Epidemiologic and demographic characteristics of a hemodialysis patient in Quchan, Iran.

Moshki, Mahdi and Hashemizadeh, Haydeh and Doulati, Saeid Pour (2015) Epidemiologic and demographic characteristics of a hemodialysis patient in Quchan, Iran. Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia, 26 (1). pp. 139-40. ISSN 1319-2442

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Abstract

How to cite this article: Moshki M, Hashemizadeh H, Pour Doulati S. Epidemiologic and demographic characteristics of a hemodialysis patient in Quchan, Iran. Saudi J Kidney Dis Transpl 2015;26:139-40 How to cite this URL: Moshki M, Hashemizadeh H, Pour Doulati S. Epidemiologic and demographic characteristics of a hemodialysis patient in Quchan, Iran. Saudi J Kidney Dis Transpl [serial online] 2015 [cited 2017 Mar 11];26:139-40. Available from: http://www.sjkdt.org/text.asp?2015/26/1/139/148764 To the Editor, The incidence and prevalence of hemodialysis (HD) patients in Iran recently in the year 2000 was 49.4 and 130.5 PMP, respectively. [1] Unfortunately, in most of the developing countries such as Iran, the patients with renal disease present late to the medical attention and it is not possible to diagnose the cause of end-stage renal disease (ESRD). This is a cross-sectional study designed to determine the etiology of kidney disease among 52 HD patients in Quchan, Iran in 2012. The patients underwent dialysis using Fresenius 4008B machines, bicarbonate dialysate and low-flux polysulfone membrane; 90.4% of our patients had fistulas as an access for HD. Information regarding demographic characteristics and medical history were obtained using a standardized questionnaire administered by trained staff. The mean age of the patients was 54.1 ± 16.9 years, and 36 (69%) patients were male. The mean duration of ESRD was 22.4 ± 15 months and 44.1% of the patients were on twice/week dialysis, 36.9% on thrice/week dialysis and 19% on once/week dialysis. The mean body mass index (BMI) of our patients was 21.5 ± 3.5, and 15.4%, 71.2%, 11.5% and 1.9% of patients were under weight, normal weight, over weight and obese, respectively. The causes of ESRD in the study patients included hypertension in 42.3%, diabetes mellitus in 30.7%, polycystic kidney disease in 9.6% and others in 17.3% of the patients. The main causes of CRF did not differ significantly between men and women (P >0.05). In this study, hypertension and diabetes mellitus were the most common causes of ESRD in Quchan. Glomerulonephritis and hypertension was the most common causes of ESRD in Iran, five years ago, in contrast to the present study. [2] This change may be due to the increasing prevalence of obesity, diabetes and hypertension in the developing countries, as noted by Krzesinski et al. [3] Studies from Shiraz, Mashhad and Guilan disclosed similar results in Iranian HD patients. [4],[5],[6] In our patients with age from 40 to 60 years, diabetes mellitus and hypertension remained the most common causes of ESRD. In conclusion, we believe that large numbers of ESRD patients have hypertension and diabetes as the etiologic factor in Iran. A local registry is necessary to help identify the causes of renal failure and develop management and research initiatives.

Item Type: Article
Subjects: R Medicine > RA Public aspects of medicine
Depositing User: Unnamed user with email eprints@gmu.ac.ir
Date Deposited: 11 Mar 2017 07:53
Last Modified: 11 Mar 2017 07:53
URI: http://eprints.gmu.ac.ir/id/eprint/112

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