Prevalence of Chronic Kidney Disease with Hepatitis B and/or Hepatitis C Comorbid in Hemodialysis Installation at the University of Muhammadiyah Malang General Hospital

Abstract

Chronic Kidney Disease (CKD) is a clinical condition in which kidney function and/or structure is characterized by irreversible and slow, progressive evolution. CKD cases in Indonesia in 2018 amounted to 3.8% of the total population (713,783 cases). Prevalence of CKD patients with Hepatitis B and/or Hepatitis C at UMM General Hospital has never been reported before. Data were taken from the medical records of UMM General Hospital. Characteristics of the patients were age, gender, aetiology, vascular access and duration of hemodialysis. The results of the laboratory examinations analyzed were HBsAg and Anti-HCV on CKD patients who underwent hemodialysis every 6 months, starting from January 2020. Data were analyzed with descriptive analysis using SPSS v25. The demographic proportion of CKD patients undergoing hemodialysis was highest in the 50-59 year age group (33.8%). Males were more than females (85 patients, 53.1%). The most common aetiology of CKD at UMM General Hospital was caused by hypertension (92 patients, 57.5%). Vascular access mostly used was AV shunt (107 patients, 66.9%). 107 (66.9%) patients had undergone hemodialysis for 1-5 years. In January-June 2022, there were 2 (1.25%) Hepatitis B patients with CKD and 8 (5%) CKD patients with Hepatitis C. The majority of CKD patients at UMM General Hospital were male patients aged 50-59 years, having had hemodialysis for 1-5 years, using AV Shunt, with the most common cause being hypertension. In January-June 2022, there were 1.25% CKD patients with Hepatitis B and 5% CKD patients with Hepatitis C.
 Keywords: CKD, hemodialysis, Hepatitis B, Hepatitis C

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“…The prevalence of CKD in Indonesia increased from 0.2% in 2013 to 0.3% in 2018 (Hidayangsih et al, 2023;Rachmah et al, 2023). Additionally, a study found that the prevalence of CKD in Indonesia in 2018 was 0.38%, with varying rates across different provinces, such as 0.64% in North Kalimantan and 0.18% in West Sulawesi (Ro'di et al, 2023). Factors contributing to CKD in Indonesia include diabetes, hypertension, education level, living area, age, and sugary drink consumption (Hustrini et al, 2023).…”