org/10.7727/wimj.2014.084
Ferguson TS, Tulloch-Reid MK, Younger-Coleman NO, Wright-Pascoe RA, Boyne MS, Soyibo AK, Wilks RJ. Prevalence of Chronic Kidney Disease among Patients Attending a Specialist Diabetes Clinic in Jamaica. West Indian Med J. 2015 Jun;64(3):201-8. doi: 10.7727/wimj.2014.084. Epub 2015 May 04. PMID: 26426170; PMCID: PMC4763891.
Copy Download .nbib Format: NLM
Share it on

West Indian Med J. 2015 Jun;64(3):201-8. doi: 10.7727/wimj.2014.084. Epub 2015 May 04.

Prevalence of Chronic Kidney Disease among Patients Attending a Specialist Diabetes Clinic in Jamaica.

The West Indian medical journal

T S Ferguson, M K Tulloch-Reid, N O Younger-Coleman, R A Wright-Pascoe, M S Boyne, A K Soyibo, R J Wilks

Affiliations

  1. Tropical Medicine Research Institute (Epidemiology Research Unit), The University of the West Indies, Kingston 7, Jamaica. [email protected].
  2. Tropical Medicine Research Institute, The University of the West Indies, Kingston 7, Jamaica.
  3. Department of Medicine, The University of the West Indies, Kingston 7, Jamaica.

PMID: 26426170 PMCID: PMC4763891 DOI: 10.7727/wimj.2014.084

Abstract

OBJECTIVE: To estimate the prevalence of chronic kidney disease (CKD) among patients attending the University Hospital of the West Indies (UHWI) Diabetes Clinic and to determine the proportion of patients at high risk for adverse outcomes.

METHODS: We conducted a cross-sectional study among patients attending the UHWI Diabetes Clinic between 2009 and 2010. Trained nurses administered a questionnaire, reviewed dockets, and performed urinalyses. Estimated glomerular filtration rate (eGFR) was calculated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation. Albuminuria was assessed using urine test strips for protein and microalbumin. Chronic kidney disease was defined as an eGFR < 60 ml/min/1.73m2 or albuminuria ≥ 30 mg/g creatinine. Risk of adverse outcome (all-cause mortality, cardiovascular disease and kidney failure) was determined using the Kidney Disease: Improving Global Outcome (KDIGO) 2012 prognosis grid.

RESULTS: Participants included 100 women and 32 men (mean age, 55.4 ± 12.9 years, mean duration of diabetes, 16.7 ± 11.7 years). Twenty-two per cent of participants had eGFR < 60 ml/min/1.73m2. Moderate albuminuria (30-300 mg/g) was present in 20.5% of participants and severe albuminuria (> 300 mg/g) in 62.1%. Overall prevalence of CKD was 86.3% (95%CI 80.4%, 92.2%). Based on KDIGO risk categories, 50.8% were at high risk and 17.4% at very high risk of adverse outcomes.

CONCLUSION: Most patients at the UHWI Diabetes Clinic had CKD and were at high or very high risk of adverse outcomes. Further studies to determine the burden of CKD in other clinical settings and to identify the best strategies for preventing adverse outcomes in developing countries need to be conducted.

References

  1. Kidney Int. 2003 Jan;63(1):225-32 - PubMed
  2. West Indian Med J. 2004 Mar;53(2):81-4 - PubMed
  3. West Indian Med J. 2004 Mar;53(2):85-8 - PubMed
  4. Diabet Med. 2007 Apr;24(4):364-9 - PubMed
  5. West Indian Med J. 2007 Sep;56(4):355-63 - PubMed
  6. J Diabetes Complications. 2008 Mar-Apr;22(2):96-103 - PubMed
  7. J Med Assoc Thai. 2008 Oct;91(10):1505-13 - PubMed
  8. Ann Intern Med. 2009 May 5;150(9):604-12 - PubMed
  9. Nephrol Dial Transplant. 2009 Dec;24(12):3724-31 - PubMed
  10. West Indian Med J. 2009 Dec;58(6):596-600 - PubMed
  11. Lancet. 2012 Jan 14;379(9811):165-80 - PubMed
  12. BMC Nephrol. 2012;13:57 - PubMed
  13. Diabetes Care. 2013 Jan;36 Suppl 1:S11-66 - PubMed
  14. BMC Nephrol. 2013;14:46 - PubMed
  15. Lancet. 2013 Jul 20;382(9888):260-72 - PubMed
  16. West Indian Med J. 2013 Mar;62(3):216-23 - PubMed
  17. Diabetes Res Clin Pract. 2014 Feb;103(2):223-30 - PubMed

Publication Types