Kidney disease screening among a low-income group of hospital staffs who have less opportunity

• Published in: Journal of the scientific society (Belgaum) Vol. 47; no. 1; pp. 13 - 16
• Main Authors: Kashem, M, Biswas, Rajat, Mamun, Shaikh
• Format: Journal Article
• Language: English
• Published: Mumbai Wolters Kluwer India Pvt. Ltd 01-01-2020; Medknow Publications and Media Pvt. Ltd; Medknow Publications & Media Pvt. Ltd; Wolters Kluwer Medknow Publications
• Subjects: Age; Blood pressure; Body mass; Body mass index; Body size; Body weight; Chronic kidney failure; Creatinine; End-stage renal disease; Epidermal growth factor receptors; estimated glomerular filtration rate; Family medical history; Glomerular filtration rate; Health screening; hospital staffs; Hypertension; Income; Kidney diseases; Kidneys; Laboratories; Low income groups; Medical screening; modified diet in renal disease formula; Population; Population studies; Population-based studies; Prevalence studies (Epidemiology); Proteinuria; Renal failure; Renal function; Security guards; serum creatinine; United States > US; Body mass index; hospital staffs; estimated glomerular filtration rate; serum creatinine; proteinuria; Modified Diet in Renal Disease Formula
• ISSN: 0974-5009; 2278-7127
• DOI: 10.4103/jss.JSS_2_20

Background: The prevalence of chronic kidney disease (CKD) has been rapidly increasing worldwide, and its early screening is vital to prevent the development of end-stage renal failure. Population-based studies on detection at early stage of kidney disease and its prevalence are scanty in our country. Hence, taking advantage of the observance of the World Kidney Day 2019, we conducted a screening program for kidney disease organized at the Chattagram Maa-O-Shishu Hospital premises among a low-income group of hospital staffs. Methods: This was a cross-sectional observational study among a low-income group of hospital staffs, working at our hospital. Age, body weight, height, body mass index (BMI), and blood pressure were documented, and urinary protein and serum creatinine were measured at a single sitting. Kidney function was estimated by calculating the glomerular filtration rate (GFR) using the Modification of Diet in Renal Disease formula. Kidney function was classified according to the estimated GFR (eGFR) and Kidney Disease Outcomes Quality Initiative guidelines. Results: A total of 101 hospital staffs were studied. Majority of the participants (38%) were in the age group of 30-39 years. Among all, 24% of the participants had proteinuria (trace to ≥1 plus). The distribution of eGFR was symmetrical, with the majority (79%) of participants in the 60-89 ml/min category, 6.9% in the 30-59 ml/min category, and only 13.9% of the study population had eGFR >90 ml/min. An inverse relation between eGFR and age and a direct relation between eGFR and BMI were observed. Conclusion: Proteinuria, low GFR levels, and consequently the possibility of high burden of CKD are prevailing in the studied participants, and further targeted population-based studies are warranted to clarify these issues.