Dear dr.Alawi,
Can you explain something closer recycling of whom suffered for example diabetes mellitus, hypertension, glomerulonephritis .... etc?
Regards
Jasenko
Thank you Dr Alawi.
In the last 3years, there is an increase in number of renal failure due mostly to the increase in incidence and prevalence of non communicable diseases, especially diabetes, over last decades. Also, especially in developing countries, there is an improvement of health system and therefore, capturing of cases of renal failure tends to increase as well.
In addition, since early seventies, those born small, low birth weight and premature children, reaching now adulthood may contribute to the pool of increase in renal failure.
Yes, we should be worry about such a problem. Hence, developing countries must have proper data registries for End Stage Kidney Disease, CKD and RRT. This would further strengthen their health system and provide a backbone for future planning and health resources management to enable them to tackle the coming large wave of ESKD Tsunami. All efforts should be made to curtail the progression of non-communicable diseases and other factors which ultimately fuel the development of ESKD.
I agree fully with the opinion dr.Issa Salmi, I think it gave an excellent response to the current situation increased the number of kidney diseases in Baghdad!
Regards
Jasenko
Dear Dr.Alawi,
Do not be just a statement of serious problems jde also present in other countries in the world I want to emphasize the following:
Metabolic diseases, especially diabetes mellitus and its consequences are one of the leading causes of organ failure including renal course I ESKD in the world and Iraq is no exception!
What to do, not just wait for the consequences when they can no longer do much, but try to act, preventive and prophylactic in order to influence the reduction of these and other diseases that are the direct causes of ESRD!
It can not only doctors, that should help the wider community, I think primarily the Ministry of Health!
Negative consequences can be very high if this is not done on time!
regards
Jasenko
I have at least three explanations:
a) Better knowledge of renal diseases in developing countries;
b) Increase in the aged population;
c) Increase of metabolic disease
regardes
Maurizio
I am as an consultant structural engineer, i think that structure of human body is like physical structures. Do you agree?
While I cannot comment about Baghdad specifically, CKD is being increasingly 'recognized' early in the developing countries. Previously, when dialysis was not available widely and there was not much 'preventive' primary care, CKD patients used to present late in advanced stages or when they were at the point where they had to be initiated on dialysis. Also, with the growing epidemic of diabetes and hypertension, the incidence of CKD is further expected to rise. Rising the awareness among common people about the importance of preventive care (routine primary care visits, dietary counseling etc.) might help to some extent. Governments should be proactive in making such preventive care affordable.
Dear Ali, Please specify if you are interested in the increasing trend in CKD or the one in acute renal failure cases. WR, Michaela
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