Age- and gender-related features of chronic kidney disease in residents of the Circopolar North

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Resumo

Objective. Evaluation of the etiological structure, age- and gender-related characteristics of chronic kidney disease (CKD) in residents of the Subpolar North.

Material and methods. Clinical and laboratory data of 221 patients with CKD from the outpatient department of the Central City Hospital of Noyabrsk, Yamalo-Nenets Autonomous Okrug, Tyumen Region, were analyzed. Clinical, laboratory and instrumental parameters were studied. Glomerular filtration rate was calculated using the CKD-EPI formula.

Results. Among the patients followed-up, the proportion of elderly and senile patients with CKD was the largest (66.9%). The majority of patients (73.0%) had early CKD stages (C1–C3a). Cardiovascular diseases (CVDs) were detected in 47.5%, diabetes mellitus (DM) – in 40.3%, primary kidney diseases – in 12.2%. Primary kidney diseases and diabetes predominated as the causes of CKD in young people, cardiovascular diseases and diabetes - in middle-aged and elderly people, and diabetes - in elderly people.

Conclusion. In residents of the Subpolar North, CKD is most often detected in elderly and senile people. Most patients had early stages of the disease (C1–C3a). The main causes of CKD included cardiovascular diseases, diabetes and primary kidney diseases.

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Sobre autores

Vladimir Zhmurov

Tyumen State Medical University

Autor responsável pela correspondência
Email: zhmurovva@yandex.ru

Dr.Sci. (Med.), Professor, Head of the Department of Propaedeutics of Internal Diseases

Rússia, Tyumen

Evgeny Vanuito

Tyumen State Medical University

Email: zhmurovva@yandex.ru

Postgraduate Student at the Department of Propaedeutics of Internal Diseases

Rússia, Tyumen

Denis Zhmurov

Tyumen State Medical University

Email: zhmdenis@yandex.ru

Cand.Sci. (Med.), Associate Professor at the Department of Propaedeutics of Internal Diseases

Rússia, Tyumen

Sergey Oskolkov

Tyumen State Medical University

Email: zhmurovva@yandex.ru

Dr.Sci. (Med.), Professor at the Department of Propaedeutics of Internal Diseases

Rússia, Tyumen

Yulianna Petrova

Tyumen State Medical University

Email: zhmurovva@yandex.ru

Cand.Sci. (Med.), Associate Professor at the Department of Propaedeutics of Internal Diseases

Rússia, Tyumen

Ekaterina Zhmurova

Tyumen State Medical University

Email: zhmurovva@yandex.ru

Teaching Assistant at the Department of Internal Medicine, Outpatient Therapy and Family Medicine

Rússia, Tyumen

Anna Ermakova

Tyumen State Medical University

Email: ermackovaanka@yandex.ru

Teaching Assistant at the Department of Propaedeutics of Internal Diseases

Rússia, Tyumen

Polina Ermakova

Tyumen State Medical University

Email: poli263@mail.ru

Teaching Assistant at the Department of Propaedeutics of Internal Diseases

Rússia, Tyumen

Bibliografia

  1. Мухин Н.А. Нефрология. Национальное руководство. Краткое издание. М., 2016. 606 с. [Mukhin N.A. Nephrology. National leadership. Short edition. M., 2016. 606 p. (In Russ.)].
  2. Yuan J., Zou X.R., Han S.P., et al. Prevalence and risk factors for cardiovascular disease among chronic kidney disease patients: results from the Chinese cohort study of chronic kidney disease (C-STRIDE). BMC. Nephrology. 2017;18(1):23.
  3. Cheung C.M., Wright J.R., Shurrab A.D. Epidemiology of renal dysfunction and patient’s outcome in atherosclerotic renal occlusion. J. Am. Soc. Nephr.2002;13;149–57.
  4. Hill N.R., Fatoba S.T., Oke J.L., et al. Global prevalence of chronic kidney disease – A systematic review and meta-analysis. PLoS One. 2016;11(7):e0158765.
  5. Дудко М.Ю., Котенко О.М., Шутов Е.В., Васина Н.В. Эпидемиология хронической болезни почек среди жителей города Москвы. Клиническая нефрология. 2019;(3);37–41. [Dudko M.Yu., Kotenko O.M., Shutov E.V., Vasina N.V. Epidemiology of chronic kidney disease among residents of Moscow. Clinical nephrology. 2019;(3);37–41 (In Russ.)].
  6. Клинические рекомендации. Хроническая болезнь почек (ХБП). Ассоциация нефрологов. Рубрикатор клинических рекомендаций Минздрава России. 2021. ID: 449. [Clinical recommendations. Chronic kidney disease (CKD). Association of Nephrologists. The rubricator of clinical recommendations of the Ministry of Health of the Russian Federation. 2021. ID: 449 (In Russ.)].
  7. Сигитова О.Н., Богданова А.Р., Саубанова Э.И. Факторы риска, распространенность и темпы прогрессирования хронической болезни почек у амбулаторных пациентов с артериальной гипертензией. Терапия. 2023;65(3):7–14. [Sigitova O.N., Bogdanova A.R., Saubanova E.I. Risk factors, prevalence and progression rates of chronic kidney disease in outpatient patients with arterial hypertension. Therapy. 2023;65(3):7–14 (In Russ.)].
  8. Шилов Е.М., Сигитова О.Н. Хроническая болезнь почек в практике врачей первичного звена. Терапия. 2023;65(3):106–12. [Shilov E.M., Sigitova O.N. Chronic kidney disease in the practice of primary care physicians. Therapy. 2023;65(3):106–12 (In Russ.)].
  9. Кулаков В.В., Виллевальде С.В., Кобалава Ж.Д. Распространенность нарушений функционального состояния почек у пациентов с артериальной гипертонией в реальной клинической практике. Евразийский кардиологический журнал. 2016;(3):150–61. [Kulakov V.V., Villevalde S.V., Kobalava J.D. Prevalence of renal dysfunction in patients with arterial hypertension in real clinical practice. Eurasian Journal of Cardiology. 2016;(3):150–61 (In Russ.)].
  10. Кобалава Ж.Д., Виллевальде С.В., Боровкова Н.Ю. и др. Распространенность маркеров хронической болезни почек у пациентов с артериальной гипертонией: результаты эпидемиологического исследования ХРОНОГРАФ. Кардиология. 2017;57(10):39–44. [Kobalava J.D., Villevalde S.V., Borovkova N.Yu., etc. The prevalence of markers of chronic kidney disease in patients with arterial hypertension: the results of an epidemiological study CHRONOGRAPH. Cardiology. 2017;57(10):39–44 (In Russ.)].
  11. Зуева Т.В., Жданова Т.В. Артериальная гипертензия при хронической болезни почек: современное состояние проблемы. Лечащий врач. 2020;(9):11–14. [Zueva T.V., Zhdanova T.V. Arterial hypertension in chronic kidney disease: the current state of the problem. The attending physician. 2020;(9):11–14 (In Russ.)].
  12. Дедов И.И., Шестакова М.В., Викулова О.К. и др. Сахарный диабет в Российской Федерации: динамика эпидемиологических показателей по данным Федерального регистра сахарного диабета за период 2010–2022 гг. Сахарный диабет. 2023;26(2):104–23. [Dedov I.I., Shestakova M.V., Vikulova O.K., etc. Diabetes mellitus in the Russian Federation: dynamics of epidemiological indicators according to the Federal Register of Diabetes Mellitus for the period 2010-2022. Diabetes mellitus. 2023;26(2):104–23 (In Russ.)].
  13. Муркамилов И.Т., Айтбаев К.А., Фомин В.В. Распространенность, возрастные и гендерные особенности хронической болезни почек у больных сахарным диабетом. Терапевтический архив. 2023;95(6):481–86. [Murkamilov I.T., Aitbaev K.A., Fomin V.V. Prevalence, age and gender characteristics of chronic kidney disease in patients with diabetes mellitus. Therapeutic Archive. 2023;95(6):481–86 (In Russ.)].
  14. Жмуров В.А., Осколков С.А., Казеко Н.И. Хронический пиелонефрит у жителей различных климато-географических регионов (Клинико-биохимические и иммунологические аспекты). Тюмень, 2006. 304 с. [Zhmurov V.A., Oskolkov S.A., Kazeko N.I. Chronic pyelonephritis in residents of various climatic and geographical regions (Clinical, biochemical and immunological aspects). Tyumen, 2006. 304 p. (In Russ.)].
  15. Жмуров В.А., Осколков С.А., Четвертков В.А., Афлетунов В.Н. Тубуло-интерстициальные заболевания почек у жителей Приполярного Севера и Заполярья. Тюмень, 2012. 132 с. [Zhmurov V.A., Oskolkov S.A., Chetvertkov V.A., Afletunov V.N. Tubulo-interstitial kidney diseases in residents of the Circumpolar North and the Arctic. Tyumen, 2012. 132 p. (In Russ.)]

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