Prevalence of chronic kidney disease among community remote areas in Sabah: Population-Based Study

• Main Authors: Nor Ain Mior Nizam, Malehah Mohd Noh, Shamsul Bahari Shamsuddin
• Format: Article
• Language: English; English
• Published: 2020
• Subjects: R Medicine (General); RA Public aspects of medicine
• Online Access: https://eprints.ums.edu.my/id/eprint/26625/1/Prevalence%20of%20chronic%20kidney%20disease%20among%20community%20remote%20areas%20in%20Sabah.pdf; https://eprints.ums.edu.my/id/eprint/26625/2/Prevalence%20of%20chronic%20kidney%20disease%20among%20community%20remote%20areas%20in%20Sabah1.pdf; https://eprints.ums.edu.my/id/eprint/26625/; https://doi.org/10.33086/mhsj.v4i1.1415

In this population-based study, we determined the prevalence of chronic kidney disease (CKD) of community in remote areas of Ranau, Sabah to have accurate information for health-care planning. It also investigated the association of risk factors with the prevalence of CKD. A sample of 270 individuals, compared to the study of the National Health and Morbidity Survey 2011, of the adult population (over 18 years old) undertaken in West Malaysia. We measured the estimated glomerular filtration rate (eGFR) using this CKD-EPI equation. The total prevalence of CKD in this group was 53%. An estimated 3.3% had stage 1 CKD (eGFR >90 ml/min per 1.73m2), 32.6% had stage 2 (eGFR 60–89 ml/min per 1.73m2), 4.1% had stage 3 (eGFR 30–59 ml/min per 1.73m2), 7% had stage 4 (eGFR 15–29 ml/min per 1.73m2), and 6% had stage 5 CKD (eGFR <15 ml/min per 1.73m2). Only 4% of respondents with CKD were aware of their diagnosis. The significant risk factors included family history of kidney disease, alcohol consumption, smoking status, hypertension, diabetes mellitus, and dyslipidemia. Thus, CKD in East Malaysia are common and warrants early detection, and treatment to potentially improve outcomes can be implemented.