Prevalence of Chronic Kidney Disease in a primary care nursing surgery

Abstract

INTRODUCTION. This study arose from the need for an in-depth investigation into Chronic Kidney Disease (CKD), since an increase in prevalence has recently been observed. This increase has been induced mainly by an ageing population and the increase in metabolic illnesses: Obesity, High Blood Pressure and Diabetes Mellitus. OBJECTIVE. The main objective is to know the prevalence of CKD in a Primary Care surgery. The specific aims are: to evaluate the disease concerning gender, age, glomerular filtrate, secondary hyperparathyroidism, renal replacement therapy. MATERIAL & METHODS. A transversal, descriptive and observational study was carried out. In a sample of 1,635 patients in the Primary Care Health Centre ‘Plasencia 1’, data were obtained from the Medical Records through the assistance programme JARA. RESULTS. The prevalence of CKD was 5%, of whom 58.5% were female, the average age was 77 years, and a mean glomerular filtrate of 46 ml/min/1.73 m2. Secondary hyperparathyroidism was detected in 6 patients and 4 were in Renal Replacement Therapy. CONCLUSIONS. The prevalence of CKD is low with respect to the national average and with a lower gender difference. We can observe that there is an association between glomerular filtration and age, while females present the lower glomerular filtrate. Very few patients had secondary hyperparathyroidism, or the need for Renal Replacement Therapy.