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Chronic kidney disease in Tasmania

Citation

Jose, MD and Otahal, P and Kirkland, G and Blizzard, CL, Chronic kidney disease in Tasmania, Nephrology, 14, (8) pp. 743-749. ISSN 1320-5358 (2009) [Refereed Article]

Copyright Statement

Copyright 2009 The Authors Journal compilation copyright 2009 Asian Pacific Society of Nephrology

DOI: doi:10.1111/j.1440-1797.2009.01198.x

Abstract

Aim: Chronic kidney disease (CKD) is a progressive disease which is becoming a major public health issue due to its high rate of premature death, poor quality of life and expensive end-stage treatment (dialysis or transplantation). The burden of this chronic condition in a community setting was examined. Methods: Data were obtained from 369 098 Tasmanian adults (aged 318 years) and included 1 640 687 measurements of creatinine taken between 1995 and 2007. In 2007 alone, testing comprised 25.5% of the state’s adult population. A modelled estimate of CKD prevalence was developed. Results: For those at risk of CKD (aged >50 years), 50.6%, 70.2% and 82% had a measured creatinine (and reported estimated glomerular filtration rate (eGFR)) during the last 1, 2 and 3 years respectively. However, only 9.4% of people with eGFR of less than 60 mL/min per 1.73 m2 had albuminuria formally measured. Estimated prevalence of stage III or greater CKD (eGFR <60 mL/min per 1.73 m2) was at least 11.4% of women and 8.6% of men during 2007. Detection of low eGFR increased significantly over the last 13 years. There was a large geographic variation throughout Tasmania and high relative mortality with lower eGFR. There is a broad gap between the number of people with eGFR of less than 15 mL/min per 1.73 m2 (stage V CKD) and those receiving dialysis treatment. Conclusion: The number of people identified with low eGFR has increased significantly since 1995 with a large geographic variation. Despite this, testing for kidney disease (by measuring serum creatinine and albuminuria) in people at risk is still suboptimal.

Item Details

Item Type:Refereed Article
Keywords:chronic kidney disease, creatinine, estimated glomerular filtration rate
Research Division:Medical and Health Sciences
Research Group:Clinical Sciences
Research Field:Nephrology and Urology
Objective Division:Health
Objective Group:Clinical Health (Organs, Diseases and Abnormal Conditions)
Objective Field:Urogenital System and Disorders
Author:Jose, MD (Professor Matthew Jose)
Author:Otahal, P (Mr Petr Otahal)
Author:Blizzard, CL (Professor Leigh Blizzard)
ID Code:59663
Year Published:2009
Web of Science® Times Cited:7
Deposited By:Menzies Institute for Medical Research
Deposited On:2009-12-16
Last Modified:2014-05-20
Downloads:0

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