Uncertain etiologies of proteinuric-chronic kidney disease in rural Sri Lanka

The global prevalence of chronic kidney disease (CKD) of uncertain etiology may be underreported. Communitylevel epidemiological studies are few due to the lack of national registries and poor focus on the reporting of noncommunicable diseases. Here we describe the prevalence of proteinuric-CKD and...

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Autores principales: Athuraliya, T.N.C., Abeysekera, D.T.D.J., Amerasinghe, Priyanie H., Kumarasiri, R., Bandara, P., Karunaratne , U., Milton, A.H., Jones, A.L.
Formato: Journal Article
Lenguaje:Inglés
Publicado: Elsevier 2011
Materias:
Acceso en línea:https://hdl.handle.net/10568/40407
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author Athuraliya, T.N.C.
Abeysekera, D.T.D.J.
Amerasinghe, Priyanie H.
Kumarasiri, R.
Bandara, P.
Karunaratne , U.
Milton, A.H.
Jones, A.L.
author_browse Abeysekera, D.T.D.J.
Amerasinghe, Priyanie H.
Athuraliya, T.N.C.
Bandara, P.
Jones, A.L.
Karunaratne , U.
Kumarasiri, R.
Milton, A.H.
author_facet Athuraliya, T.N.C.
Abeysekera, D.T.D.J.
Amerasinghe, Priyanie H.
Kumarasiri, R.
Bandara, P.
Karunaratne , U.
Milton, A.H.
Jones, A.L.
author_sort Athuraliya, T.N.C.
collection Repository of Agricultural Research Outputs (CGSpace)
description The global prevalence of chronic kidney disease (CKD) of uncertain etiology may be underreported. Communitylevel epidemiological studies are few due to the lack of national registries and poor focus on the reporting of noncommunicable diseases. Here we describe the prevalence of proteinuric-CKD and disease characteristics of three rural populations in the North Central, Central, and Southern Provinces of Sri Lanka. Patients were selected using the random cluster sampling method and those older than 19 years of age were screened for persistent dipstick proteinuria. The prevalence of proteinuric-CKD in the Medawachchiya region (North Central) was 130 of 2600 patients, 68 of 709 patients in the Yatinuwara region (Central), and 66 of 2844 patients in the Hambantota region (Southern). The mean ages of these patients with CKD ranged from 44 to 52 years. Diabetes and long-standing hypertension were the main risk factors of CKD in the Yatinuwara and Hambantota regions. Age, exceeding 60 years, and farming were strongly associated with proteinuric-CKD in the Medawachchiya region; however, major risk factors were uncertain in 87% of these patients. Of these patients, 26 underwent renal biopsy; histology indicated tubulointerstitial disease. Thus, proteinuric-CKD of uncertain etiology is prevalent in the North Central Province of Sri Lanka. In contrast, known risk factors were associated with CKD in the Central and Southern Provinces.
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spelling CGSpace404072025-06-17T08:23:38Z Uncertain etiologies of proteinuric-chronic kidney disease in rural Sri Lanka Athuraliya, T.N.C. Abeysekera, D.T.D.J. Amerasinghe, Priyanie H. Kumarasiri, R. Bandara, P. Karunaratne , U. Milton, A.H. Jones, A.L. public health kidney diseases rural areas proteinuria aetiology risks models surveys wastewater contamination water pollution The global prevalence of chronic kidney disease (CKD) of uncertain etiology may be underreported. Communitylevel epidemiological studies are few due to the lack of national registries and poor focus on the reporting of noncommunicable diseases. Here we describe the prevalence of proteinuric-CKD and disease characteristics of three rural populations in the North Central, Central, and Southern Provinces of Sri Lanka. Patients were selected using the random cluster sampling method and those older than 19 years of age were screened for persistent dipstick proteinuria. The prevalence of proteinuric-CKD in the Medawachchiya region (North Central) was 130 of 2600 patients, 68 of 709 patients in the Yatinuwara region (Central), and 66 of 2844 patients in the Hambantota region (Southern). The mean ages of these patients with CKD ranged from 44 to 52 years. Diabetes and long-standing hypertension were the main risk factors of CKD in the Yatinuwara and Hambantota regions. Age, exceeding 60 years, and farming were strongly associated with proteinuric-CKD in the Medawachchiya region; however, major risk factors were uncertain in 87% of these patients. Of these patients, 26 underwent renal biopsy; histology indicated tubulointerstitial disease. Thus, proteinuric-CKD of uncertain etiology is prevalent in the North Central Province of Sri Lanka. In contrast, known risk factors were associated with CKD in the Central and Southern Provinces. 2011-12 2014-06-13T14:47:36Z 2014-06-13T14:47:36Z Journal Article https://hdl.handle.net/10568/40407 en Limited Access Elsevier Athuraliya, N. T. C.; Abeysekera, T. D. J.; Amerasinghe, Priyanie.; Kumarasiri, R.; Bandara, P.; Karunaratne , U.; Milton, A. H.; Jones, A. L. 2011. Uncertain etiologies of proteinuric-chronic kidney disease in rural Sri Lanka. Kidney International, 80(11):1212-1221. doi: https://doi.org/10.1038/ki.2011.258
spellingShingle public health
kidney diseases
rural areas
proteinuria
aetiology
risks
models
surveys
wastewater
contamination
water pollution
Athuraliya, T.N.C.
Abeysekera, D.T.D.J.
Amerasinghe, Priyanie H.
Kumarasiri, R.
Bandara, P.
Karunaratne , U.
Milton, A.H.
Jones, A.L.
Uncertain etiologies of proteinuric-chronic kidney disease in rural Sri Lanka
title Uncertain etiologies of proteinuric-chronic kidney disease in rural Sri Lanka
title_full Uncertain etiologies of proteinuric-chronic kidney disease in rural Sri Lanka
title_fullStr Uncertain etiologies of proteinuric-chronic kidney disease in rural Sri Lanka
title_full_unstemmed Uncertain etiologies of proteinuric-chronic kidney disease in rural Sri Lanka
title_short Uncertain etiologies of proteinuric-chronic kidney disease in rural Sri Lanka
title_sort uncertain etiologies of proteinuric chronic kidney disease in rural sri lanka
topic public health
kidney diseases
rural areas
proteinuria
aetiology
risks
models
surveys
wastewater
contamination
water pollution
url https://hdl.handle.net/10568/40407
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