Community screening analysis of high-risk groups of chronic kidney disease in Jing'an district of Shanghai
10.3760/cma.j.issn.1001-7097.2020.01.001
- VernacularTitle: 上海市静安区慢性肾脏病高危人群社区筛查结果分析
- Author:
Lu ZHAO
1
;
Changlin MEI
2
,
3
;
Bibo WU
4
;
Linping XIONG
1
Author Information
1. Department of Health Service Management, Naval Medical University, Shanghai 200433, China
2. Department of Nephrology, Changzheng Hospital, Naval Medical University, Shanghai 200003, China
3. Kidney Institute of PLA, Shanghai 200003, China
4. Department of Nephrology, Zhabei Centre Hospital of Jing'an District of Shanghai, Shanghai 200070, China
- Publication Type:Clinical Trail
- Keywords:
Renal insufficiency, chronic;
Risk factors;
Prevalence
- From:
Chinese Journal of Nephrology
2020;36(1):1-5
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To screen the chronic kidney disease (CKD) patients among the high-risk groups in Jing'an district of Shanghai, and provide suggestions for the screening and analysis of CKD.
Methods:Retrospective analysis was used to analyze the disease status of high-risk groups of CKD who participated in community screening from July 2016 to November 2018. A total of 25 199 subjects underwent two laboratory examinations at intervals of more than 3 months. The CKD was diagnosed in high-risk groups according to the diagnostic criteria, and the patients with CKD were classified and stratified. The screening population was divided into groups according to gender, age and medical history to compare the difference in the detection rate of CKD.
Results:There were 788 CKD patients diagnosed previously in this screening population, and 3 713 CKD patients were confirmed by this district-level hospitals screening. Potential CKD patients were 4.71 times as many as previously known CKD patients. The CKD detection rate was 14.73%. The CKD detection rate of female high-risk group was higher than that of male (16.00% vs 13.00%, χ2=44.213, P<0.001). The CKD detection rate in the elderly group (≥65 years old) was higher than that in the non-elderly group (14.94% vs 13.76%, χ2=4.001, P=0.046). The CKD detection rate in high-risk group with hypertension, hyperuricemia and family history of chronic nephritis was significantly higher than those in the group without such diseases (all P<0.05).
Conclusions:The number of patients detected in high-risk groups of CKD is 4.71 times as much as previously known patients, indicating that it is very necessary to carry out CKD screening in community high-risk group. Women, elder, hypertension, hyperuricemia, and a family history of chronic nephritis are independent risk factors for patients at high risk of CKD.
