Back to Search
Start Over
Leveraging the South African Diabetes Prevention Programme to screen for chronic kidney disease: an observational study.
- Source :
-
BMJ open [BMJ Open] 2023 Jan 06; Vol. 13 (1), pp. e068672. Date of Electronic Publication: 2023 Jan 06. - Publication Year :
- 2023
-
Abstract
- Objective: To evaluate the viability of leveraging an existing screening programme (the South African Diabetes Prevention Programme (SA-DPP)) to screen for chronic kidney disease (CKD), by assessing the yield of CKD cases among those participating in the programme.<br />Design: Observational study conducted between 2017 and 2019.<br />Setting: 16 resource-poor communities in Cape Town, South Africa.<br />Participants: 690 participants, aged between 25 and 65 years, identified as at high risk for type 2 diabetes mellitus (T2DM) by the African Diabetes Risk Score.<br />Primary Outcome Measure: The prevalence of CKD among those participating in the SA-DPP.<br />Results: Of the 2173 individuals screened in the community, 690 participants underwent further testing. Of these participants, 9.6% (n=66) and 18.1% (n=125) had screen-detected T2DM and CKD (defined as an estimated glomerular filtration rate (eGFR) of<60 mL/min/1.73 m <superscript>2</superscript> and/or albumin-to-creatinine ratio >3 mg/mmol), respectively. Of those with CKD, 73.6% (n=92), 17.6% (n=22) and 8.8% (n=11) presented with stages 1, 2 and 3, respectively. Of the participants with an eGFR <60 mL/min/1.73 m <superscript>2</superscript> , 36.4% had no albuminuria and of those with normal kidney function (eGFR ≥90 mL/min/1.73 m <superscript>2</superscript> ), 10.2% and 3.8% had albuminuria stages 2 and 3, respectively. Of those with T2DM and hypertension, 22.7% and 19.8% had CKD, respectively.<br />Conclusion: The fact that almost one in five participants identified as high risk for T2DM had CKD underscores the value of including markers of kidney function in an existing screening programme. By using an opportunistic approach to screen high-risk individuals, those with CKD can be identified and appropriately treated to reduce disease progression.<br />Competing Interests: Competing interests: None declared.<br /> (© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Humans
Adult
Middle Aged
Aged
South Africa epidemiology
Risk Factors
Glomerular Filtration Rate
Creatinine
Diabetes Mellitus, Type 2 diagnosis
Diabetes Mellitus, Type 2 prevention & control
Diabetes Mellitus, Type 2 epidemiology
Renal Insufficiency, Chronic diagnosis
Renal Insufficiency, Chronic epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 2044-6055
- Volume :
- 13
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMJ open
- Publication Type :
- Academic Journal
- Accession number :
- 36609330
- Full Text :
- https://doi.org/10.1136/bmjopen-2022-068672