Epidemiology and aetiology of dialysis-treated end-stage kidney disease in Libya

BMC Nephrology

Research Article

Maarten W Taal¹  Christopher W McIntyre²  Wiam A Alashek³ 

[1] Department of Renal Medicine, Derby Hospitals NHS Foundation Trust, Derby, UK;Royal Derby Hospital, Uttoxeter Road, DE22 3NE, Derby, UK;School of Graduate Entry Medicine, University of Nottingham, Nottingham, UK;Department of Renal Medicine, Derby Hospitals NHS Foundation Trust, Derby, UK;Royal Derby Hospital, Uttoxeter Road, DE22 3NE, Derby, UK;School of Graduate Entry Medicine, University of Nottingham, Nottingham, UK;Royal Derby Hospital, Uttoxeter Road, DE22 3NE, Derby, UK;

关键词: Dialysis;    Epidemiology;    ESKD;    Incidence;    Libya;    Prevalence;   

DOI  :  10.1186/1471-2369-13-33

 received in 2011-12-15, accepted in 2012-06-08,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundThe extent and the distribution of end stage kidney disease (ESKD) in Libya have not been reported despite provision of dialysis over 4 decades. This study aimed to develop the first comprehensive description of the epidemiology of dialysis-treated ESKD in Libya.MethodsStructured demographic and clinical data were obtained regarding all adult patients treated at all maintenance dialysis facilities (n=39) in Libya from May to September 2009. Subsequently data were collected prospectively on all new patients who started dialysis from September 2009 to August 2010. Population estimates were obtained from the Libyan national statistics department. The age and gender breakdown of the population in each region was obtained from mid-2009 population estimates based on 2006 census data.ResultsThe prevalence of dialysis-treated ESKD was 624 per million population (pmp). 85% of prevalent patients were aged <65 years and 58% were male. The prevalence of ESKD varied considerably with age with a peak at 55–64 years (2475 pmp for males; 2197 pmp for females). The annual incidence rate was 282 pmp with some regional variation and a substantially higher rate in the South (617 pmp). The most common cause of ESKD among prevalent and incident patients was diabetes. Other important causes were glomerulonephritis, hypertensive nephropathy and congenital or hereditary diseases.ConclusionsLibya has a relatively high prevalence and incidence of dialysis-treated ESKD. As the country prepares to redevelop its healthcare system it is hoped that these data will guide strategies for the prevention of CKD and planning for the provision of renal replacement therapy.

【 授权许可】

Unknown   
© Alashek et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.