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Title: Aetiology, practice patterns and burden of end-stage kidney disease in South Asia and South-East Asia: A questionnaire-based survey
Authors: Manisha Sahay
Sanjiv Jasuja
Sydney Chi Wai Tang
Suceena Alexander
Vivekanand Jha
Tushar Vachharajani
Mamun Mostafi
Jayakrishnan K. Pisharam
Chakko Jacob
Atma Gunawan
Goh Bak Leong
Khin Thida Thwin
Rajendra Kumar Agrawal
Kriengsak Vareesangthip
Roberto Tanchanco
Lina Choong
Chula Herath
Chih Ching Lin
Nguyen The Cuong
Ha Phan Haian
Syed Fazal Akhtar
Ali Alsahow
Devinder S. Rana
Mohan M. Rajapurkar
Vijay Kher
Shalini Verma
Raja Ramachandran
Vinant Bhargava
Sonika Puri
Gaurav Sagar
Anupam Bahl
Sandeep Mandal
Ashwani Gupta
Maurizio Gallieni
Siriraj Hospital
Viet Nam National University Ho Chi Minh City
Bir Hospital
Sri Jayewardenepura General Hospital
Osmania General Hospital
Brawijaya University
Sindh Institute of Urology and Transplantation
Muljibhai Patel Urological Hospital
Queen Mary Hospital Hong Kong
Rutgers Robert Wood Johnson Medical School
Sir Ganga Ram Hospital
Cleveland Clinic Foundation
Indraprastha Apollo Hospitals
Singapore General Hospital
Veterans General Hospital-Taipei
Ospedale Luigi Sacco - Polo Universitario
Christian Medical College, Vellore
Postgraduate Institute of Medical Education & Research, Chandigarh
Jahara Hospital
Bangalore Baptist Hospital
Medanta Hospital
Columbia Asia Hospital
Clinical Research
Ministry of Health
University of Medicine 1
George Institute of Global Health
Armed Forces Medical College
Viet Duc Hospital
Serdang Hospital
Keywords: Medicine
Issue Date: 1-Feb-2021
Citation: Nephrology. Vol.26, No.2 (2021), 142-152
Abstract: © 2020 Asian Pacific Society of Nephrology Aim: There is paucity of data on the epidemiology of end-stage kidney disease (ESKD) from South Asia and South-East Asia. The objective of this study was to assess the aetiology, practice patterns and disease burden and growth of ESKD in the region comparing the economies. Methods: The national nephrology societies of the region; responded to the questionnaire; based on latest registries, acceptable community-based studies and society perceptions. The countries in the region were classified into Group 1 (High|higher-middle-income) and Group 2 (lower|lowermiddle income). Student t-test, Mann-Whitney U test and Fisher's exact test were used for comparison. Results: Fifteen countries provided the data. The average incidence of ESKD was estimated at 226.7 per million population (pmp), (Group 1 vs. Group 2, 305.8 vs. 167.8 pmp) and average prevalence at 940.8 pmp (Group 1 vs. Group 2, 1306 vs. 321 pmp). Group 1 countries had a higher incidence and prevalence of ESKD. Diabetes, hypertension and chronic glomerulonephritis were most common causes. The mean age in Group 2 was lower by a decade (Group 1 vs. Group 2—59.45 vs 47.7 years). Conclusion: Haemodialysis was the most common kidney replacement therapy in both groups and conservative management of ESKD was the second commonest available treatment option within Group 2. The disease burden was expected to grow >20% in 50% of Group 1 countries and 78% of Group 2 countries along with the parallel growth in haemodialysis and peritoneal dialysis.
ISSN: 14401797
Appears in Collections:Scopus 2021

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