End stage renal disease in French Guiana (data from R.E.I.N registry): South American or French?

Rochemont, Dévi Rita; Meddeb, Mohamed; Roura, Raoul; Couchoud, Cécile; Nacher, Mathieu; Basurko, Célia

Rochemont, Dévi Rita; Meddeb, Mohamed; Roura, Raoul; Couchoud, Cécile; Nacher, Mathieu; Basurko, Célia.

Afiliação

Rochemont DR; Centre d'Investigation Clinique Epidémiologie Clinique Antilles Guyane CIC INSERM 1424, Centre hospitalier Andrée Rosemon, Rue des flamboyants BP 6006, 97306, Cayenne, French Guiana. devi.rochemont@ch-cayenne.fr.
Meddeb M; KAPA santé, Clinique Véronique, 1453 rte Baduel, 97300, Cayenne, French Guiana.
Roura R; Association Traitement de l'Insuffisance Rénale en Guyane (ATIRG), Centre hospitalier Andrée Rosemon, 1361 rte Baduel, 97300, Cayenne, French Guiana.
Couchoud C; Biomedecine Agency, La plaine-Saint Denis France, 1 avenue du Stade de, 93212, Saint-Denis La Plaine, France.
Nacher M; Centre d'Investigation Clinique Epidémiologie Clinique Antilles Guyane CIC INSERM 1424, Centre hospitalier Andrée Rosemon, Rue des flamboyants BP 6006, 97306, Cayenne, French Guiana.
Basurko C; EA3593, UFR Médecine - Université des Antilles et de la Guyane, Cayenne, French Guiana.

BMC Nephrol ; 18(1): 207, 2017 Jun 30.

Article em En | MEDLINE | ID: mdl-28666409

RESUMO

BACKGROUND: End-Stage renal disease (ESRD) causes considerable morbidity and mortality, and significantly alters patients' quality of life. There are very few published data on this problem in the French Overseas territories. The development of a registry on end stage renal disease in French Guiana in 2011 allowed to describe the magnitude of this problem in the region for the first time. METHODS: Using data from the French Renal Epidemiology and Information Network registry (R.E.I.N). Descriptive statistics on quantitative and qualitative variables in the registry were performed on prevalent cases and incident cases in 2011, 2012 and 2013. RESULTS: French Guiana has one of the highest ESRD prevalence and incidence in France. The two main causes of ESRD were hypertensive and diabetic nephropathies. The French Guianese population had a different demographic profile (younger, more women, more migrants) than in mainland France. Most patients had at least one comorbidity, predominantly (95.3%) hypertension. In French Guiana dialysis was initiated in emergency for 71.3% of patients versus 33% in France (p < 0.001). CONCLUSION: These first results give important public health information: i) End stage renal disease has a very high prevalence relative to mainland France ii) Patients have a different demographic profile and enter care late in the course of their renal disease. These data are closer to what is observed in the Caribbean or in Latin America than in Mainland France.

Assuntos

Falência Renal Crônica/diagnóstico; Falência Renal Crônica/epidemiologia; Sistema de Registros; Adulto; Idoso; Estudos de Coortes; Feminino; França/epidemiologia; Guiana Francesa/epidemiologia; Humanos; Falência Renal Crônica/terapia; Masculino; Pessoa de Meia-Idade; Diálise Renal/tendências; América do Sul/epidemiologia

Palavras-chave

Co-morbidities; End stage renal failure; Epidemiology; French Guiana; Incidence; Prevalence

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sistema de Registros / Falência Renal Crônica Tipo de estudo: Clinical_trials / Etiology_studies / Incidence_studies / Observational_studies / Qualitative_research / Risk_factors_studies Aspecto: Patient_preference Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: America do sul / Caribe ingles / Europa / Guyana / Guyana francesa Idioma: En Revista: BMC Nephrol Assunto da revista: NEFROLOGIA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Guiana Francesa País de publicação: Reino Unido

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