Evidence mapPaperPMID 15787347Full record

ArticleInternational urology and nephrology2004

Characteristics of end stage renal disease diabetic patients in two countries with different socioeconomic conditions.

Emmanuel I Agaba, Oladipo Adeniyi, Karen S Servilla, Dorothy J Vanderjagt, Robert H Glew, Antonios H Tzamaloukas

Abstract readComparative Study
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Article in International urology and nephrology, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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2 · The registry

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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Emmanuel I AgabaDepartment of Medicine, Jos University Teaching Hospital, Jos, Plateau State, Nigeria.
Oladipo Adeniyi
Karen S Servilla
Dorothy J Vanderjagt
Robert H Glew
Antonios H Tzamaloukas

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify differences that may affect morbidity and mortality of type 2 diabetic patients reaching ESRD between countries with different socioeconomic conditions.

methodsComparison of clinical and laboratory features between 21 Nigerian (N) and 57 American patients (A) reaching ESRD over a 30 month period.

resultsDifferences were noted in age at ESRD (N, 55.5+/-9.8; A, 64.5+/-9.6 years), duration of diabetes (N, 5.2+/-2.8, A: 14.9+/-4.9 years), body mass index (N, 24.5+/-4.1; A; 27.6+/-6.3 kg/m2), prevalence of left ventricular hypertrophy (N; 14%; A, 89%) and ischemic heart disease (N, 26%; A, 67%), blood pressure (N, [166.2+/-26.7]/[98.6+/-16.5] mmHg; A, [146.8+/-23.6]/[72.5+/-13.3] mmHg), creatinine clearance (N, 6.1+/-3.6; A, 14.8+/-3.5 ml/min), urine protein excretion (N, 1.2+/-0.7; A, 6.1+/-4.9 g/24-h), hematocrit (N, 28.0+/-6.0; A, 35.0+/-5.0%), serum glucose (N, 5.6+/-1.6; A, 10.5+/-5.5 mmol/l), and serum cholesterol (N, 5.32+/-2.57; A, 4.19+/-1.16 mmol/l) (all at P < or = 0.05). Differences were also found in the number of antihypertensive medications (N 1.4+/-0.6; A 2.4+/-1.2 per patient), and use of medications for diabetes (N 29%, A 79%), statins (N zero, A 61 %) and erythropoietin (N zero, A 39%). 72% of the A, but none of the N patients had a functional dialysis access prior to ESRD.

conclusionsBetween A and N patients reaching ESRD, there are differences in clinical features and laboratory values that may affect morbidity, mortality and impact on the health care resources. These differences indicate areas where further studies that could assist in the planning for ESRD care in both Nigeria and USA are required.

Indexed as

Cross-Sectional StudiesDiabetes ComplicationsDiabetes Mellitus, Type 2FemaleHumansKidney Failure, ChronicMaleMiddle AgedNigeriaSocioeconomic FactorsUnited States

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.