HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Udayakumar, N Search for Related Content PubMed PubMed Citation Articles by Udayakumar, N

Chronic kidney disease in India: from a resident physician’s perspective

Correspondence to:
Correspondence to:
Dr N Udayakumar
Madras Medical College, Chennai, India; udhaykumar81@yahoo.co.in

The first 150 words of the full text of this article appear below.

A 54-year-old Indian tricycle rickshaw puller, the sole breadwinner of a family of five, was diagnosed with hypertension during routine evaluation for easy fatigability. On further investigations, he was found to have anaemia, a serum creatinine concentration of 4.6 mg/dl, blood urea nitrogen of 80 mg/dl, an estimated glomerular filtration rate (GFR) of 19 ml/min/1.73 m² of body-surface area and bilateral shrunken kidneys, with loss of corticomedullary differentiation. The patient was advised long-term dialysis or transplantation, for which neither the patient nor the relatives were willing to proceed because of economic constraints, and got the patient discharged against medical advice. This situation clearly epitomises the situation of patients with chronic kidney disease (CKD) in India.

The attention being paid globally to CKD is attributable to five factors: the rapid increase in its prevalence, the enormous cost of treatment, recent data indicating that overt disease is the tip . . . [Full text of this article]

This article has been cited by other articles:

				N Udayakumar and V Jayanthi Chronic pancreatitis in India: the changing spectrum Postgrad. Med. J., September 1, 2007; 83(983): 562 - 563. [Full Text] [PDF]