Chronic kidney diseases, biggest challenge for docs | chandigarh | Hindustan Times
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Chronic kidney diseases, biggest challenge for docs

When the entire world is celebrating World Kidney Day on Thursday, doctors worry more as the number of kidney patients is increasing in the region.

chandigarh Updated: Mar 12, 2014 12:43 IST
HT Correspondent

When the entire world is celebrating World Kidney Day on Thursday, doctors worry more as the number of kidney patients is increasing in the region.According to data obtained from the Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, in past two years, the institute has seen at least 15% increase in patients getting kidney treatment at the OPD of the PGIMER.

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BIGGEST CHALLENGE BEFORE DOCTORS
Chronic kidney disease (CKD) has emerged as one of the biggest challenge before the nephrologists. “CKD is chronic progressive loss of kidney function and has been internationally recognised as a major health problem. India, being one of the most populous countries in the world, shares a large burden of this disease,” said Dr KL Gupta, head, department of nephrology, PGIMER.

He said with a rough estimate of 151-229 new cases of end stage renal disease (ESRD) per million population, every year, approximately 2,00,000 new cases of ESRD are added to our population. The actual numbers are likely to be much more. Out of these only 10% ever avail any form of renal replacement therapy i.e. dialysis or transplant.http://www.hindustantimes.com/Images/Popup/2014/1/pgimer1_compressed.jpg

According to experts, the two most important risk factors for CKD, hypertension and diabetes, are widely prevalent and therefore, lead to a large population at risk. “Diabetes is the most common cause of CKD and accounts for 31% of CKD in India. The other causes of CKD in India include hypertension in 13%, glomerular diseases in 14% and undetermined etiology in 16%,”said Dr H S Kohli, professor department of nephrology, PGIMER.

According to the Indian CKD registry, about 48% of the patients receive a diagnosis of CKD for the first time in an acutely advanced state. Hospital data shows that more than 70% of the patients require dialysis soon after presentation. At the PGIMER, for example, the number of kidney transplants every year rose from about 100 to nearly 200 over the past three years.

In view of increasing burden of kidney diseases, Dr Gupta said, it was important that the general population became aware of kidney diseases so that they could seek appropriate medical help well in time, and were able to either prevent it.

Clinically CKD expresses tip of iceberg phenomenon and is usually undetected till very late in the course of disease. Thus, it is important to take preventive measures before the disease progresses further.