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Prevalencia de la enfermedad renal crónica no diagnosticada en estadio 3 en la cohorte de Tabari: un estudio
Mahmood Moosazadeh1, Farhad Gholami2, Pedram Ebrahimnejad3
1Gastrointestinal Cancer Research Center, Non-Communicable Diseases Research Institute, Mazandaran University of Medical Sciences, Mazandaran, Iran.
BMC nephrology
|August 21, 2025
Resumen
Se encontró una alta prevalencia de enfermedad renal crónica no diagnosticada en estadio 3 (ERC) en un estudio de gran población. Los residentes urbanos y aquellos sin hipertensión, diabetes o enfermedad cardiovascular tenían más probabilidades de tener ERC no diagnosticada.
Área de la Ciencia:
- Nefrología
- Epidemiología
- Salud pública
Sus antecedentes:
- La enfermedad renal crónica (ERC) es un problema de salud mundial.
- La ERC en etapa temprana a menudo se presenta sin síntomas, lo que lleva a un diagnóstico tardío.
- La investigación de la ERC no diagnosticada es crucial para las intervenciones de salud pública.
Objetivo del estudio:
- Determinar la prevalencia de la ERC en estadio 3 no diagnosticada en una gran cohorte de población.
- Identificar los factores asociados con la enfermedad renal crónica no diagnosticada en estadio 3.
Principales métodos:
- Análisis transversal de los datos del estudio de cohorte de Tabari (2015-2017).
- Incluye a 10.255 adultos de entre 35 y 70 años.
- Diagnóstico de la ERC basado en la tasa de filtración glomerular estimada (eGFR) utilizando la ecuación MDRD; la ERC en estadio 3 se define como 30 ≤ eGFR < 60 mL/min/1,73 m2.
- Análisis de regresión logística para identificar los factores predictivos.
Principales resultados:
- El 25,6% de los participantes tenía ERC en estadio 3.
- El 98,1% de las personas con ERC en estadio 3 no eran conscientes de su condición.
- El riesgo de enfermedad renal crónica no diagnosticada en estadio 3 fue menor en residentes de montaña y en personas con hipertensión, diabetes o enfermedad cardiovascular.
Conclusiones:
- Una proporción significativa de la población tiene enfermedad renal crónica no diagnosticada en estadio 3.
- La residencia urbana y la ausencia de comorbilidades (hipertensión, diabetes, enfermedades cardiovasculares) están asociadas con una mayor prevalencia de ERC no diagnosticada en estadio 3.
- Los hallazgos ponen de relieve la necesidad de programas de detección y sensibilización específicos.
Palabras clave:
Enfermedad renal crónicaPrevalencia de la enfermedadCohorte de TabariNo diagnosticadoMás Videos Relacionados
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