Estimating Glomerular Filtration Rates and Metabolic Disturbance in the Community: Short-Term Observation of the Compound Community Screening Program in Chiayi City

2.50
Hdl Handle:
http://hdl.handle.net/10755/154068
Type:
Presentation
Title:
Estimating Glomerular Filtration Rates and Metabolic Disturbance in the Community: Short-Term Observation of the Compound Community Screening Program in Chiayi City
Abstract:
Estimating Glomerular Filtration Rates and Metabolic Disturbance in the Community: Short-Term Observation of the Compound Community Screening Program in Chiayi City
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Chen, Wen-Chun, RN
P.I. Institution Name:St. Martin De Porres Hospital
Title:Deputy Director
Co-Authors:Hung-Bin Tsai, MD; Chiu-Chu Lin, PhD
[Research Paper or Poster Presentation] Background: There is highest prevalence rate of end-stage renal disease in Y-Lin, Chiayi, and Tainan area in Taiwan. Screening for proteinuria, glucosuria and hematuria by a simple dipstick test can be useful for detecting cardinal signs of underlying renal abnormality. St. Martin De Porres Hospital, a regional teaching hospital in Chiayi City, conducted a community-based multiple screening program and applied four equations for estimating glomerular filtration rate (eGFR) by CCR(MDRD-USA), CCR(MDRD-China), CCR(MDRD-Japan), CCR(CCG) to screen stage 3-5 chronic kidney disease (CKD) subjects. The aim of this study was to find the most efficient method to identify stage 3-5 CKD adults with renal abnormalities and metabolic disturbance in CKD endemic areas of Taiwan. Method: A prospective, cross-sectional, community-based study was conducted in Chiayi City from April to August 2007. Eligible subjects age 30 years or over and native to Chiayi City were submitted biochemical profiles and urinalysis by dipstick. CKD stage 3-5 subjects were further studied using the four eGFR equations. Results: Among the 1360 study subjects (male 38.3%), mean age was 56.05 +/- 11.67 year-old, creatinine 0.84 +/- 0.23 mg/dL, Comparing metabolic disturbance of CKD stage 3-5 subjects by eGFR equations, there were significant differences among the four groups: CCR(MDRD-USA) found a higher ratio of: 1) female waist circumference greater than or equal to 80cm, 2) total cholesterol greater than or equal to 200mg/dL, 3) triglyceride greater than or equal to 150mg/dL, and 4) body mass index greater than or equal to 22 kg/m2. In CCR(MDRD-USA) group (n=21), 33.3% having urine protein greater than or equal to 1+ compared to CCR(MDRD-China) (n=57) 24.6%, CCR(MDRD-Japan) (n=527) 7.4% and CCR(CCG) group (n=160) 16.3% was statistically significant (p< 0.01). Conclusion: CCR(MDRD-USA) with dipstick can be an efficient screening tool for identifying CKD stage 3-5 subjects in a community-based multiple screening program.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEstimating Glomerular Filtration Rates and Metabolic Disturbance in the Community: Short-Term Observation of the Compound Community Screening Program in Chiayi Cityen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154068-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Estimating Glomerular Filtration Rates and Metabolic Disturbance in the Community: Short-Term Observation of the Compound Community Screening Program in Chiayi City</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chen, Wen-Chun, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">St. Martin De Porres Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Deputy Director</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">babka.shermie@msa.hinet.net</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Hung-Bin Tsai, MD; Chiu-Chu Lin, PhD</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Background: There is highest prevalence rate of end-stage renal disease in Y-Lin, Chiayi, and Tainan area in Taiwan. Screening for proteinuria, glucosuria and hematuria by a simple dipstick test can be useful for detecting cardinal signs of underlying renal abnormality. St. Martin De Porres Hospital, a regional teaching hospital in Chiayi City, conducted a community-based multiple screening program and applied four equations for estimating glomerular filtration rate (eGFR) by CCR(MDRD-USA), CCR(MDRD-China), CCR(MDRD-Japan), CCR(CCG) to screen stage 3-5 chronic kidney disease (CKD) subjects. The aim of this study was to find the most efficient method to identify stage 3-5 CKD adults with renal abnormalities and metabolic disturbance in CKD endemic areas of Taiwan. Method: A prospective, cross-sectional, community-based study was conducted in Chiayi City from April to August 2007. Eligible subjects age 30 years or over and native to Chiayi City were submitted biochemical profiles and urinalysis by dipstick. CKD stage 3-5 subjects were further studied using the four eGFR equations. Results: Among the 1360 study subjects (male 38.3%), mean age was 56.05 +/- 11.67 year-old, creatinine 0.84 +/- 0.23 mg/dL, Comparing metabolic disturbance of CKD stage 3-5 subjects by eGFR equations, there were significant differences among the four groups: CCR(MDRD-USA) found a higher ratio of: 1) female waist circumference greater than or equal to 80cm, 2) total cholesterol greater than or equal to 200mg/dL, 3) triglyceride greater than or equal to 150mg/dL, and 4) body mass index greater than or equal to 22 kg/m2. In CCR(MDRD-USA) group (n=21), 33.3% having urine protein greater than or equal to 1+ compared to CCR(MDRD-China) (n=57) 24.6%, CCR(MDRD-Japan) (n=527) 7.4% and CCR(CCG) group (n=160) 16.3% was statistically significant (p&lt; 0.01). Conclusion: CCR(MDRD-USA) with dipstick can be an efficient screening tool for identifying CKD stage 3-5 subjects in a community-based multiple screening program.</td></tr></table>en_GB
dc.date.available2011-10-26T12:43:12Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:43:12Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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