EDITORIAL
Chronic kidney disease
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
CKD in developing countries: a silent epidemic
| 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
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This article has been cited by other articles:
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Udayakumar, N, Jayanthi, V
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