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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Ramilitiana, Benja Ranivoharisoa, Eliane Mikkelsen Dodo, Mihary Razafimandimby, Evanirina Randriamarotia, Willy Franck |
| Description | Country affiliation: Madagascar Author Affiliation: Ramilitiana B ( Unité de Médecine Interne et Néphrologie, Hôpital Joseph Raseta Befelatanana, Antananarivo,Madagascar.); Ranivoharisoa EM ( Unité de Médecine Interne et Néphrologie, Hôpital Joseph Raseta Befelatanana, Antananarivo,Madagascar.); Dodo M ( Unité de Médecine Interne et Néphrologie, Hôpital Joseph Raseta Befelatanana, Antananarivo,Madagascar.); Razafimandimby E ( Unité de Médecine Interne et Néphrologie, Hôpital Joseph Raseta Befelatanana, Antananarivo,Madagascar.); Randriamarotia WF ( Unité de Médecine Interne et Néphrologie, Hôpital Joseph Raseta Befelatanana, Antananarivo,Madagascar.) |
| Abstract | Chronic renal failure is a global public health problem. In developed countries, this disease occurs mainly in the elderly, but in Africa it rather affects active young subjects. This disease need for expensive treatments in a low income country, because of its costs. Our aim is to describe the epidemiology of new cases of chronic renal failure in Madagascar. This is a retrospective, descriptive study of 239 patients with chronic renal failure over a 3 year period, starting from 1 January 2007 to 31 December 2009, in the Department of Internal Medicine and Nephrology at University Hospital of Antananarivo. The incidence was 8.51% among patients hospitalized in the Department. The average age of patients was 45.4 years with extremes of 16 and 82 years and a sex ratio 1,46. The main antecedent was arterial hypertension (59.8%). Chronic renal failure was terminal in 75.31% of the cases (n=180). The causes of chronic renal failure were dominated by chronic glomerulonephritis (40.1%), nephroangiosclerosis (35.5%). Hemodialysis was performed in 3 patients (1.26%), no patient was scheduled for a renal transplantation. Mortality rate in the Department was 28.87%. Chronic renal failure is a debilitating disease with a dreadful prognosis which affects young patients in Madagascar. Its treatment remains inaccessible to the majority of patients. The focus must be mainly on prevention, especially on early effective management of infections, arterial hypertension and diabetes to reduce its negative impacts on the community and public health. The project on renal transplantation: living donor, effective and less expensive treatment compared to hemodialysis could also be a good solution for these Malagasy young subjects. |
| File Format | HTM / HTML |
| e-ISSN | 19378688 |
| DOI | 10.11604/pamj.2016.23.141.8874 |
| Journal | Pan African Medical Journal |
| Volume Number | 23 |
| Language | French |
| Publisher | African Field Epidemiology Network |
| Publisher Date | 2016-01-01 |
| Publisher Place | Uganda |
| Access Restriction | Open |
| Alternative Title | A retrospective study on the incidence of chronic renal failure in the Department of Internal Medicine and Nephrology at University Hospital of Antananarivo (the capital city of Madagascar) |
| Content Type | Text |
| Resource Type | Article |
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