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Published on: June 23, 2015
Autosomal dominant polycystic kidney disease in Colombia
Jessica T Camargo1, Camilo A González2, Lina Herrera3
1Fundación Universitaria Sanitas, Bogotá, D.C, Colombia.
Insights
Autosomal dominant polycystic kidney disease (ADPKD) prevalence in Colombia was 9.81 per 100,000 people. Higher rates were found in Valle del Cauca and Cali, indicating potential areas for genetic studies.
Area of Science:
- Nephrology
- Genetics
- Epidemiology
Background:
- Autosomal dominant polycystic kidney disease (ADPKD) is the leading genetic cause of chronic kidney disease (CKD) requiring dialysis.
- Understanding ADPKD geographical distribution is crucial for early diagnosis, disease management, and genetic counseling.
Purpose of the Study:
- To determine the prevalence, geographic distribution, and ethnic demographics of ADPKD patients undergoing dialysis or kidney transplant in Colombia.
- To identify geographical clusters of ADPKD within Colombia between 2015 and 2019.
Main Methods:
- A cross-sectional study utilizing data from Colombia's National Registry of Chronic Kidney Disease (NRCKD) from July 2015 to June 2019.
- Inclusion of Colombian individuals with CKD, with or without renal replacement therapy (RRT), specifically due to ADPKD.
- Estimation of crude and adjusted prevalence rates stratified by state and city.
Main Results:
- A total of 3,339 ADPKD patients were analyzed; period prevalence was 9.81 per 100,000 population.
- The highest adjusted prevalence rates were observed in Valle del Cauca (6.55/100,000) and Cali (9.38/100,000).
- 46.07% of patients initiated scheduled dialysis, with a mean age of 52.58 years; 52.78% were women.
Conclusions:
- ADPKD prevalence in Colombia appears lower than in Europe and the US.
- Specific states with higher prevalence, such as Valle del Cauca, warrant further investigation for genetic prevalence studies.
Background:
Autosomal dominant polycystic kidney disease (ADPKD) is the most common genetic cause of chronic kidney disease (CKD) that requires dialysis. Knowing geographical clusters can be critical for early diagnosis, progression control, and genetic counseling. The objective was to establish the prevalence, geographic location, and ethnic groups of patients with ADPKD who underwent dialysis or kidney transplant in Colombia between 2015 and 2019.
Methods:
We did a cross-sectional study with data from the National Registry of Chronic Kidney Disease (NRCKD) managed by the High-Cost Diseases Fund (Cuenta de Alto Costo [CAC] in Spanish) between July 1, 2015, and June 30, 2019. We included Colombian population with CKD with or without renal replacement therapy (RRT) due to ADPKD. Crude and adjusted prevalence rates were estimated by state and city.
Results:
3,339 patients with ADPKD were included, period prevalence was 9.81 per 100,000 population; there were 4.35 cases of RRT per 100,000 population, mean age of 52.58 years (± 13.21), and 52.78% women. Seventy-six patients were Afro-Colombians, six were indigenous, and one Roma people. A total of 46.07% began scheduled dialysis. The highest adjusted prevalence rate was in Valle del Cauca (6.55 cases per 100,000 population), followed by Risaralda, and La Guajira. Regarding cities, Cali had the highest prevalence rate (9.38 cases per 100,000 population), followed by Pasto, Medellin, and Bucaramanga.
Conclusions:
ADPKD prevalence is lower compared to Europe and US; some states with higher prevalence could be objective to genetic prevalence study.
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