[Prevalence of chronic kidney disease in patients with type 2 diabetes mellitus treated in primary care].

IF 2.6 4区医学 Q2 UROLOGY & NEPHROLOGY Nefrologia Pub Date : 2010-01-01 DOI:10.3265/Nefrologia.pre2010.Jun.10260

L M Lou Arnal, B Campos Gutiérrez, M Cuberes Izquierdo, O Gracia García, J M Turón Alcaine, S Bielsa García, J A Gimeno Orna, B Boned Juliani, A Sanjuán Hernández-French

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引用次数: 33

Abstract

Introduction: The frequency and clinical impact of chronic kidney disease (CKD) in type 2 diabetes patients (DM2) and the benefits of early intervention highlights the need for close collaboration in detection and management between Nephrology and Primary Health Care.

Objective: Our objectives were to estimate the prevalence of CKD in DM2 patients controlled by primary care and evaluate the need to early referral of CKD DM2 patients to renal specialists.

Material and methods:

Study population: patients older than 18 years of age, with analysis made for any reason in the 16 Health Centers of Health Sector Alcañiz (84,340 inhabitants)during 2008.

Variables: age, sex, serum creatinine,urine albumin/creatinine ratio, glycated hemoglobin,potassium and hemoglobin. We calculated the estimated glomerular filtration rate (eGF) by the MDRD formula. Were viewed the Consensus Document S.E.N.-SEMFyC ERC 2008 criteria for referral to renal specialists.

Results: Of the 16,814 patients enrolled, 3,466 (20.6%) had DM2. In DM2 patients, the prevalence of CKD was 34.6% (IC 95%, 33-36.2). eGF <60 ml/min/m2 was recorded in 25.2% of DM2 patients. In this subgroup the prevalence of albuminuria was 31.7%. Met criteria for referral to renal specialists 104 (3%) DM2 patients and 132 (1%) non diabetic patients(p <0.0001).

Conclusions: The prevalence of DM2 in the Health Centers is high, with frequent presence of CKD and albuminuria. An important percentage of patients meets the referral S.E.N.-SEMFyC criteria. The collaboration with primary care is essential in early detection and monitoring of these patients, and common primary care and nephrology protocols are need.Key words: Chronic kidney disease. Diabetes

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[初级保健治疗的2型糖尿病患者慢性肾脏疾病的患病率]。

2型糖尿病患者(DM2)中慢性肾脏疾病(CKD)的发生频率和临床影响以及早期干预的益处突出了肾脏病学和初级卫生保健在检测和管理方面密切合作的必要性。目的:我们的目的是估计由初级保健控制的DM2患者中CKD的患病率，并评估CKD DM2患者早期转诊给肾脏专家的必要性。材料和方法:研究人群:2008年期间在卫生部门Alcañiz的16个保健中心(84,340名居民)以任何理由对18岁以上的患者进行分析。变量:年龄，性别，血清肌酐，尿白蛋白/肌酐比值，糖化血红蛋白，钾和血红蛋白。我们用MDRD公式计算估计的肾小球滤过率(eGF)。我们查看了共识文件s.e.n - semfyc ERC 2008转诊到肾脏专家的标准。结果:在入组的16,814例患者中，3,466例(20.6%)患有DM2。在DM2患者中，CKD患病率为34.6% (IC 95%， 33-36.2)。eGF结论:DM2在卫生中心的患病率很高，经常出现CKD和蛋白尿。很大比例的患者符合转诊S.E.N.-SEMFyC标准。与初级保健的合作对于这些患者的早期发现和监测至关重要，需要共同的初级保健和肾病学协议。关键词:慢性肾病;糖尿病

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nefrologia 医学-泌尿学与肾脏学

CiteScore

3.40

自引率

7.70%

发文量

148

审稿时长

47 days

期刊介绍： Nefrología is the official publication of the Spanish Society of Nephrology. The Journal publishes articles on basic or clinical research relating to nephrology, arterial hypertension, dialysis and kidney transplants. It is governed by the peer review system and all original papers are subject to internal assessment and external reviews. The journal accepts submissions of articles in English and in Spanish languages.