Education

Chronic Kidney Disease Affects 98% Don’t Know

Chronic Kidney Disease Affects

The largest study in Ireland tells characterize the population affected by chronic kidney disease (CKD), over the age of 50 years, have been published.While valid attempts have been made to report the prevalence of CKD in Ireland, to date none have focused on a longitudinal cohort study based on a stratified random sample of the general population. Similarly, the incidence of CKD in the Irish general population has not been investigated to date and the Irish Longitudinal Study on Aging (TILDA) provided the research team with the most suitable substrate in which to study this.

The findings are released in a report from TILDA and the National Renal Office and are based on TILDA data from 2009–2011 “Wave 1” and 2013–2015 “Waves 2–3.”

The presence and severity of CKD finds in persons who are at high risk of adverse health outcomes, including premature death,

cardiovascular disease and potential progression to requiring dialysis or a kidney transplant and premature mortality; and as such, preventing and managing CKD constitutes a key aim of all management.

CKD prevalence in adults age 50 years and above in Ireland is rising. While this is due to be primarily related to aging and improved survival in the general population, these trends highlight the importance of continued public health action to raise awareness and to improve the care and outcomes for people with CKD.

Study

98% of people who had CKD were dont know  they suffered from it.

CKD was there in 15.6% of people aged 50+ in Ireland, which equates to approximately 226,000 people or 1 in 7 of the population.

Where blood pressure management should be tightly controlled in CKD to prevent or slow down progression, blood pressure was poorly controlled in CKD in Ireland.

New cases of CKD in Ireland in people aged 50+ are occurring at a rate of 16 people per 1,000 person-years of follow up which will likely also contribute to substantial future demand on Nephrology services and hospital inpatient stay now and in future.

CKD is becoming more common over time in Ireland, consistent with Ireland’s rapid demographic changes, highlighting the importance of action in primary and secondary care to raise awareness and to improve the outcomes for people living with CKD in Ireland.

Hypertension was the most common CKD-related condition in the Irish adult population. The estimated prevalence of CKD in Irish adults aged 50+ years without diabetes and hypertension was 6.22% based on Wave 1 data and 10.01% based on Wave 3 of TILDA. Age, blood pressure, HbA1c, BMI and hypertension were significantly associated with the presence and severity of CKD.

Recommendations

The incorporation of chronic kidney disease (CKD) into the HSE Chronic Disease Management Program for primary care may facilitate improved care of patients with CKD in Ireland.

Increased awareness of CKD is needed and of the adverse health outcomes associated with it including, cardiovascular disease, kidney failure and premature death.

Improve blood pressure control in people with CKD in Ireland based on international guideline targets and aim to manage their additional cardiovascular risk factors.

The introduction of medications known to reduce rates of deterioration in kidney function and reduce cardiovascular risk such as SGLT2 inhibitors, GLP-1 analogs, and non-steroidal mineralocorticoid antagonists where appropriate.

CEO of the Irish Kidney Association Carol Moore said, “The Irish Kidney Association congratulates the National Renal Office and TILDA for their impactful study on chronic kidney disease (CKD) in Ireland’s older population. The high prevalence of CKD in those who are 50 years and older and extremely low awareness among those affected highlights the need for more education around CKD and that it should not be viewed in isolation but rather as an integral part of other health conditions such as diabetes, high blood pressure, and cardiovascular disease.

 

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