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Saudi Journal of Kidney Diseases and Transplantation
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LETTER TO THE EDITOR  
Year : 2015  |  Volume : 26  |  Issue : 1  |  Page : 139-140
Epidemiologic and demographic characteristics of a hemodialysis patient in Quchan, Iran


1 Public Health Department, School of Health, Gonabad University of Medical Sciences, Gonabad, Iran
2 Social Development and Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad; Department of Nursing, Quchan Branch, Islamic Azad University, Quchan, Iran
3 Social Development and Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad; Tabriz Health Services Management Research Center, Tabriz Medical Sciences University, Tabriz, Iran

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Date of Web Publication8-Jan-2015
 

How to cite this article:
Moshki M, Hashemizadeh H, Pour Doulati S. Epidemiologic and demographic characteristics of a hemodialysis patient in Quchan, Iran. Saudi J Kidney Dis Transpl 2015;26:139-40

How to cite this URL:
Moshki M, Hashemizadeh H, Pour Doulati S. Epidemiologic and demographic characteristics of a hemodialysis patient in Quchan, Iran. Saudi J Kidney Dis Transpl [serial online] 2015 [cited 2021 Feb 26];26:139-40. Available from: https://www.sjkdt.org/text.asp?2015/26/1/139/148764
To the Editor,

The incidence and prevalence of hemodialysis (HD) patients in Iran recently in the year 2000 was 49.4 and 130.5 PMP, respectively. [1] Unfortunately, in most of the developing countries such as Iran, the patients with renal disease present late to the medical attention and it is not possible to diagnose the cause of end-stage renal disease (ESRD). This is a cross-sectional study designed to determine the etiology of kidney disease among 52 HD patients in Quchan, Iran in 2012. The patients underwent dialysis using Fresenius 4008B machines, bicarbonate dialysate and low-flux polysulfone membrane; 90.4% of our patients had fistulas as an access for HD. Information regarding demographic characteristics and medical history were obtained using a standardized questionnaire administered by trained staff.

The mean age of the patients was 54.1 ± 16.9 years, and 36 (69%) patients were male. The mean duration of ESRD was 22.4 ± 15 months and 44.1% of the patients were on twice/week dialysis, 36.9% on thrice/week dialysis and 19% on once/week dialysis. The mean body mass index (BMI) of our patients was 21.5 ± 3.5, and 15.4%, 71.2%, 11.5% and 1.9% of patients were under weight, normal weight, over weight and obese, respectively.

The causes of ESRD in the study patients included hypertension in 42.3%, diabetes mellitus in 30.7%, polycystic kidney disease in 9.6% and others in 17.3% of the patients. The main causes of CRF did not differ significantly between men and women (P >0.05).

In this study, hypertension and diabetes mellitus were the most common causes of ESRD in Quchan. Glomerulonephritis and hypertension was the most common causes of ESRD in Iran, five years ago, in contrast to the present study. [2] This change may be due to the increasing prevalence of obesity, diabetes and hypertension in the developing countries, as noted by Krzesinski et al. [3]

Studies from Shiraz, Mashhad and Guilan disclosed similar results in Iranian HD patients. [4],[5],[6] In our patients with age from 40 to 60 years, diabetes mellitus and hypertension remained the most common causes of ESRD.

In conclusion, we believe that large numbers of ESRD patients have hypertension and diabetes as the etiologic factor in Iran. A local registry is necessary to help identify the causes of renal failure and develop management and research initiatives.

Conflict of interest: None

 
   References Top

1.
Afshar R, Sanavi S, Salimi J. Epidemiology of Chronic Renal Failure in Iran: A Four Year Single Center Experience. Saudi J Kidney Dis Transpl 2007;18:191-4.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Salahi H, Mehdizadeh AR, Derakhshan A, et al. Evaluation the course of end stage renal disease (ESRD) in kidney transplant patientsa single center study. Indian J Med Sci 2004;29:198.  Back to cited text no. 2
    
3.
Krzesinski JM, Sumaili KE, Cohen E. How to tackle the avalanche of chronic kidney disease in sub-Saharan Africa: The situation in the Democratic Republic of Congo as an example. Nephrol Dial Transplant 2007;22:332-5.  Back to cited text no. 3
[PUBMED]    
4.
Malekmakan L, Haghpanah S, Pakfetrat M, Malekmakan A, Khajehdehi P. Causes of chronic renal failure among Iranian hemodialysis patients. Saudi J Kidney Dis Transpl 2009;20:501-4.  Back to cited text no. 4
[PUBMED]  Medknow Journal  
5.
Hekmat R, Mojahedi MJ, Ahmadnia H. Hemodialysis versus peritoneal dialysis: Epidemiologic and demographic characteristics. Tehran Univ Med J 2008;66:498-50.  Back to cited text no. 5
    
6.
Monfared A, Safaei A, Panahandeh Z, Nemati L. Incidence of End-Stage Renal Disase in Guilan Province, Iran, 2005 to 2007. Iran J Kidney Dis 2009;3:239-41.  Back to cited text no. 6
    

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Correspondence Address:
Dr. Haydeh Hashemizadeh
Department of Nursing, Quchan Branch, Islamic Azad University, Quchan
Iran
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DOI: 10.4103/1319-2442.148764

PMID: 25579736

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