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Published on: June 30, 2018
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Reporting chronic kidney disease in Greenland
Fabian Bøgild Lomstein1,2,3,4, Marie Kjærgaard5,6, Nils Skovgaard4,7
1Department of Cardiology, Aarhus University Hospital, Aarhus, Denmark.
International Journal of Circumpolar Health
|September 24, 2023
Summary
This study found a 3.01% prevalence of chronic kidney disease (CKD) in Greenland, with most cases in early stages. However, few patients were correctly diagnosed, highlighting a need for greater CKD awareness and coding in the region.
Area of Science:
- Public Health
- Nephrology
- Epidemiology
Background:
- Chronic kidney disease (CKD) affects over 10% globally, driven by lifestyle diseases.
- CKD prevalence in Greenland is unknown, but risk factors are rising.
- Understanding CKD burden is crucial for public health initiatives.
Purpose of the Study:
- To determine the prevalence of CKD among adults in Greenland.
- To assess the diagnostic coding accuracy for CKD in Greenland.
Main Methods:
- Cross-sectional register-based study of Greenlandic residents aged 20+.
- CKD identification using estimated glomerular filtration rate (eGFR) and urine albumin-to-creatinine ratio (UACR).
- Comparison with registered CKD diagnosis codes; acknowledged limitations include data completeness and single time-point analysis.
Main Results:
- Identified 2,157 patients with CKD, yielding an age-standardized prevalence of 3.01%.
- Only 75 patients (3.5%) had a registered CKD diagnosis code.
- Approximately 80% of identified CKD cases were in stages 1-2.
Conclusions:
- This is the first study to report CKD prevalence in Greenland.
- The observed CKD prevalence is lower than in other populations, with significant underdiagnosis.
- Urgent calls for increased CKD awareness and improved diagnostic coding in Greenland.
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