What is the Difference between Causes of ESRD in Iran and Developing Countries?

Syed Sefolla Beladi Mousavi; fatemeh Hayati; Mina Mousavi

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Abstract
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What is the Difference between Causes of ESRD in Iran and Developing Countries?

Author(s):

Syed Sefolla Beladi Mousavi¹,

fatemeh Hayati^1,*,

Mina Mousavi²

1Department of internal medicine, Faculty of Medicine, Jundishapur University of Medical Sciences, Ahvaz, IR Iran,

2Department of Chemistry, Islamic Azad University, Omidiyeh Branch, Omidiyeh,IR Iran

Shiraz E-Medical Journal:Vol. 13, issue 2; e93952

Published online:Apr 01, 2012

Article type:Research Article

Received:May 18, 2019

Accepted:Nov 28, 2012

How to Cite:Beladi Mousavi SS, Hayati F, Mousavi M. What is the Difference between Causes of ESRD in Iran and Developing Countries?. Shiraz E-Med J. 2012;13(2):e93952. doi:

Abstract

Introduction: End stage renal disease (ESRD) is one of the most common life-threatening diseases. In the past two decades, there have been significant changes in the cause of ESRD around the world, and aim of the study was to determine its causes in Khouzestan province, Iran.

Materials and Methods: We retrospectively reviewed the medical records of our ESRD patients from January 1999 to March 2010. ESRD was defined as chronic and irreversible loss of kidney function requiring dialysis. We included only adult ESRD patients on maintenance hemodialysis, more than 2 months before entering the study. SPSS (version 15) software was used for data analysis.

Results: In our study, a total of 1000 adult ESRD patients, with mean age of 51.54 ± 16.39 years were included. The male to female ratio was 1.3: 1 which had no significant changes during the period of study. The mean age of our patients at starting of hemodialysis was 41.23 years in 1999, but it increased to 56.91 years in 2010, which is up 15.68 years during this period. In overall, the most common causes of ESRD were Diabetes Mellitus (n = 282, 28.2%), Hypertension (n = 265, 26.5%), unknown (n = 242, 24.2%), Glomerulonephritis (n = 79, 7.9%), Obstructive Uropathy (n = 70, 7%), Cystic Kidney Disease (n = 51, 5.1%) and unirenal (n = 1, 0.1%). Although, two main causes of ESRD in patients aged 40 years and older (n = 761) were also Diabetes Mellitus (n = 255, 33.5%) and Hypertension, however, in patients with less than 40 years of age (n = 239), the most common causes were unknown and Glomerulonephritis. There were no significant difference in the main causes of ESRD (Diabetes Mellitus and Hypertension) between men and women (P = 0.26 and P = 0.48). But there was a significant association between mean age of diabetic (56.71 ± 13.35) versus non diabetic (49.51 ± 17.03) hemodialysis patients (P < 0.001).

Conclusions: Based on our findings, the most common causes of ESRD in Khuzestan province, Iran were Diabetes Mellitus and Hypertension similar to developing countries. But, its causes are unknown in the significant percent of patients in contrast to these countries.

Keywords

End Stage Renal Disease

Hemodialysis

Diabetes Mellitus

Hypertension

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References

1.
The references are available in the PDF file.

The Study of Causes of Chronic Renal Failure in Hemodialysis Patients of Hamadan Hemodialysis Centers in 2018

Mehdi Molavi Vardanjani,

Danial Shadi,

Erfan Gomar,

Narges Kalvandi

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30

Apr

2025

Epidemiological Characteristics and Associated Factors of Chronic Kidney Disease Among Hemodialysis Patients in Dialysis Centers of Birjand and Tabas Counties in 2023

Seyede Fatemeh Hosseini,

Mostafa Abdollahi,

Sajjad Salehian,

Hamidreza Khosravizade Tabasi

Hosseini SF, Abdollahi M, Salehian S, Khosravizade Tabasi H. Epidemiological Characteristics and Associated Factors of Chronic Kidney Disease Among Hemodialysis Patients in Dialysis Centers of Birjand and Tabas Counties in 2023. Compr Health Biomed Stud. 2025;3(4):e160452. doi: https://doi.org/10.5812/chbs-160452

13

Dec

2023

Survival Rate and Associated Risk Factors Among Hemodialysis Patients in Southwest Iran: A Retrospective Cohort Study

Mehran Yari,

Fakher Rahim,

Elham Maraghi,

Mahmood Banari,

Aliasghar Valipour,

Azimeh Karimyan

,et al.

Yari M, Rahim F, Maraghi E, Banari M, Valipour A, et al. Survival Rate and Associated Risk Factors Among Hemodialysis Patients in Southwest Iran: A Retrospective Cohort Study. Jundishapur J Chronic Dis Care. 2024;13(1):e138089. doi: https://doi.org/10.5812/jjcdc-138089

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Jan

2017

Assessment of Prevalence of Chronic Kidney Disease and Its Predisposing Factors in Kerman City

Azadeh Saber,

Ahmad Naghibzadeh Tahami,

Hamid Najafipour,

Jalal Azmandian

Saber A, Naghibzadeh Tahami A, Najafipour H, Azmandian J. Assessment of Prevalence of Chronic Kidney Disease and Its Predisposing Factors in Kerman City. Nephro-Urol Mon. 2017;9(2):e13113. doi: https://doi.org/10.5812/numonthly.41794

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2024

Survival Rate of Hemodialysis Patients and Its Predictors: A Multicentric Retrospective Cohort Study

Sahar Ahmadi Valiabadi,

Seyedeh Zahra Hosseinigolafshani,

Mehdi Ranjbaran

Ahmadi Valiabadi S, Hosseinigolafshani SZ, Ranjbaran M. Survival Rate of Hemodialysis Patients and Its Predictors: A Multicentric Retrospective Cohort Study. Jundishapur J Chronic Dis Care. 2024;13(3):e142669. doi: https://doi.org/10.5812/jjcdc-142669

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Syed Sefolla Beladi Mousavi:[PubMed][Scholar]
fatemeh Hayati:[PubMed][Scholar]
Mina Mousavi:[PubMed][Scholar]

Outlines

What is the Difference between Causes of ESRD in Iran and Developing Countries?

Abstract

Fulltext

References

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