Risk factors for chronic kidney disease of non-traditional causes: a systematic review
Objectives. To evaluate the potential associations between chronic kidney disease of uncertain or nontraditional etiology (CKDnT) and agrochemicals, heat stress, heavy metals, and other factors identified in the literature in any region of the world and at any time. Methods. This was a systematic re...
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ftdoajarticles:oai:doaj.org/article:708cdc44e9e14895a4631930cb1fd0af 2023-05-15T15:08:37+02:00 Risk factors for chronic kidney disease of non-traditional causes: a systematic review Evelina Chapman Michelle M. Haby Eduardo Illanes Julian Sanchez-Viamonte Vanessa Elias Ludovic Reveiz 2019-03-01T00:00:00Z https://doi.org/10.26633/RPSP.2019.35 https://doaj.org/article/708cdc44e9e14895a4631930cb1fd0af EN ES PT eng spa por Pan American Health Organization http://iris.paho.org/xmlui/handle/123456789/50508 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2019.35 https://doaj.org/article/708cdc44e9e14895a4631930cb1fd0af Revista Panamericana de Salud Pública, Vol 43, Iss 1, Pp 1-12 (2019) Renal insufficiency chronic agricultural workers’ diseases agrochemicals heat exhaustion meta-analysis Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2019 ftdoajarticles https://doi.org/10.26633/RPSP.2019.35 2022-12-31T01:38:37Z Objectives. To evaluate the potential associations between chronic kidney disease of uncertain or nontraditional etiology (CKDnT) and agrochemicals, heat stress, heavy metals, and other factors identified in the literature in any region of the world and at any time. Methods. This was a systematic review of the most frequent exposures suspected to be possible causes of CKDnT. A search was conducted of PubMed, LILACS, World Wide Science electronic databases, among other sources. Only medium- and high-quality studies were included. The synthesis of evidence included a narrative synthesis, meta-analysis, and meta-regression. Results. Four systematic reviews and 61 primary studies were included. Results of the meta-analysis suggest that exposure to agrochemicals and working in agriculture increase the risk of CKDnT, but this only reached significance for working in agriculture. When cross-sectional studies were excluded, agrochemical exposure became significant. However, there is substantial heterogeneity in the effect sizes. Conclusions. Based on the existing evidence and the precautionary principle, it is important to implement preventive measures to mitigate the damage caused by CKDnT to both agricultural workers and their communities (i.e., improvement of working conditions, cautious management of agrochemicals, etc.). More high-quality research is needed to measure impact and to build the evidence base. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 43 1 |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Renal insufficiency chronic agricultural workers’ diseases agrochemicals heat exhaustion meta-analysis Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Renal insufficiency chronic agricultural workers’ diseases agrochemicals heat exhaustion meta-analysis Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Evelina Chapman Michelle M. Haby Eduardo Illanes Julian Sanchez-Viamonte Vanessa Elias Ludovic Reveiz Risk factors for chronic kidney disease of non-traditional causes: a systematic review |
topic_facet |
Renal insufficiency chronic agricultural workers’ diseases agrochemicals heat exhaustion meta-analysis Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objectives. To evaluate the potential associations between chronic kidney disease of uncertain or nontraditional etiology (CKDnT) and agrochemicals, heat stress, heavy metals, and other factors identified in the literature in any region of the world and at any time. Methods. This was a systematic review of the most frequent exposures suspected to be possible causes of CKDnT. A search was conducted of PubMed, LILACS, World Wide Science electronic databases, among other sources. Only medium- and high-quality studies were included. The synthesis of evidence included a narrative synthesis, meta-analysis, and meta-regression. Results. Four systematic reviews and 61 primary studies were included. Results of the meta-analysis suggest that exposure to agrochemicals and working in agriculture increase the risk of CKDnT, but this only reached significance for working in agriculture. When cross-sectional studies were excluded, agrochemical exposure became significant. However, there is substantial heterogeneity in the effect sizes. Conclusions. Based on the existing evidence and the precautionary principle, it is important to implement preventive measures to mitigate the damage caused by CKDnT to both agricultural workers and their communities (i.e., improvement of working conditions, cautious management of agrochemicals, etc.). More high-quality research is needed to measure impact and to build the evidence base. |
format |
Article in Journal/Newspaper |
author |
Evelina Chapman Michelle M. Haby Eduardo Illanes Julian Sanchez-Viamonte Vanessa Elias Ludovic Reveiz |
author_facet |
Evelina Chapman Michelle M. Haby Eduardo Illanes Julian Sanchez-Viamonte Vanessa Elias Ludovic Reveiz |
author_sort |
Evelina Chapman |
title |
Risk factors for chronic kidney disease of non-traditional causes: a systematic review |
title_short |
Risk factors for chronic kidney disease of non-traditional causes: a systematic review |
title_full |
Risk factors for chronic kidney disease of non-traditional causes: a systematic review |
title_fullStr |
Risk factors for chronic kidney disease of non-traditional causes: a systematic review |
title_full_unstemmed |
Risk factors for chronic kidney disease of non-traditional causes: a systematic review |
title_sort |
risk factors for chronic kidney disease of non-traditional causes: a systematic review |
publisher |
Pan American Health Organization |
publishDate |
2019 |
url |
https://doi.org/10.26633/RPSP.2019.35 https://doaj.org/article/708cdc44e9e14895a4631930cb1fd0af |
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Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 43, Iss 1, Pp 1-12 (2019) |
op_relation |
http://iris.paho.org/xmlui/handle/123456789/50508 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2019.35 https://doaj.org/article/708cdc44e9e14895a4631930cb1fd0af |
op_doi |
https://doi.org/10.26633/RPSP.2019.35 |
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Revista Panamericana de Salud Pública |
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43 |
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