Authors

Sandra Nin Corredera1, Elena Lagarda Jiménez2, Carmen Herranz Rodríguez3, Alicia Alcaraz Rodríguez1, Juan Ignacio Badariotti4

Position

1Enfermera Especialista en Atención Familiar y Comunitaria. CAP Les Corts. Barcelona2Enfermera. CAP Casanova. Barcelona3Enfermera. CAP Casanova. Barcelona. Grup de recerca transversal en Atenció Primària (IDIBAPS). Barcelona 4Bachelor of Science (BSc). University of Portsmouth. School of Sport, Health and Exercise Science. Reino Unido

Contact address

Sandra Nin Corredera. Centro de Atención Primaria (CAP) Les Corts. C/ Mejía Lequerica, 1. 08028 Barcelona.

Contact email: sandranincorredera@gmail.com

Abstract

Objective: to determine the prevalence overall and by stages of diagnosed chronic renal disease (CRD) in the population assigned to the Casanova urban Primary Care Centre (PCC) in Barcelona, as well as to explore sociodemographic and clinical factors by stages.
Method: a cross-sectional descriptive study. The population consisted of those patients assigned to the PCC (n= 31,372). Adult patients with CRD diagnosis in their electronic clinical record were included. The classification by stages was determined on the basis of the estimated Glomerular Filtration Rate available. Factors associated with CRD were also collected: age, gender, body mass index, physical activity, smoking, diabetes mellitus, hypertension (HTN), and dyslipidemia. Descriptive statistics and bivariate analyses were conducted according to the stage.
Results: there was a 2.9% (n= 920) prevalence of CRD, and 2.1% (n= 675) with recorded eGFR. The study included 675 individuals (mean 79.9 years of age; SD: 11.8); 57.6% (n= 389) of them were female. Stage G3a was the most prevalent (n= 275; 40.7%). The prevalence of stages G1, G2, G3b, G4 y G5 was 2.1% (n= 14), 19.3% (n= 130), 27.6% (n= 186), 7.8% (n= 53) and 2.5% (n= 17) respectively. The association between CRD stages and gender, age, excess weight and obesity, and HTN was statistically significant.
Conclusions: CRD affected less than 5% of patients assigned to the PHC; the majority were over 65-years-old and female. It was recommended to implement preventive action strategies addressing the population with CRD diagnosis in central stages, and focused on the modifiable factors of HTN, excess weight and obesity.

Keywords:

chronic renal failure; prevalence; Primary Care; tertiary prevention; risk factors: hypertension; Obesity; epidemiology; cross-sectional studies

Versión en Español

Título:

Enfermedad renal crónica en Atención Primaria: prevalencia y factores modificables