Establishing a Chronic Kidney Disease (CKD) Surveillance in Cuttack District, Odisha, India

Authors

  • Priyakanta Nayak
  • Nikita Raula
  • Basanta Kumar Swain
  • Bikas Patnaik
  • Kailash Chandra Dash
  • Deepak Kumar

DOI:

https://doi.org/10.37506/ijphrd.v12i4.16563

Keywords:

CKD, Odisha, Cuttack

Abstract

Background: Chronic kidney disease (CKD) is a globalpriority public health concern that accounts for
significant morbidity and mortality. Unusual occurrence of CKD was reported from Cuttack district of
Odisha. We aim to establish a CKD surveillance system in Cuttack district to estimate the burden of disease
and help decision-makers through future epidemiological assessments.
Method: We focused on CKD patients enrolled in the Narsingpur community health clinics and attending
the clinics from January to June 2016. We defined a suspected CKD as patientpresenting with any symptoms
of loss of appetite, fatigue &weakness, change in urine output, swelling of feet & ankles and blood in urine.
A confirmed CKD was defined as a CKD suspect with elevated Serum creatinine (>1.5 mg/dL) and Serum
Urea (>40 mg/dL).Besides, we collected relevant data on demography, clinical, laboratory, occupational and
family history of patients.
Results: The CKDsurveillance presented over 320 suspected CKD cases, of which 35 cases were laboratory
confirmed. The median age was 57 years ranging from 35 -75 years (Mean +SD= 56+9.1), 71% of cases were
males and agriculture was the commonest occupation. Laboratory finding shows fasting blood glucose of
147.4 mg/dl (Range 84-249), Serum Creatinine 3.59 mg/dl (Range 2.2-7.9), Serum Urea 76.6 mg/dl (Range
14.1-137), Urine Creatinine 6.0 mg/24 hrs (Range, 4.4-7.3) and Urine Albumin 7.6 mg/dl (Range 7.2-8.4).
The majority of patients (57%, 20/35) were in CKD stage 3 (GFR, between 60 and 89 ml/min/1.73m2).
Conclusion:The CKD surveillance system supported CKD patient’s analysis by age, gender, geographical
distribution and socio-demographic profile. Further, the analysis involved analysing patient’s clinical
characteristics, CKD staging, associated co-morbidities and treatment modalities.The surveillance
system established a scientific platform for primary prevention, early detection, and treatment strategies
implementation. The platform eventuallyhelped the decision-makers increase awareness, decrease CKD
morbidity & mortality throughmore efficient resource utilization.

Author Biographies

Priyakanta Nayak

EIS Officer, National Centre for Disease Control, New Delhi, India

Nikita Raula

MPH Intern, Directorate of Public Health,Odisha,India

Basanta Kumar Swain

Epidemiologist, Directorate of Public Health, Odisha, India.

Bikas Patnaik

Joint Director, Directorate of Public Health, Odisha, India

Kailash Chandra Dash

Director (Public Health), Directorate of Public Health, Odisha, India

Deepak Kumar

Consultant, World Health organization

Published

2021-07-19

How to Cite

Priyakanta Nayak, Nikita Raula, Basanta Kumar Swain, Bikas Patnaik, Kailash Chandra Dash, & Deepak Kumar. (2021). Establishing a Chronic Kidney Disease (CKD) Surveillance in Cuttack District, Odisha, India. Indian Journal of Public Health Research & Development, 12(4), 308-318. https://doi.org/10.37506/ijphrd.v12i4.16563