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LATEST NEWS UPDATES | 17% of urban Indians have kidney disease: Study -Durgesh Nandan Jha

17% of urban Indians have kidney disease: Study -Durgesh Nandan Jha

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published Published on Jun 8, 2013   modified Modified on Jun 8, 2013
-The Times of India


NEW DELHI: In a worrying fallout of the rising diabetes and hypertension cases in urban India, a study across 12 cities found 17 out of every 100 people suffering from kidney disease. Of this, 6% had stage III kidney disease which necessitates medical attention and, in some cases, costly treatment like dialysis or transplant.

The study used data from 13 hospitals, both private and government, across 12 cities - making it the largest screening study of kidney disease in the country.

The most surprising finding, said doctors, was that a majority of individuals diagnosed with different stages of chronic kidney disease (CKD) had not undergone any kidney function test before.

"In India, younger people do not go for preventive check-ups. This results in delayed diagnosis. In our study, we found 64.5% of the patients suffering from CKD also suffered from hypertension, 4.7% from anemia and 31.6% from diabetes," said one of the authors, Dr Sham Sunder, head of the nephrology department at Ram Manohar Lohia hospital in New Delhi.

Dr Sunder said most patients suffering from CKD visit hospitals when their kidneys functioning had already reduced to half of its capacity. "If the disease can be diagnosed early, in stage I and II, the progression can be halted with medicines. Those with a family history of kidney failure, recurrent urinary tract infection, diabetes and hypertension must get themselves tested periodically," he added.

The cities included in the Screening and Early Evaluation of Kidney Disease (SEEK) study were Varanasi, Kanpur, Delhi, Ludhiana, Bhopal, Nadiad (Gujarat), Mumbai, Mysore, Bangalore, Cochin and Vishakhapatnam.

"The highest prevalence of CKD was observed in Vishakhapatnam (46.8%) followed by Kanpur (41.7%) and Delhi (41%). The lowest prevalence were in Mysore (4.2%) and Bangalore (4%)," said Dr D S Rana, chairman, department of nephrology at Sir Ganga Ram hospital (SGRH).

Dr R K Sharma, head of the nephrology department at Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, said, "Once a person has suffered from kidney failure, the only treatment options are life-long dialysis or a transplant. Both are costly and tedious. Also, in India, we have only about 1,000 kidney specialists or nephrologists. This means if preventive measures are not adopted, we will face a national crisis."

Experts say CKD is associated with metabolic abnormalities and bone disease and is also an important risk factor for peripheral vascular disease, cardiovascular disease and stroke, all of which cause mortality.

Doctors also stress on the need for promoting cadaver donation to meet the growing need for kidneys for transplants. Approximately 1,75,000 kidneys are needed for transplantation in India every year. At present, just about 4,000 transplants are conducted annually. More than 90% of the donors are family members.

According to data released by the health ministry, the number of diabetes cases - a risk factor for CKD - had increased by 12% in a single year - from 50.8 million in 2011 to 61 million in 2012


The Times of India, 8 June, 2013, http://timesofindia.indiatimes.com/india/17-of-urban-Indians-have-kidney-disease-Study/articleshow/20484967.cms


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