Ultrasonographic predictors in chronic kidney disease: A hospital based case control study
Autor: | Shiv Dutt Gupta, Samar Chatterjee, Preeti Gupta, Jyotindu Debnath, Neelabh Nayan |
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Rok vydání: | 2021 |
Předmět: |
medicine.medical_specialty
Urology 030204 cardiovascular system & hematology urologic and male genital diseases Kidney 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Diabetes mellitus Medicine Humans Radiology Nuclear Medicine and imaging Renal Insufficiency Chronic Ultrasonography business.industry Ultrasound Case-control study Echogenicity Hospital based medicine.disease Hospitals medicine.anatomical_structure Concomitant Case-Control Studies business Kidney disease Glomerular Filtration Rate |
Zdroj: | Journal of clinical ultrasound : JCUREFERENCES. 49(7) |
ISSN: | 1097-0096 |
Popis: | Background Prevalence of Chronic Kidney Disease (CKD) is increasing globally with the concomitant upsurge in diabetes mellitus and hypertension. We explored the research question whether Ultrasonographic (US) renal parameters are potential predictors of CKD? Materials and methods A case control study was conducted at a tertiary care hospital that included 50 confirmed cases of CKD and 100 nondiseased controls. Renal length, renal parenchymal thickness, and renal cortical thickness were measured in both cases and controls by ultrasound examination. Corticomedullary differentiation and renal cortical echogenicity were also assessed. Results US parameters of renal length, renal parenchymal thickness, and renal cortical thickness were found to be significantly and strongly associated with the presence of CKD. The strongest association was observed with renal cortical echogenicity (OR 27.33, 95% CI 8.82-84.63). The association of reduced renal cortical thickness (OR 6.14, 95% CI 1.59-23.62), and renal length (OR 2.72, 95% CI 1.13-8.26) were independent and significant predictors of presence of CKD. Conclusions Specific US parameters of renal cortical echogenicity, cortical thickness, and length of kidney have a strong potential for independently establishing the diagnosis and evaluation of progression of CKD. |
Databáze: | OpenAIRE |
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