Chronic kidney disease of nontraditional etiology in Central America: a provisional epidemiologic case definition for surveillance and epidemiologic studies
SYNOPSIS Over the last two decades, experts have reported a rising number of deaths caused by chronic kidney disease (CKD) along the Pacific coast of Central America, from southern Mexico to Costa Rica. However, this specific disease is not associated with traditional causes of CKD, such as aging, d...
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| Format: | Article |
| Language: | English |
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Pan American Health Organization
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| Series: | Revista Panamericana de Salud Pública |
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| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892016001100294&lng=en&tlng=en |
| _version_ | 1811298430028349440 |
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| author | Matthew Lozier Reina Maria Turcios-Ruiz Gary Noonan Pedro Ordunez |
| author_facet | Matthew Lozier Reina Maria Turcios-Ruiz Gary Noonan Pedro Ordunez |
| author_sort | Matthew Lozier |
| collection | DOAJ |
| description | SYNOPSIS Over the last two decades, experts have reported a rising number of deaths caused by chronic kidney disease (CKD) along the Pacific coast of Central America, from southern Mexico to Costa Rica. However, this specific disease is not associated with traditional causes of CKD, such as aging, diabetes, or hypertension. Rather, this disease is a chronic interstitial nephritis termed chronic kidney disease of nontraditional etiology (CKDnT). According to the Pan American Health Organization (PAHO) mortality database, there are elevated rates of deaths related to kidney disease in many of these countries, with the highest rates being reported in El Salvador and Nicaragua. This condition has been identified in certain agricultural communities, predominantly among male farmworkers. Since CKD surveillance systems in Central America are under development or nonexistent, experts and governmental bodies have recommended creating standardized case definitions for surveillance purposes to monitor and characterize this epidemiological situation. A group of experts from Central American ministries of health, the U.S. Centers for Disease Control and Prevention (CDC), and PAHO held a workshop in Guatemala to discuss CKDnT epidemiologic case definitions. In this paper, we propose that CKD in general be identified by the standard definition internationally accepted and that a suspect case of CKDnT be defined as a person age < 60 years with CKD, without type 1 diabetes mellitus, hypertensive diseases, and other well-known causes of CKD. A probable case of CKDnT is defined as a suspect case with the same findings confirmed three or more months later. |
| first_indexed | 2024-04-13T06:19:09Z |
| format | Article |
| id | doaj.art-8f1dee29e9314a4c99ecf121af3c3567 |
| institution | Directory Open Access Journal |
| issn | 1680-5348 |
| language | English |
| last_indexed | 2024-04-13T06:19:09Z |
| publisher | Pan American Health Organization |
| record_format | Article |
| series | Revista Panamericana de Salud Pública |
| spelling | doaj.art-8f1dee29e9314a4c99ecf121af3c35672022-12-22T02:58:42ZengPan American Health OrganizationRevista Panamericana de Salud Pública1680-5348405294300S1020-49892016001100294Chronic kidney disease of nontraditional etiology in Central America: a provisional epidemiologic case definition for surveillance and epidemiologic studiesMatthew LozierReina Maria Turcios-RuizGary NoonanPedro OrdunezSYNOPSIS Over the last two decades, experts have reported a rising number of deaths caused by chronic kidney disease (CKD) along the Pacific coast of Central America, from southern Mexico to Costa Rica. However, this specific disease is not associated with traditional causes of CKD, such as aging, diabetes, or hypertension. Rather, this disease is a chronic interstitial nephritis termed chronic kidney disease of nontraditional etiology (CKDnT). According to the Pan American Health Organization (PAHO) mortality database, there are elevated rates of deaths related to kidney disease in many of these countries, with the highest rates being reported in El Salvador and Nicaragua. This condition has been identified in certain agricultural communities, predominantly among male farmworkers. Since CKD surveillance systems in Central America are under development or nonexistent, experts and governmental bodies have recommended creating standardized case definitions for surveillance purposes to monitor and characterize this epidemiological situation. A group of experts from Central American ministries of health, the U.S. Centers for Disease Control and Prevention (CDC), and PAHO held a workshop in Guatemala to discuss CKDnT epidemiologic case definitions. In this paper, we propose that CKD in general be identified by the standard definition internationally accepted and that a suspect case of CKDnT be defined as a person age < 60 years with CKD, without type 1 diabetes mellitus, hypertensive diseases, and other well-known causes of CKD. A probable case of CKDnT is defined as a suspect case with the same findings confirmed three or more months later.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892016001100294&lng=en&tlng=enInsuficiencia renal crónicaenfermedades renalesnefritisenfermedad crónicavigilancia epidemiológicadiagnóstico diferencialAmérica Central |
| spellingShingle | Matthew Lozier Reina Maria Turcios-Ruiz Gary Noonan Pedro Ordunez Chronic kidney disease of nontraditional etiology in Central America: a provisional epidemiologic case definition for surveillance and epidemiologic studies Revista Panamericana de Salud Pública Insuficiencia renal crónica enfermedades renales nefritis enfermedad crónica vigilancia epidemiológica diagnóstico diferencial América Central |
| title | Chronic kidney disease of nontraditional etiology in Central America: a provisional epidemiologic case definition for surveillance and epidemiologic studies |
| title_full | Chronic kidney disease of nontraditional etiology in Central America: a provisional epidemiologic case definition for surveillance and epidemiologic studies |
| title_fullStr | Chronic kidney disease of nontraditional etiology in Central America: a provisional epidemiologic case definition for surveillance and epidemiologic studies |
| title_full_unstemmed | Chronic kidney disease of nontraditional etiology in Central America: a provisional epidemiologic case definition for surveillance and epidemiologic studies |
| title_short | Chronic kidney disease of nontraditional etiology in Central America: a provisional epidemiologic case definition for surveillance and epidemiologic studies |
| title_sort | chronic kidney disease of nontraditional etiology in central america a provisional epidemiologic case definition for surveillance and epidemiologic studies |
| topic | Insuficiencia renal crónica enfermedades renales nefritis enfermedad crónica vigilancia epidemiológica diagnóstico diferencial América Central |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892016001100294&lng=en&tlng=en |
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