Prevalence of chronic kidney disease in the Kidney Early Evaluation Program (KEEP) México and comparison with KEEP US.

The National Kidney Foundation Kidney Early Evaluation Program (KEEP) is a free community screening program aimed at early detection of kidney disease among high-risk individuals. A pilot phase of KEEP México began in 2008 in México City and Jalisco State. Adults with diabetes, hypertension, or family history of diabetes, hypertension, or chronic kidney disease (CKD) were invited to participate through advertising campaigns. All participants completed a questionnaire. Blood pressure, weight, and height were measured; blood and urine tests included albuminuria and serum creatinine to estimate glomerular filtration rate using the Modification of Diet in Renal Disease Study equation. Mean age of KEEP México City and KEEP Jalisco participants was 46 and 53 years, respectively; >70% were women. CKD prevalence was 22% in KEEP México City and 33% in KEEP Jalisco, not significantly different from reported KEEP US prevalence of 26%. CKD stages 1 and 2 were more frequent in KEEP México and stage 3 in KEEP US. In KEEP México City, CKD prevalence was higher than the overall prevalence among participants with diabetes (38%) or diabetes and hypertension (42%). Most KEEP México participants were unaware of the CKD diagnosis, despite that 71% in KEEP México City had seen a doctor in the previous year. CKD is highly prevalent, underdiagnosed, and underrecognized among high-risk individuals in México. KEEP is an effective screening program that can successfully be adapted for use in México.

Morbimortalidad por Cáncer Cervico-uterino, Policlínico 2 de Nueva Gerona / Cervical-uterine Cancer, Morbi-mortality Policlínico 2 of New Gerona

Se realizó un estudio retrospectivo descriptivo de corte transversal en el Policlínico Docente # 2 de Nueva Gerona en los años comprendidos de 1999 - 2001 sobre la morbimortalidad y algunos factores de riesgo del cáncer cervico - uterino. El universo de trabajo estuvo constituido por 5033 mujeres que se realizaron la citología vaginal en el período mencionado anteriormente. Para su estudio se revisaron los datos estadísticos de este período y no tuvimos fallecidas. El mayor numero de citología( + ) y sospechosa fue en el año 2000 con 51 casos para un 1,1% incidiendo la edad ( 35-59 años ) y no útil 49 para 0,9 porciento . Algunos factores de riesgo que inciden en esta enfermedad se determinaron a través de las mujeres multíparas para un 84, 9%, un 78,9 porciento tuvo las primeras relaciones sexuales (15-19 años), y el 67,5 porciento se realizaron una o más interrupciones de embarazo(AU)

A descriptive retrospective study of traverse court was carried out in the Educational Policlínical; #2 of New Gerona between years; 1999 to 2001, about the morbi-mortality and some risk factors of; cervical uterine cancer. The universe was constituted by 5033 women in who were carried out a vaginal cytology in the mentioned period of time. The statistical data of this period were revised and we didn't have deceases. The most numbers of positive cytology; and suspect was in 2000 with 51 cases for 1,1 percent impacting the age (35-59 years) and not useful 49 for 0,9 percent Some risk; factors that impact in this illness were determined through the multi delivery; women, an 84, 9 percent to 78,9 percent had the first intercourse (15-19 years), and 67,5 percent was performed one or more pregnancy interruptions(AU)