Incidence, mortality, and prevalence of end-stage chronic renal disease in the Bajo Lempa region of El Salvador: A ten-year community registry
The Bajo Lempa is an impoverished rural coastal region of El Salvador affected by the chronic kidney disease (CKD) epidemic known as Mesoamerican nephropathy. The local community organisation Fondo Social de Emergencia para la Salud (FSES) (Emergency social fund for health) is helping to fight the e...
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| Format: | Article |
| Language: | English |
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Elsevier
2016-09-01
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| Series: | Nefrología (English Edition) |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2013251416301031 |
| _version_ | 1811310719171297280 |
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| author | Ramón García-Trabanino Carolina Hernández Adrián Rosa Jesús Domínguez Alonso |
| author_facet | Ramón García-Trabanino Carolina Hernández Adrián Rosa Jesús Domínguez Alonso |
| author_sort | Ramón García-Trabanino |
| collection | DOAJ |
| description | The Bajo Lempa is an impoverished rural coastal region of El Salvador affected by the chronic kidney disease (CKD) epidemic known as Mesoamerican nephropathy. The local community organisation Fondo Social de Emergencia para la Salud (FSES) (Emergency social fund for health) is helping to fight the epidemic in 42 communities of the region (19,223 inhabitants; average age 26.7 years; 48.5% male; 40.2% <18 years).
Objectives: To report annual rates of end-stage renal disease (ESRD) incidence and patient mortality in these communities during a 10-year period (2004–2013), and the prevalence of patients receiving renal replacement therapy (RRT) as of 31 December 2013.
Methods: The FSES recorded new ESRD cases, basic patient history, form of RRT if received and patient deaths.
Results: We registered 271 new ESRD cases (annual average 27.1; 89% male; average age 55.6 years, four <18 years). Average annual ESRD incidence rate: 1409.8 per million population (pmp). Two-thirds did not report diabetes or hypertension. 94 patients (34.7%) received RRT: 58 in the Ministry of health, 26 in private services, 9 in social security and 1 in the military health system. 246 patients died (annual average 24.6 deaths; 89.4% male; average age 56.1 years; 92.3% at home). Average annual mortality rate: 128/100,000 population. Prevalence of patients receiving RRT in 2013: 1300.5 pmp (N = 25; 84% male; average age 51 years).
Conclusions: This region has a high incidence of ESRD. Few receive RRT. Patient mortality is high even with RRT. Most patients are male (9:1). Social determinants influence the high mortality. |
| first_indexed | 2024-04-13T10:03:53Z |
| format | Article |
| id | doaj.art-2f1e60dc0550476e9a2187e2de0c2242 |
| institution | Directory Open Access Journal |
| issn | 2013-2514 |
| language | English |
| last_indexed | 2024-04-13T10:03:53Z |
| publishDate | 2016-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Nefrología (English Edition) |
| spelling | doaj.art-2f1e60dc0550476e9a2187e2de0c22422022-12-22T02:51:10ZengElsevierNefrología (English Edition)2013-25142016-09-0136551752210.1016/j.nefroe.2016.11.006Incidence, mortality, and prevalence of end-stage chronic renal disease in the Bajo Lempa region of El Salvador: A ten-year community registryRamón García-Trabanino0Carolina Hernández1Adrián Rosa2Jesús Domínguez Alonso3Comité científico, Departamento de Investigación, Hospital Nacional Rosales, San Salvador, El SalvadorFondo Social de Emergencia para la Salud, Cantón Tierra Blanca, Usulután, El SalvadorFondo Social de Emergencia para la Salud, Cantón Tierra Blanca, Usulután, El SalvadorFondo Social de Emergencia para la Salud, Cantón Tierra Blanca, Usulután, El SalvadorThe Bajo Lempa is an impoverished rural coastal region of El Salvador affected by the chronic kidney disease (CKD) epidemic known as Mesoamerican nephropathy. The local community organisation Fondo Social de Emergencia para la Salud (FSES) (Emergency social fund for health) is helping to fight the epidemic in 42 communities of the region (19,223 inhabitants; average age 26.7 years; 48.5% male; 40.2% <18 years). Objectives: To report annual rates of end-stage renal disease (ESRD) incidence and patient mortality in these communities during a 10-year period (2004–2013), and the prevalence of patients receiving renal replacement therapy (RRT) as of 31 December 2013. Methods: The FSES recorded new ESRD cases, basic patient history, form of RRT if received and patient deaths. Results: We registered 271 new ESRD cases (annual average 27.1; 89% male; average age 55.6 years, four <18 years). Average annual ESRD incidence rate: 1409.8 per million population (pmp). Two-thirds did not report diabetes or hypertension. 94 patients (34.7%) received RRT: 58 in the Ministry of health, 26 in private services, 9 in social security and 1 in the military health system. 246 patients died (annual average 24.6 deaths; 89.4% male; average age 56.1 years; 92.3% at home). Average annual mortality rate: 128/100,000 population. Prevalence of patients receiving RRT in 2013: 1300.5 pmp (N = 25; 84% male; average age 51 years). Conclusions: This region has a high incidence of ESRD. Few receive RRT. Patient mortality is high even with RRT. Most patients are male (9:1). Social determinants influence the high mortality.http://www.sciencedirect.com/science/article/pii/S2013251416301031Bajo LempaEl SalvadorChronic kidney diseaseEnd-stage renal diseaseIncidenceMortalityMesoamerican nephropathyPrevalenceRenal replacement therapy |
| spellingShingle | Ramón García-Trabanino Carolina Hernández Adrián Rosa Jesús Domínguez Alonso Incidence, mortality, and prevalence of end-stage chronic renal disease in the Bajo Lempa region of El Salvador: A ten-year community registry Nefrología (English Edition) Bajo Lempa El Salvador Chronic kidney disease End-stage renal disease Incidence Mortality Mesoamerican nephropathy Prevalence Renal replacement therapy |
| title | Incidence, mortality, and prevalence of end-stage chronic renal disease in the Bajo Lempa region of El Salvador: A ten-year community registry |
| title_full | Incidence, mortality, and prevalence of end-stage chronic renal disease in the Bajo Lempa region of El Salvador: A ten-year community registry |
| title_fullStr | Incidence, mortality, and prevalence of end-stage chronic renal disease in the Bajo Lempa region of El Salvador: A ten-year community registry |
| title_full_unstemmed | Incidence, mortality, and prevalence of end-stage chronic renal disease in the Bajo Lempa region of El Salvador: A ten-year community registry |
| title_short | Incidence, mortality, and prevalence of end-stage chronic renal disease in the Bajo Lempa region of El Salvador: A ten-year community registry |
| title_sort | incidence mortality and prevalence of end stage chronic renal disease in the bajo lempa region of el salvador a ten year community registry |
| topic | Bajo Lempa El Salvador Chronic kidney disease End-stage renal disease Incidence Mortality Mesoamerican nephropathy Prevalence Renal replacement therapy |
| url | http://www.sciencedirect.com/science/article/pii/S2013251416301031 |
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