Home Print this page Email this page Small font size Default font size Increase font size
Users Online: 1333
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2019  |  Volume : 8  |  Issue : 9  |  Page : 2859-2863

Causes, comorbidities and current status of chronic kidney disease: A community perspective from North Kerala

1 Department of Community Medicine, Govt Medical College, Manjeri, Kerala, India
2 Department of Community Medicine, Govt Medical College, Thrissur, Kerala, India
3 Department of Community Medicine, ESIC Medical College, Hyderabad, Telangana, India

Correspondence Address:
Dr. Sabitha Rose Jacob
Department of Community Medicine, Govt Medical College Manjeri, Vellarangal PO, 676 121, Kerala
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jfmpc.jfmpc_478_19

Rights and Permissions

Context: Chronic kidney disease is an upcoming public health problem characterized by premature mortality and expensive treatment in low resource settings where diabetes is highly prevalent. Aim: To find out the causes and comorbidities and to explore the community support systems for treatments availed. Settings and Design: Community based cross sectional design. Materials and Methods: Interview of known chronic kidney disease patients above 18 years registered under palliative clinics. Statistical Analysis Used: Mean, SD, proportions, and 95% Confidence interval, chi square test at significance level P = 0.05. Results: Majority of patients were males, below 60 years. Mean duration was 5.26 years and mean age at onset was 48.6 years and 62% were in advanced stages of disease. The commonest cause was diabetic nephropathy (44.6%) followed by hypertensive nephropathy (33.3%).The comorbidities included hypertension (61.4%), diabetes (47.3%), cardiovascular disease (30.6%), Chronic obstructive pulmonary disease (10%) malignancies (2.6%), and retinopathy (28%). Considering treatment status 60.6% were on dialysis 13.3% had undergone transplantation, mostly from private institutions with help of public donations and both at significant underutilization by women. Though 44.6% were protected by social security schemes, the median monthly cost of disease management amounted to Rs. 10,500 which was unaffordable for the majority who were below the poverty line. Conclusions: There is an impending need for strengthening management, high-risk screening among diabetic and hypertensive patients and provision for specialist care to delay the onset of end-stage renal disease. The social security support system should be improvised for our setting to facilitate dialysis and transplantation to minimize out of the pocket expenditure.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded261    
    Comments [Add]    
    Cited by others 2    

Recommend this journal