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The Etiology of Kidney Failure in Indonesia: A Multicenter Study in Tertiary-Care Centers in Jakarta Cover

The Etiology of Kidney Failure in Indonesia: A Multicenter Study in Tertiary-Care Centers in Jakarta

Open Access
|Jun 2023

Figures & Tables

Table 1

Baseline characteristics of study participants.

VARIABLESRESULTS
Total patients (n)1,152
*KRT modalities, n (%)Hemodialysis785 (68.1)
CAPD86 (7.5)
Kidney transplant281 (24.4)
Male, n (%)674 (58.5)
Age, median (IQR) years52 (41–61)
Age at KRT presentation, median (IQR) years48 (37–58)
Ethnicity, n (%)Javanese341 (29.5)
Betawi258 (22.4)
Sundanese132 (11.5)
Batak67 (5.8)
Malay13 (1.1)
Balinese3 (0.3)
Others204 (17.7)
Missing data134 (11.6)
Comorbidities, n (%)Hypertension855 (74.2)
Diabetes mellitus347 (30.1)
Cardiovascular disease133 (11.5)
Stroke44 (3.8)
Malignancy21 (1.8)
Hepatitis B46 (4.0)
Hepatitis C122 (10.6)
Others165 (14.3)
Medical history, n (%)Family history with kidney disease171 (14.8)
Smoking401 (34.8)
NSAID exposure258 (22.4)
History of urolithiasis172 (14.8)
Other nephrotoxic exposure210 (18.2)
¥eGFR at KRT initiation, median (IQR) ml/minute/1.73 m25.90 (4.0–8.34)
<5 ml/minute/1.73 m2, n(%)156 (34.4)
5–10 ml/minute/1.73 m2, n(%)239 (52.8)
>10 ml/minute/1.73 m2, n(%)58 (12.8)
Missing data, n(%)699 (60.7)
Duration on KRT, median (IQR) years3.0 (1.0–5.0)
Vascular access for HD, n (%)AV Fistula476 (60.6)
CVC271 (34.5)
Others13 (1.7)
Missing data25 (3.2)

[i] * The KRT initiation date was made accordingly to their current KRT modality (i.e., dialysis or kidney transplantation). Therefore, for the kidney transplant group, the time of KRT initiation was refer to the time the subjects received their kidney transplant.

¥ Data was collected from 39.3% (n = 453/1152) participants with complete initial laboratory parameters.

AV fistula arteriovenous fistula; CAPD continuous ambulatory peritoneal dialysis; CVC central venous catheter; eGFR estimated glomerular filtration rate; KRT kidney replacement therapy.

Table 2

Laboratory parameters at KRT initiation.

VARIABLESRESULTS
Hemoglobin (n = 480), median (IQR) g/dl8.9 (7.4–10.1)
Leucocyte (n = 478), median (IQR) per mm38,570 (6,592.5–11,255)
Thrombocyte (n = 479), median (IQR) cells/µL243,000 (186,000–308,000)
Albumin (n = 195), median (IQR) mg/dL3.39 (2.9–3.9)
Calcium (n = 166), median (IQR) mg/dL8.0 (7.07–8.92)
Phosphate (n = 157), median (IQR) mg/dL5.3 (4.0–7.25)
Sodium (n = 434), median (IQR) meq/L136 (132–140)
Potassium (n = 441), median (IQR) meq/L4.5 (3.8–5.1)
HBsAg positive (n = 332), n (%)15 (4.5)
Anti-HCV positive (n = 329), n (%)16 (4.9)
Anti-HIV positive (n = 284), n (%)3 (1.1)

[i] HBsAg hepatitis B surface antigen; HCV hepatitis C virus; KRT kidney replacement therapy.

Table 3

Etiology of kidney disease in the study population.

ETIOLOGY OF KIDNEY DISEASEN (%)
Diabetic kidney disease313 (27.2)
Hypertensive nephrosclerosis132 (11.5)
Glomerulonephritis150 (13.0)
    Primary glomerulonephritis128 (85.3)
    Secondary glomerulonephritis22 (14.7)
        Lupus nephritis20 (91)
        Others2 (9)
Urolithiasis119 (10.3)
Autosomal dominant polycystic kidney disease17 (1.5)
Toxic Nephropathy5 (0.4)
Others:58 (5.0)
    CAKUT7 (12.1)
    Urinary tract and gynecology malignancy11 (19.0)
    Cardiorenal syndrome7 (12.1)
    Pre-eclampsia22 (37.9)
    Infection*4 (6.9)
    Miscellaneous7 (12.1)
Unknown358 (31.1)

[i] * Infection (3 subjects: related to HIV-associated nephropathy, 1 subject: related to hepatitis C infection).

agh-89-1-4071-g1.png
Figure 1

The distribution of ESKD etiology stratified by gender.

Notes: DKD = diabetic kidney disease; HTN = hypertensive nephrosclerosis; GN = glomerulonephritis; ADPKD = autosomal dominant polycystic kidney disease; Toxic = toxic nephropathy.

agh-89-1-4071-g2.png
Figure 2

The distribution of ESKD etiology stratified by age groups.

Notes: DKD = diabetic kidney disease; HTN = hypertensive nephrosclerosis; GN = glomerulonephritis; ADPKD = autosomal dominant polycystic kidney disease; Toxic = toxic nephropathy.

agh-89-1-4071-g3.png
Figure 3

The distribution of ESKD etiology stratified by KRT modalities.

Notes: DKD = diabetic kidney disease; HTN = hypertensive nephrosclerosis; GN = glomerulonephritis; ADPKD = autosomal dominant polycystic kidney disease; Toxic = toxic nephropathy.

DOI: https://doi.org/10.5334/aogh.4071 | Journal eISSN: 2214-9996
Language: English
Submitted on: Feb 3, 2023
Accepted on: May 16, 2023
Published on: Jun 1, 2023
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2023 Ni Made Hustrini, Endang Susalit, Aida Lydia, Maruhum Bonar H. Marbun, Muhammad Syafiq, Yassir, Johanes Sarwono, Elizabeth Yasmine Wardoyo, Jonny, Suhardjono, Rizki Y. Pradwipa, Anitasari Nugraheni, Merel van Diepen, Joris I. Rotmans, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.