Factors associated with late presentation of patients with chronic kidney disease in nephrology consultation in Cameroon-a descriptive cross-sectional study
Background: Late presentation (LP) of chronic kidney disease (CKD) patients to nephrologist is a serious problem worldwide with persistent high prevalence despite known benefits of early nephrology care. Objective: Determine the prevalence and factors associated with LP of CKD patients to nephrologi...
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doaj-fce0db3f711845fd871c9691d320c1142021-06-02T08:05:28ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492019-01-0141138439210.1080/0886022X.2019.15956441595644Factors associated with late presentation of patients with chronic kidney disease in nephrology consultation in Cameroon-a descriptive cross-sectional studyHalle Marie Patrice0Nyongbella Joiven1Fouda Hermine2Balepna Jean Yves3Kaze Folefack François4Ashuntantang Enow Gloria5University of DoualaUniversity of DoualaDouala General HospitalDouala Laquintinie HospitalUniversity of Yaoundé IYaoundé General Hospital CameroonBackground: Late presentation (LP) of chronic kidney disease (CKD) patients to nephrologist is a serious problem worldwide with persistent high prevalence despite known benefits of early nephrology care. Objective: Determine the prevalence and factors associated with LP of CKD patients to nephrologists in Cameroon. Methods: A cross-sectional study from October 2015 to May 2016 at the nephrology units of the Douala General and Laquintinie hospitals, including all consenting incident CKD patients. Data collected were: socio-demographic, search of CKD diagnostic criteria during prior follow up, therapeutic itinerary, clinical and biological parameters at presentation, knowledge on CKD and attitude towards dialysis. LP was defined as eGFR < 30 ml/min/1.73 m2. It was physician-related whenever no CKD screening was done in the presence of risk factor or no referral to nephrologists at early stages; patient-related whenever patients did not have recourse to hospital care while symptomatic or disrespected a referral decision. p value <.05. Results: We included 130 patients, mean age 53.10 ± 14.66 years, 60.77% males, 58.70% were referred by internal medicine physicians and 10% had recourse to complementary and alternative medicine (CAM). At presentation, 70.80% were symptomatic, 53% had CKD stage five, 86.12% were poorly graded on knowledge and 49% had a negative attitude towards dialysis. The prevalence of LP was 73.90%, 50% was physician-related, 44.79% patient-related and 5.21% both. Being accompanied (p = .038), a low level of education (p = .025) and recourse to CAM (p = .008) were associated with LP. Conclusion: LP is high in Cameroon, attributed to physician’s practical attitudes and patient’s socio-cultural behaviors and economic conditions.http://dx.doi.org/10.1080/0886022X.2019.1595644late referralchronic kidney diseasenephrologydouala |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Halle Marie Patrice Nyongbella Joiven Fouda Hermine Balepna Jean Yves Kaze Folefack François Ashuntantang Enow Gloria |
spellingShingle |
Halle Marie Patrice Nyongbella Joiven Fouda Hermine Balepna Jean Yves Kaze Folefack François Ashuntantang Enow Gloria Factors associated with late presentation of patients with chronic kidney disease in nephrology consultation in Cameroon-a descriptive cross-sectional study Renal Failure late referral chronic kidney disease nephrology douala |
author_facet |
Halle Marie Patrice Nyongbella Joiven Fouda Hermine Balepna Jean Yves Kaze Folefack François Ashuntantang Enow Gloria |
author_sort |
Halle Marie Patrice |
title |
Factors associated with late presentation of patients with chronic kidney disease in nephrology consultation in Cameroon-a descriptive cross-sectional study |
title_short |
Factors associated with late presentation of patients with chronic kidney disease in nephrology consultation in Cameroon-a descriptive cross-sectional study |
title_full |
Factors associated with late presentation of patients with chronic kidney disease in nephrology consultation in Cameroon-a descriptive cross-sectional study |
title_fullStr |
Factors associated with late presentation of patients with chronic kidney disease in nephrology consultation in Cameroon-a descriptive cross-sectional study |
title_full_unstemmed |
Factors associated with late presentation of patients with chronic kidney disease in nephrology consultation in Cameroon-a descriptive cross-sectional study |
title_sort |
factors associated with late presentation of patients with chronic kidney disease in nephrology consultation in cameroon-a descriptive cross-sectional study |
publisher |
Taylor & Francis Group |
series |
Renal Failure |
issn |
0886-022X 1525-6049 |
publishDate |
2019-01-01 |
description |
Background: Late presentation (LP) of chronic kidney disease (CKD) patients to nephrologist is a serious problem worldwide with persistent high prevalence despite known benefits of early nephrology care. Objective: Determine the prevalence and factors associated with LP of CKD patients to nephrologists in Cameroon. Methods: A cross-sectional study from October 2015 to May 2016 at the nephrology units of the Douala General and Laquintinie hospitals, including all consenting incident CKD patients. Data collected were: socio-demographic, search of CKD diagnostic criteria during prior follow up, therapeutic itinerary, clinical and biological parameters at presentation, knowledge on CKD and attitude towards dialysis. LP was defined as eGFR < 30 ml/min/1.73 m2. It was physician-related whenever no CKD screening was done in the presence of risk factor or no referral to nephrologists at early stages; patient-related whenever patients did not have recourse to hospital care while symptomatic or disrespected a referral decision. p value <.05. Results: We included 130 patients, mean age 53.10 ± 14.66 years, 60.77% males, 58.70% were referred by internal medicine physicians and 10% had recourse to complementary and alternative medicine (CAM). At presentation, 70.80% were symptomatic, 53% had CKD stage five, 86.12% were poorly graded on knowledge and 49% had a negative attitude towards dialysis. The prevalence of LP was 73.90%, 50% was physician-related, 44.79% patient-related and 5.21% both. Being accompanied (p = .038), a low level of education (p = .025) and recourse to CAM (p = .008) were associated with LP. Conclusion: LP is high in Cameroon, attributed to physician’s practical attitudes and patient’s socio-cultural behaviors and economic conditions. |
topic |
late referral chronic kidney disease nephrology douala |
url |
http://dx.doi.org/10.1080/0886022X.2019.1595644 |
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