Prevalence of chronic kidney disease in Kinshasa: results of a pilot study from the Democratic Republic of Congo

摘要: Background.The burden of chronic kidney disease (CKD) in sub-Saharan Africa is unknown. The aim this study was to investigate the prevalence and risk factors associated with CKD Kinshasa, capital Democratic Republic Congo (DRC). Methods. In a cross-sectional study, 503 adult residents 10 35 health zones Kinshasa were studied randomly selected sample. Glomerular filtration rate estimated using simplified Modification Diet Renal Disease Study equation (eGFR) compared Cockcroft–Gault for creatinine clearance. associations between characteristics, indicators damage (proteinuria) function (<60 ml/min/1.73 m 2 ) examined. Results. all stages according K/DOQI guidelines 12.4% [95% confidence interval (CI), 11.0–15.1%]. By stage, 2% had stage 1 (proteinuria normal eGFR), 2.4% an eGFR 60–89 ), 7.8% 3 (eGFR, 30–59 0.2% 5 (eGFR < 15 ). Hypertension age independently 3. prevalences major non-communicable diseases considered were27.6%(95%CI,25.7–31.3%)forhypertension,11.7% (95% CI, 10.3–14.4%) diabetes mellitus 14.9% 13.3–17.9%) obesity. also proteinuria. Conclusion. More than 10% population exhibits signs CKD, which affecting adults their productive years. Risk including hypertension, obesity, are increasing. These alarmingdatamustguidecurrentandfuturehealthcarepoliciesto meet challenge raised by city hopefully whole country.