High Prevalence and Low Awareness of Albuminuria in the Community Setting in the KDSAP
| Autor: | Sirine Bellou, Rui Song, Ming-Yan Jiang, Andrew Cho, Li-Li Hsiao, Laura C Polding, Jiahua Li, Min Zhuo, Suraj Sarvode Mothi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment 030232 urology & nephrology 030204 cardiovascular system & hematology urologic and male genital diseases lcsh:RC870-923 03 medical and health sciences Underserved Population 0302 clinical medicine Internal medicine Diabetes mellitus Medicine Family history Dialysis High prevalence Proteinuria business.industry urogenital system medicine.disease lcsh:Diseases of the genitourinary system. Urology female genital diseases and pregnancy complications Nephrology Albuminuria medicine.symptom business Kidney disease |
| Zdroj: | Kidney International Reports, Vol 5, Iss 4, Pp 475-484 (2020) |
| ISSN: | 2468-0249 |
| Popis: | Introduction: Albuminuria is a sign of kidney disease and associated with adverse outcomes. However, most individuals with albuminuria are unaware of it. The Kidney Disease Screening and Awareness Program (KDSAP) aims for early detection and raising awareness of albuminuria, targeting underserved populations in communities. This study will assess the prevalence and awareness of albuminuria and identify associated risk factors among KDSAP participants. Methods: KDSAP participants ≥18 years old without a history of dialysis or kidney transplant were included. Albuminuria was identified by dipstick urinalysis. Individuals with albuminuria who answered yes to either of the following 2 questions were defined as being aware: (i) Have you ever had protein in the urine? (ii) Do you have kidney disease? Results: Among 2304 participants, 461 (20.0%) had albuminuria: 16.3% with trace or 1+ (low degree) and 3.7% with 2+ or more (high degree). Correlating factors of albuminuria included young age, male sex, African American descent, self-reported diabetes, hypertension, family history of kidney disease, and smoking. Overall albuminuria awareness was 15.8%, but awareness inversely correlated to younger age groups: 7.0% for ages 18–39 years, 13.5% for ages 40–59 years, and 24.0% for ages ≥60 years (P < 0.001). A high degree of albuminuria (vs. low, odds ratio: 5.04, P < 0.001) and concurrent hematuria (odds ratio: 2.12, P=0.024) were both associated with higher awareness; conversely, risk factors for low awareness included African American and better self-assessments of health. Conclusions: There was a high albuminuria prevalence among KDSAP participants, yet low awareness. KDSAP can potentially be a useful model for detecting albuminuria and raising awareness in communities. Keywords: albuminuria, awareness, chronic kidney disease (CKD), community screening, Kidney Disease Screening and Awareness Program (KDSAP), proteinuria |
| Databáze: | OpenAIRE |
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