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Assessment of Vascular Function in Patients With Chronic Kidney Disease
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Assessment of Vascular Function in Patients With Chronic Kidney Disease

Published on: June 16, 2014

A survey of chronic renal failure in Jamaica

E N Barton1, L A Sargeant, D Samuels

  • 1Department of Medicine, Microbiology, University of the West Indies, Kingston Regional Hospital, Kingston, Jamaica, West Indies.

The West Indian Medical Journal
|June 18, 2004
PubMed

Insights

Chronic renal failure (CRF) affects 327 per million in Jamaica, with hypertension and diabetes as leading causes. Renal replacement therapy is accessible to 39% of patients, primarily through hemodialysis.

Area of Science:

  • Nephrology
  • Public Health
  • Epidemiology

Background:

  • Chronic renal failure (CRF) and end-stage renal disease (ESRD) pose significant global health challenges.
  • Understanding the prevalence and treatment accessibility of CRF is crucial for healthcare planning.

Purpose of the Study:

  • To evaluate the prevalence of chronic renal failure (CRF) in Jamaica.
  • To assess the accessibility of long-term renal replacement therapy (RRT) for CRF patients in Jamaica.

Main Methods:

  • A study was conducted across six Jamaican healthcare facilities from July 1998 to December 1999.
  • Data was collected from 605 patients diagnosed with CRF.
  • Prevalence was estimated for individuals aged 20 years and over.

Main Results:

  • The crude point prevalence of CRF was estimated at 327 per million population at the end of 1999.
  • Hypertension (60.8%) and diabetes mellitus (31.4%) were the most common comorbidities.
  • 39% of CRF patients received RRT, predominantly hemodialysis; only 1.8% had undergone kidney transplantation.

Conclusions:

  • CRF is a significant public health issue in Jamaica, increasing the financial burden on the healthcare system.
  • The study found no increased CRF prevalence in areas with high soil cadmium levels.
  • Improving access to renal replacement therapy is essential for managing CRF in Jamaica.

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