Chronic kidney disease: global dimension and perspectives

Jha, Vivekanand; Garcia-Garcia, Guillermo; Iseki, Kunitoshi; Zuo, Li; Naicker, Saraladevi; Plattner, Brett; Saran, Rajiv; Wang, Angela Yee-Moon; Yang, Chih Wei

doi:10.1016/s0140-6736(13)60687-x

Cited by 3,605 publications

(2,984 citation statements)

References 88 publications

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“…In Brazil, it is considered a public health problem, as statistics show high mortality and morbidity, besides the high cost involved for doing the treatment (1)(2) . In 2012, the number of people on dialysis treatment was 97,586, almost double compared to 2000 (3) .…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of nursing diagnosis of fluid volume excess in patients undergoing hemodialysis

Fernandes

Medeiros

Macêdo

et al. 2014

Rev. esc. enferm. USP

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Objective: To identify the prevalence of nursing diagnosis of fluid volume excess and their defining characteristics in hemodialysis patients and the association between them. Method: Cross-sectional study conducted in two steps. We interviewed 100 patients between the months of December 2012 and April 2013 in a teaching hospital and one hemodialysis clinic. The inference was performed by diagnostician nurses between July and September 2013. Results: The diagnostic studied was identified in 82% of patients. The characteristics that were statistically associated: bounding pulses, pulmonary congestion, jugular vein distention, edema, change in electrolytes, weight gain, intake greater than output and abnormal breath sounds. Among these, edema and weight gain had the highest chances for the development of this diagnostic. Conclusion: The analyzed diagnostic is prevalent in this population and eight characteristics presented significant association.

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Section: Introductionmentioning

confidence: 99%

“…The latter is the main risk factor for developing coronary artery disease, cerebrovascular disease and pulmonary congestion (2,(4)(5)11) .…”

Section: Introductionmentioning

confidence: 99%

Prevalence of nursing diagnosis of fluid volume excess in patients undergoing hemodialysis

Fernandes

Medeiros

Macêdo

et al. 2014

Rev. esc. enferm. USP

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“…Sin embargo, el mismo se ve limitado por múltiples factores, destacando la poca disponibilidad de órganos, sus costos elevados y la carencia de recursos económicos. Por ello, los individuos enfermos suelen enfrentar obstáculos para acceder al trasplante o seguir el tratamiento y evitar el rechazo del órgano implantado 3 .…”

Section: Cad Saúde Pública 2017; 33(10):e00160416unclassified

La atención a la enfermedad renal en Uruguay: la perspectiva de individuos con trasplante renal

Mercado-Martínez

Levin-Echeverri

2017

Cad. Saúde Pública

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Resumen: Este trabajo examina la atención renal desde la perspectiva de quienes han sido trasplantados, padeciendo enfermedad renal crónica (ERC), así como la de sus familias. Se realizó un estudio cualitativo en tres ciudades de Uruguay. Utilizando un muestreo teórico, seleccionamos 25 personas con ERC que vivieran con trasplante renal, y cinco familiares. Se hicieron entrevistas semi-estructuradas para explorar las perspectivas de los participantes; así como análisis de contenido. Cuatro ejes temáticos fueron construidos a partir del discurso de los participantes: reconociendo los logros del sistema de atención, teniendo derecho a la salud, identificando problemas en la atención y formulando propuestas de acción. El sistema de atención es considerado adecuado, eficiente y de calidad por quienes viven con trasplante renal, son jóvenes, trabajadores, de Montevideo y están cubiertos por el sector sanitario privado. Lo contrario sucede con los jubilados o pensionistas, con multi-morbilidad, del interior del país, cubiertos por el sector público y viviendo en la pobreza. Los participantes también formulan propuestas para resolver los problemas identificados. Además de reconocer el acceso gratuito y universal a las terapias renales, a las cuales consideran tener derecho, concluimos que los individuos con trasplante de riñón valoran favorablemente la atención sanitaria y los organismos involucrados. Sin embargo, algunos enfrentan serios obstáculos para acceder a una atención gratuita, oportuna y de calidad. Recomendamos impulsar estrategias para incorporar propuestas de los individuos enfermos y sus familias, a fin de mejorar dicha atención y disminuir las desigualdades sociales.

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“…CKD is a global public health problem that affects 5-10% of the population in western countries, with economic implications on health funds. Decrease in glomerular filtration rate (GFR) lower than 60 ml/min has also been emphasized [1,2]. Patients with kidney diseases are at higher risk of death, especially from cardiovascular events as well as at higher risk of progressive exacerbation of the kidney function leading to development of end-stage renal disease (ESRD), frequent hospitalizations and poor quality of life [3].…”

Section: Introductionmentioning

confidence: 99%

Monitoring of Renal Allograft Function with Different Equations: What are the Differences?

Bushljetikj¹,

Selim²,

Taneva³

et al. 2017

BANTAO Journal

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Introduction. Monitoring of graft function by creatinine concentrations in serum and calculated glomerular filtration rate (GFR) is recommended after kidney transplantation. KDIGO recommendations on the treatment of transplant patients advocate usage of one of the existing mathematical equations based on serum creatinine. We compared clinical application of three equations based on serum creatinine in monitoring the function of transplanted kidney. Methods. A total number of 55 adult patients who received their first renal allograft from living donors at our transplant center in between 2011-2014 were included into the study. Renal allograft GFR was estimated by the Cockroft-Gault, Nankivell and MDRD formula, and correlated with clinical parameters of donors and recipients. Results. The mean age of recipients was 35.7±9.5 (range 16-58), and the mean age of donors was 55.5±9.0 (34-77) years. Out of this group of 55 transplant patients, 50(90.91%) were on hemodialysis (HD) prior to transplantation. HD treatment was shorter than 24 months in 37(74%) transplant patients. The calculated GFR with MDRD equation showed the highest mean value at 6 and 12 months (68.46±21.5; 68.39±24.6, respectively) and the lowest at 48 months (42.79±12.9). According to the Cockroft&Gault equation GFR was the highest at 12 months (88.91±24.9) and the lowest at 48 months (66.53±18.1 ml/min). The highest mean level (80.53±17.7) of the calculated GFR with the Nankivell equation was obtained at 12 months and the lowest (67.81±16.7 ml/min) at 48 months. The values of Pearson's correlation coefficient between the calculated GFR and the MDRD at 2 years after transplantation accor-

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Chronic kidney disease: global dimension and perspectives

Cited by 3,605 publications

References 88 publications

Prevalence of nursing diagnosis of fluid volume excess in patients undergoing hemodialysis

Prevalence of nursing diagnosis of fluid volume excess in patients undergoing hemodialysis

La atención a la enfermedad renal en Uruguay: la perspectiva de individuos con trasplante renal

Monitoring of Renal Allograft Function with Different Equations: What are the Differences?

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