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Revista Médica Electrónica

On-line version ISSN 1684-1824

Abstract

RUANO-QUINTERO, Vivian et al. Progression factors of chronic kidney disease in patients who attended a community nephrology consultation. Rev.Med.Electrón. [online]. 2023, vol.45, n.2, pp. 174-192.  Epub Apr 30, 2023. ISSN 1684-1824.

Introduction:

chronic kidney disease represents a significant health problem in the 21st century. Various factors associated to kidney damage increase and to the consequent progression of the disease have been identified.

Objective:

to analyze the behavior of chronic kidney disease progression factors in patients treated in a community nephrology consultation.

Materials and methods:

observational, descriptive and prospective study. Sixty-five patients with chronic kidney disease that were stably followed up during a twelve-month period in the community nephrology consultation of the Pedro Betancourt municipality, province of Matanzas, were included. Socio-demographic variables and those related to chronic kidney disease (etiology, stage, progression factors, and kidney damage markers) were analyzed.

Results:

an average age of 68.79 years was found; 64.6% of the patients were white; 46.15% were diabetics; 93.8% were exposed to nephrotoxics; 56.9% presented proteinuria; 66.1% showed renal function stability, and six progression factors concurred in 3b stage patients.

Conclusions:

white, aged patients predominated, with diabetes as underlying disease. There was an equitable distribution in terms of gender. The use of nephrotoxic drugs, and proteinuria, hyperuricemia, and hyperlipidemia stood out as the main progression factors. However, only proteinuria, anemia and acidosis were statistically associated to the possible disease progression, which was not found in any patient.

Keywords : chronic kidney disease; progression factors; markers of renal damage.

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