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