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Saudi Journal of Kidney Diseases and Transplantation
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ORIGINAL ARTICLE Table of Contents   
Year : 1997  |  Volume : 8  |  Issue : 1  |  Page : 16-20
Etiology of End-Stage Renal Disease in Two Regions of Saudi Arabia

1 Division of Nephrology, King Khalid University Hospital, Riyadh, Saudi Arabia
2 Ministry of Health, Riyadh, Saudi Arabia
3 King Fahd Central Hospital, Gizan, Saudi Arabia
4 National Kidney Foundation, Riyadh, Saudi Arabia
5 King Fahd Hospital, Jeddah, Saudi Arabia
6 Family & Community Medicine, King Saud University, Riyadh, Saudi Arabia

Correspondence Address:
Ahmed H Mitwalli
Division of Nephrology, King Khalid University Hospital, P.O. Box 2925, Riyadh 11461
Saudi Arabia
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PMID: 18417779

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A total of 127 patients with end-stage renal disease (ESRD) including 45 from Al-Madinah and 82 from the Gizan regions of Saudi Arabia were studied to determine the etiology of ESRD. The categorization into various diagnoses were according to established criteria. A total of 22 renal biopsies were also obtained to aid in the diagnosis. The mean age of the study patients was 50 years in Al-Madinah region and 37 years in Gizan region. Overall, the etiology could be established in 56 patients (44.1%) including 31 patients (68.9%) in Al-Madinah and 25 patients (30.5%) in Gizan regions. Diabetic nephropathy was the commonest cause of ESRD in Al-Madinah (45.2%) while obstructive nephropathy was the commonest identifiable cause in Gizan (24%). Our study suggests that diabetes and obstruction are the main conditions against which strategies for prevention and treatment should be directed.

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