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Epidemiological Transition of End-Stage Kidney Disease in Oman
INTRODUCTION: The number of persons receiving renal replacement therapy (RRT) is estimated at more than 2.5 million worldwide, and is growing by 8% annually. Registries in the developing world are not up to standards compared to the United States Renal Data System (USRDS). Herein we examine the caus...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678924/ https://www.ncbi.nlm.nih.gov/pubmed/29142938 http://dx.doi.org/10.1016/j.ekir.2016.09.001 |
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author | Al Ismaili, Faisal Al Salmi, Issa Al Maimani, Yaqoub Metry, Abdul Massiah Al Marhoobi, Humood Hola, Alan Pisoni, Ronald L. |
author_facet | Al Ismaili, Faisal Al Salmi, Issa Al Maimani, Yaqoub Metry, Abdul Massiah Al Marhoobi, Humood Hola, Alan Pisoni, Ronald L. |
author_sort | Al Ismaili, Faisal |
collection | PubMed |
description | INTRODUCTION: The number of persons receiving renal replacement therapy (RRT) is estimated at more than 2.5 million worldwide, and is growing by 8% annually. Registries in the developing world are not up to standards compared to the United States Renal Data System (USRDS). Herein we examine the causes, progression, and magnitude of end-stage kidney disease (ESKD) over 3 decades in Oman. METHODS: We examined ESKD data from 1983 to 2013. Data from 1998 to 2013 were obtained through an Information Management System. Data before 2008 were collected from patients’ files. A questionnaire based on USRDS form 2728 was completed by nephrologists once a citizen reached ESKD. RESULTS: A total of 4066 forms were completed, with a response rate of 90% (52% male). The mean (SD) age was 50.1 (14.0) years. By 31 December 2013, there were 2386 patients alive on RRT, of whom 1206 were on hemodialysis (50.5%), 1080 were living with a functioning kidney transplant (45.3%), and 100 were receiving peritoneal dialysis (4.2%). The incidence of ESKD on RRT was 21, 75, and 120 per million population in 1983, 2001, and 2013, respectively. Similarly, the prevalence of ESKD was 49, 916, and 2386 in 1983, 2001, and 2013 respectively. Among patients with ESKD on RRT, a progressive rise was seen in diabetic nephropathy, with 5.8%, 32.1%, and 46% in 1983, 2001, and 2013 respectively. DISCUSSION: The incidence and prevalence of ESKD has increased progressively over last 30 years. This is anticipated to continue at an even higher rate in view of the progressive rise in noncommunicable diseases. Continuous improvement in registries is required to improve capturing of ESKD patients for providing accurate data to health authorities, and enhancing public awareness of the magnitude, future trends, treatments, and outcomes regarding ESKD. |
format | Online Article Text |
id | pubmed-5678924 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-56789242017-11-15 Epidemiological Transition of End-Stage Kidney Disease in Oman Al Ismaili, Faisal Al Salmi, Issa Al Maimani, Yaqoub Metry, Abdul Massiah Al Marhoobi, Humood Hola, Alan Pisoni, Ronald L. Kidney Int Rep Clinical Research INTRODUCTION: The number of persons receiving renal replacement therapy (RRT) is estimated at more than 2.5 million worldwide, and is growing by 8% annually. Registries in the developing world are not up to standards compared to the United States Renal Data System (USRDS). Herein we examine the causes, progression, and magnitude of end-stage kidney disease (ESKD) over 3 decades in Oman. METHODS: We examined ESKD data from 1983 to 2013. Data from 1998 to 2013 were obtained through an Information Management System. Data before 2008 were collected from patients’ files. A questionnaire based on USRDS form 2728 was completed by nephrologists once a citizen reached ESKD. RESULTS: A total of 4066 forms were completed, with a response rate of 90% (52% male). The mean (SD) age was 50.1 (14.0) years. By 31 December 2013, there were 2386 patients alive on RRT, of whom 1206 were on hemodialysis (50.5%), 1080 were living with a functioning kidney transplant (45.3%), and 100 were receiving peritoneal dialysis (4.2%). The incidence of ESKD on RRT was 21, 75, and 120 per million population in 1983, 2001, and 2013, respectively. Similarly, the prevalence of ESKD was 49, 916, and 2386 in 1983, 2001, and 2013 respectively. Among patients with ESKD on RRT, a progressive rise was seen in diabetic nephropathy, with 5.8%, 32.1%, and 46% in 1983, 2001, and 2013 respectively. DISCUSSION: The incidence and prevalence of ESKD has increased progressively over last 30 years. This is anticipated to continue at an even higher rate in view of the progressive rise in noncommunicable diseases. Continuous improvement in registries is required to improve capturing of ESKD patients for providing accurate data to health authorities, and enhancing public awareness of the magnitude, future trends, treatments, and outcomes regarding ESKD. Elsevier 2016-09-14 /pmc/articles/PMC5678924/ /pubmed/29142938 http://dx.doi.org/10.1016/j.ekir.2016.09.001 Text en © 2016 International Society of Nephrology. Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Clinical Research Al Ismaili, Faisal Al Salmi, Issa Al Maimani, Yaqoub Metry, Abdul Massiah Al Marhoobi, Humood Hola, Alan Pisoni, Ronald L. Epidemiological Transition of End-Stage Kidney Disease in Oman |
title | Epidemiological Transition of End-Stage Kidney Disease in Oman |
title_full | Epidemiological Transition of End-Stage Kidney Disease in Oman |
title_fullStr | Epidemiological Transition of End-Stage Kidney Disease in Oman |
title_full_unstemmed | Epidemiological Transition of End-Stage Kidney Disease in Oman |
title_short | Epidemiological Transition of End-Stage Kidney Disease in Oman |
title_sort | epidemiological transition of end-stage kidney disease in oman |
topic | Clinical Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678924/ https://www.ncbi.nlm.nih.gov/pubmed/29142938 http://dx.doi.org/10.1016/j.ekir.2016.09.001 |
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