K.M.S.P. BANDARA1, S.N. PALLIYAGURU1, T.D. KARUNATHILAKE2, PROF. R.A. ABEYSEKERA1,2,3
1Center for Education Research Training in Kidney Disease, Faculty of Medicine, University of Peradeniya , , Sri Lanka, 2Department of Medicine, University of Peradeniya , , Sri Lanka , 3Faculty of Medicine, University of Queensland , , Australia
Biography:
Bio to come
Background and aim:
Early detection through screening constitutes the cornerstone of Chronic Kidney Disease(CKD) management to minimize progression and adverse outcomes. This study was conducted to identify the CKD burden and differences in CKD screening patterns at primary health care institutions in Sri Lanka.
Method:
We conducted a cross-sectional, descriptive study using an interviewer-based questionnaire among patients attending outpatient clinics at two selected divisional hospitals with and without laboratory facilities in the Kandy district.
Results:
A total of 808 patients were included in the study, with 407(50.3%) being from an institution with laboratory facilities (institution 1) and 401(49.7%) from without (institution 2). Median age was 65 (IQR 58-73) years, and the majority were females (n=586, 72.5%). 6.7% (n=54) had diabetes mellitus(DM), 19.9%(n=161) had hypertension and 35.5% (n=285) had both DM and hypertension.
CKD screening with either serum creatinine and/or urinalysis was conducted in 40.5% (n=165) and 18.7% (n=75) at institutions 1 and 2, respectively. Only 40.7% (n=168) of patients with diabetes and 29% (n=185) of hypertensive patients had been screened. Out of the screened population, 13.3% (n=32) had evidence of CKD.
Having screening done for CKD was associated with higher income and availability of laboratory facilities within the hospital. (p<0.05).
Conclusions:
CKD screening among high-risk populations remains at an unacceptably low level in primary care institutions. Moreover, among the patients who have had screening done, it is associated with the availability of laboratory facilities within the hospital or the ability to afford private investigations when these facilities are not present.