Epidemiology of chronic kidney disease among residents of Moscow


DOI: https://dx.doi.org/10.18565/nephrology.2019.3.37-41

M.Yu. Dudko, O.N. Kotenko, E.V. Shutov, N.V. Vasina

1) S.P. Botkin City Clinical Hospital of the Moscow Healthcare Department, Moscow, Russia 2) City Clinical Hospital № 52 of the Moscow Healthcare Department; Moscow, Russia 3) Peoples' Friendship University of Russia; Moscow, Russia 4) Research Institute of Healthcare Organization and Medical Management of the Moscow Healthcare Department; Moscow, Russia
Background. Assessment of the prevalence of chronic kidney disease (CKD) in the population is critical for planning and preventing kidney disease for the medical community and government.
Objective. This study estimated the prevalence of CKD among the adult population of Moscow.
Material and methods. CKD stages 1–5 were determined by the method of calculating glomerular filtration rate (GFR) using the CKD-EPI equation.
Results. We found that patients with stage 1–5 CKD accounted for 4% of the total population, of which 4.8% were patients with stages 4–5, but this prevalence is less than in most other countries.
Conclusion. This study showed a high prevalence of CKD among the population of Moscow, although it was limited by the lack of accounting for changes in urinalysis. At the same time, the analysis of the prevalence of CKD by stages showed a high proportion of the early stages of CKD with significantly lower detection rates of late stages. The latter fact, most likely, suggests that the mass of patients with CKD do not survive to the late stages of this pathology.
Keywords: chronic kidney disease, end-stage renal disease, glomerular filtration rate, renal replacement therapy, hemodialysis

About the Autors


Marina Yu. Dudko – PhD in Medical Sciences, Nephrologist at the S.P. Botkin City Clinical Hospital of the Moscow Healthcare Department; Moscow, Russia. E-mail: dudkomarina@mail.ru
Oleg N.Kotenko – PhD in Medical Sciences, Chief External Expert in Nephroloigy of the Moscow Healthcare Department, Deputy Chief Physician for Nephrology of the City Clinical Hospital № 52 of the Moscow Healthcare Department, Associate Professor at the Department of Hospital Therapy with a Course of Hematology, Peoples' Friendship University of Russia; Moscow, Russia. E-mail: olkotenko@yandex.ru
Evgeny V. Shutov – Doctor of Medical Sciences, Head of the Department of Nephrology № 12, S.P. Botkin City Clinical Hospital of the Moscow Healthcare Department, Professor at the Department of Nephrology and Hemodialysis RMACPE; Moscow, Russia. E-mail: shutov_e_v@mail.ru; ORCID ID: 0000-0002-1213-8600
Nadezhda V. Vasina – Head of the Organizational and Methodological Department for Nephrology, Research Institute of Healthcare Organization and Medical Management of the Moscow Healthcare Department; Moscow, Russia. E-mail: omo52@yandex.ru


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