RESUMO
INTRODUCTION: Chronic kidney disease (CKD) stage 5 is a common pathology, the increase in its incidence and prevalence has been noted worldwide. In Algeria, few studies have been done on the epidemiology of chronic kidney disease, the real extent of its incidence in southern Algeria remains unknown. AIM: To determine the incidence in 2017 of chronic kidney disease stage 5 treated by renal replacement in southeastern Algeria. METHOD: During our multicenter, prospective longitudinal regional study, from January 1, 2017 to December 31, 2017, all resident incident cases of CKD stage 5 treated in the region by renal replacement were recruited. RESULTS: The crude incidence of stage 5 CKD treated in 2017 in southeastern Algeria was 75 pmh. The age-standardized incidence rate was 100 pmh, with a male predominance, a M/F sex ratio of 1.59. The average age of incident cases was 48.50 ± 19.12 years. The incidence varies by age group and by wilaya. Diabetes (26.7%) and hypertensive nephropathy (22.6%) represent almost half of the cases and primary glomerulonephritis represents 5.9%. CONCLUSION: CKD stage 5 treated, due to its high incidence in Algeria, with large geographical variations, represents a major public health challenge. It mainly affects young people. Diabetes and high blood pressure represent the two main causes, encouraging prevention efforts to be focused on hypertensives and diabetics in high-risk wilayas.
Assuntos
Insuficiência Renal Crônica , Humanos , Argélia/epidemiologia , Masculino , Feminino , Incidência , Pessoa de Meia-Idade , Adulto , Insuficiência Renal Crônica/epidemiologia , Idoso , Estudos Prospectivos , Adulto Jovem , Adolescente , Estudos Longitudinais , Criança , Idoso de 80 Anos ou mais , Pré-Escolar , Terapia de Substituição Renal/estatística & dados numéricos , Hipertensão/epidemiologiaRESUMO
Introduction: Chronic kidney disease stage V, by its incidence and its prevalence which are constantly increasing in the world and in Algeria, the morbidity and mortality it generates, the high cost of its treatment, represents a major public health issue. Our objective is to describe the epidemiology of stage V chronic kidney disease treated in south-eastern Algeria. Patients and methods: In our regional, multicenter, prospective descriptive study, all patients with stage V chronic kidney disease, residing and treated in south-eastern Algeria between September 1, 2016, and December 31, 2017, were included and followed up until December 31, 2018. Results: Stage V chronic kidney disease is a frequent pathology in the region: 1934 patients were included. It mainly affects young people: the average age of patients was 50.17 ± 16.98 years, with a male predominance of 59.10%. High blood pressure and diabetes are the two main causes. The start of dialysis on a temporary catheter represents 81.5% of cases, the initial management requires emergency dialysis in 91.2% of cases. In total, 97.1% of chronic hemodialysis patients use an arteriove-nous fistula as a permanent vascular access. Conclusion: Our study population is younger than that of developed countries and has fewer comorbidities and disabilities but lower survival and high mortality. The developing national chronic kidney disease stage V registry is becoming an absolute necessity. It will allow to have a better knowledge of its epidemiology and the needs of its care in each region. It can contribute to improving the prevention and management of this disease.
Introduction: La maladie rénale chronique stade V, par son incidence et sa prévalence qui ne cessent d'augmenter en Algérie et dans le monde, la morbi-mortalité qu'elle engendre et le coût élevé de sa prise en charge, représente un enjeu majeur de santé publique. Notre objectif est de décrire l'épidémiologie de cette maladie, traitée dans le Sud-Est algérien. Patients et méthodes: Dans notre étude régionale multicentrique, prospective à visée descriptive, tous les patients atteints de maladie rénale chronique stade V, résidant et traités dans le Sud-Est algérien entre le 1er septembre 2016 et le 31 décembre 2017, ont été inclus et suivis jusqu'au 31 décembre 2018. Résultats: La maladie rénale chronique stade V est une pathologie fréquente dans la région : 1 934 patients ont été inclus. Elle touche principalement les jeunes : l'âge moyen des patients était de 50,17 ± 16,98 ans, avec une prédominance masculine à 59,10 %. L'hypertension artérielle et le diabète représentent les deux principales causes. Les démarrages de dialyse sur cathéter temporaire représentent 81,5 % des cas, la prise en charge initiale nécessite la dialyse en urgence dans 91,2 % des cas. Un total de 97,1 % des patients hémodialysés chroniques utilisent une fistule artérioveineuse comme abord vasculaire permanent. Conclusion: Notre population d'étude est plus jeune que celle des pays développés et présente un nombre moins important de comorbidités et de handicaps, mais une survie inférieure et une mortalité élevée. Le développement du registre national de la maladie rénale chronique stade V devient une nécessité absolue. Il va permettre une meilleure connaissance de son épidémiologie et des besoins pour sa prise en charge dans chaque région. Il peut contribuer à l'amélioration de la prévention et de la prise en charge de cette maladie.
