Knowledge of family physicians concerning the risk factors of chronic kidney disease

Authors

Keywords:

RENAL INSUFFICIENCY, CHRONIC, RISK FACTORS, KNOWLEDGE, PRIMARY HEALTH CARE, PATIENT HARM.

Abstract

Introduction: chronic kidney disease is every time more recognized as a public health care problem of great importance.

Objective: to determine the level of knowledge concerning the risk factors of chronic kidney disease of family physicians from Hermanos Cruz Polyclinic during the year 2020.

Methods: an observational, descriptive and cross-sectional research, having a target group of 70 family physicians from Hermanos Cruz Polyclinic, Pinar del Rio municipality was conducted. The sample comprised 65 physicians according to inclusion and exclusion criteria; theoretical, empirical and statistical methods were applied.

Results: sixty percent (60 %) of the physicians considered it is important to identify the risk factors, which will allow the application of therapeutic interventions in early stages, 41,5 % reported not knowing that the control of cardiovascular risk factors is effective in reducing the onset and progression of the chronic kidney disease; 41,5 % of the physicians did not know that positive proteinuria in two urine samples is the most important and early marker of renal damage; 70,7 % of them referred that they know that in patients who smokes the abstinence or smoking cessation is recommended and 73,8 % reported not knowing about aspects related to protein-restrictions in the diet. 

Conclusions: family physicians from Hermanos Cruz Polyclinic, Pinar del Rio municipality, have deficiencies related to knowledge concerning the risk factors of chronic kidney disease.

Downloads

Download data is not yet available.

Author Biography

Guillermo Luis Herrera Miranda, Universidad de Ciencias Médicas de Pinar del Río

Médico especialista de segundo grado en Medicina Interna, profesor auxiliar, investigador agregado, máster en Educación Médica

References

1. Almaguer M, Magrans C, Herrera R. Definición y estratificación de la Enfermedad Renal Crónica, medición de la función renal, epidemiología clínica, prevención y tratamiento. Avances en Enfermedad Renal Crónica [Internet]. 2009 [Citado: 13/11/2020]: 19 p. Disponible en: http://www.sld.cu/sitios/nefrologia/buscar.php?id=22865&iduser=4&id_topic=17

2. Hill NR, Fatoba ST, Oke JL, Hirst JA, O'Callaghan CA, Lasserson DS, et al. Global Prevalence of Chronic Kidney Disease. A Systematic Review and Meta-Analysis. PLoS One [Internet]. 2016 [Citado: 13/11/2020]; 11(7): e0158765. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4934905/pdf/pone.0158765.pdf

3. Costa-Requena G, Moreso F, Cantarell MC, Serón D. Alfabetización en salud y enfermedad renal crónica. Nefrología [Internet]. 2017 [Citado: 13/11/2020];37(2):115-7. Disponible en: https://www.revistanefrologia.com/es-pdf-S0211699516301527

4. Ministerio de Salud Pública. Anuario Estadístico de Salud 2019.La Habana: Dirección de Registros Médicos y Estadísticas de Salud; [Internet]. 2019 [Citado: 13/11/2020]. Disponible en: https://files.sld.cu/bvscuba/files/2020/05/Anuario-Electr%C3%B3nico-Espa%C3%B1ol-2019-ed-2020.pdf

5. Martínez Castelao A, Górriz JL, Bover J, Segura de la Morena J, Cebollada J, Escalada J, et al. Documento de consenso para la detección y manejo de la enfermedad renal crónica. Revista Nefrología [Internet]. 2014 [Citado: 13/11/2020]; 34(2): 243-62. Disponible en: https://scielo.isciii.es/pdf/nefrologia/v34n2/documento_consenso.pdf

6. Sociedad Española de Nefrología. La Enfermedad Renal Crónica en España. Documento Anexo. Mujer y Riñón. Sociedad Española de Nefrología. [Internet]. 2018 [Citado: 13/11/2020]; Disponible en:

https://www.senefro.org/contents/webstructure/comunicacion/ANEXO_SEN_dossier_Enfermedad_Ren.pdf

7. McMahon M, Preis R, Shih-Jen Hwang, Fox S. Mid-adulthood risk factor profiles for chronic kidney disease. J Am Soc Nephrol [Internet]. 2014 [Citado: 13/11/2020]; 25: 2633-41. Disponible en: https://jasn.asnjournals.org/content/jnephrol/25/11/2633.full.pdf

8. Stel VS, Brück K, Fraser S, Zoccali C, Massy ZA, Jager KJ. International differences in chronic kidney disease prevalence: a key public health and epidemiologic research issue. Nephrol Dial Transplant [Internet]. 2017 [Citado: 13/11/2020]; 32: ii129-35. Disponible en: https://academic.oup.com/ndt/article/32/suppl_2/ii129/2999740

9. López Gómez JM, Jofré R, Cases A. Factores de riesgo cardiovascular en la enfermedad renal crónica. Nefrología [Internet]. 2017 [citado: 29/08/2020]; 22(supl 1): [aprox. 8 p.]. Disponible en:

https://www.revistanefrologia.com/es-pdf-X0211699502027462

10. Go AS, Chertow GM, Fan D, McCulloch CE, Hsu CY. Chronic kidney disease and the risks of death, cardiovascular events, and hospitalization. N Engl J Med [Internet]. 2004 [citado: 29/08/2020]; 351(13):1296-1305. Disponible en: https://www.nejm.org/doi/full/10.1056/nejmoa041031

11. Fotheringham J, Campbell MJ, Fogarty DG, El Nahas M, Ellam T. Estimated albumin excretion rate versus urine albumin-creatinine ratio for the estimation of measured albumin excretion rate: derivation and validation of an estimated albumin excretion rate equation. Am J Kidney Dis [Internet]. 2014 [citado: 29/08/2020]; 63(3):405-14.Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0272638613011797?via%3Dihub

12. Inserra F, Cornelio C, Daverio S, Diehl, S, Samarelli N, Díaz A. Documento de Consenso. Frecuencias relativas de diabetes creatininas elevadas y proteinuria en análisis clínicos de Buenos Aires. Nefrología, Diálisis y Trasplante [Internet]. 2013 [citado: 29/08/2020]; 33(4): 233-48. Disponible en: https://www.revistarenal.org.ar/index.php/rndt/article/view/154/146

13. August P, Hardison RM, Hage FG, Marroquin O, McGill J, Rosenberg Y, et al. Change in Albuminuria and eGFR Following Insulin Sensitization Therapy Versus Insulin Provision Therapy in the BARI 2D Study. Clin J Am Soc Nephrol [Internet]. 2014 [citado: 29/08/2020]; 9:64-71. Disponible en: https://cjasn.asnjournals.org/content/clinjasn/9/1/64.full.pdf

14. Casanova Moreno MC, Trasancos Delgado M. Tabaco y diabetes como factores de riesgo de enfermedades no transmisibles. Rev. Elec Dr. Zoilo E. Marinello Vidaurreta [Internet]. 2014. [citado: 29/08/2020]; 39(9): [aprox.8p.]. Disponible en: http://revzoilomarinello.sld.cu/index.php/zmv/article/view/154/275

15. Martin A, Cano JF. Factores de riesgo: aspectos generales. En: Compendio de Atención Primaria. Londres: Harcourt International. División Iberoamericana; [Internet]. 2019[citado: 29/08/2020]: p. 246-51.

16. Crowe E, Halpin D, Stevens P. Early Identification and Management of Chronic Kidney Disease: Summary of NICE Guidance. BMJ [Internet]. 2008 [citado: 29/08/2020]; 337: a1530. Disponible en: https://www.bmj.com/content/337/bmj.a1530.full

17. Currie G, Delles C. Proteinuria and its relation to cardiovascular disease. Int J Nephrol Renovasc Dis. [Internet]. 2014 [citado: 29/08/2020]; 7: 13–24. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3873205/

18. Hunsicker LG, Adler S, Caggiula AW, England BK, Greene T, Kusek JW, et al. Predictors of the progression of renal disease in the Modification of Diet in Renal Disease Study. Kidney Int [Internet]. 1997 [citado: 29/08/2020]; 51(6):1908-19. Disponible en: https://pubmed.ncbi.nlm.nih.gov/9186882/

19. Ministerio de Sanidad, Servicios Sociales e Igualdad. Guía de Práctica Clínica sobre la Detección y el Manejo de la Enfermedad Renal Crónica. España: Instituto Aragonés de Ciencias de la Salud; [Internet]. 2016 [citado: 29/08/2020]. Disponible en: https://portal.guiasalud.es/wp-content/uploads/2018/12/GPC_559_ERC_IACS_compl.pdf

20. Jarvis S. Proteinuria. Patient [Internet]. 2021 [citado: 29/08/2020]; Disponible en: https://medical.azureedge.net/pdf/12494.pdf?v=637502816711057286

21. Berrios AB, Kulakova O, Jirón A, Martínez M, Martínez J, Urcuyo N. Conocimien¬to, actitudes y prácticas sobre enfermedad renal Crónica en Habitante de la Co¬munidad “La Isla” del Municipio Chichigalpa. Rev Universitas [Internet]. 2013 [citado: 29/08/2020]; 4(1):53-7. Disponible en: http://www.revistasnicaragua.net.ni/index.php/universitas/article/view/818

Published

2021-06-28

How to Cite

1.
López Ramos A, Herrera Miranda GL. Knowledge of family physicians concerning the risk factors of chronic kidney disease. Rev Ciencias Médicas [Internet]. 2021 Jun. 28 [cited 2025 Aug. 20];25(4):e4829. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/4829

Issue

Section

ORIGINAL ARTICLES