Chronic kidney disease of nontraditional etiology in Central America: a provisional epidemiologic case definition for surveillance and epidemiologic studies
SYNOPSIS Over the last two decades, experts have reported a rising number of deaths caused by chronic kidney disease (CKD) along the Pacific coast of Central America, from southern Mexico to Costa Rica. However, this specific disease is not associated with traditional causes of CKD, such as aging, d...
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ftdoajarticles:oai:doaj.org/article:8f1dee29e9314a4c99ecf121af3c3567 2023-05-15T15:13:01+02:00 Chronic kidney disease of nontraditional etiology in Central America: a provisional epidemiologic case definition for surveillance and epidemiologic studies Matthew Lozier Reina Maria Turcios-Ruiz Gary Noonan Pedro Ordunez https://doaj.org/article/8f1dee29e9314a4c99ecf121af3c3567 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892016001100294&lng=en&tlng=en https://doaj.org/toc/1680-5348 1680-5348 https://doaj.org/article/8f1dee29e9314a4c99ecf121af3c3567 Revista Panamericana de Salud Pública, Vol 40, Iss 5, Pp 294-300 Insuficiencia renal crónica enfermedades renales nefritis enfermedad crónica vigilancia epidemiológica diagnóstico diferencial América Central Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article ftdoajarticles 2022-12-30T22:29:09Z SYNOPSIS Over the last two decades, experts have reported a rising number of deaths caused by chronic kidney disease (CKD) along the Pacific coast of Central America, from southern Mexico to Costa Rica. However, this specific disease is not associated with traditional causes of CKD, such as aging, diabetes, or hypertension. Rather, this disease is a chronic interstitial nephritis termed chronic kidney disease of nontraditional etiology (CKDnT). According to the Pan American Health Organization (PAHO) mortality database, there are elevated rates of deaths related to kidney disease in many of these countries, with the highest rates being reported in El Salvador and Nicaragua. This condition has been identified in certain agricultural communities, predominantly among male farmworkers. Since CKD surveillance systems in Central America are under development or nonexistent, experts and governmental bodies have recommended creating standardized case definitions for surveillance purposes to monitor and characterize this epidemiological situation. A group of experts from Central American ministries of health, the U.S. Centers for Disease Control and Prevention (CDC), and PAHO held a workshop in Guatemala to discuss CKDnT epidemiologic case definitions. In this paper, we propose that CKD in general be identified by the standard definition internationally accepted and that a suspect case of CKDnT be defined as a person age < 60 years with CKD, without type 1 diabetes mellitus, hypertensive diseases, and other well-known causes of CKD. A probable case of CKDnT is defined as a suspect case with the same findings confirmed three or more months later. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Pacific |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English Spanish Portuguese |
topic |
Insuficiencia renal crónica enfermedades renales nefritis enfermedad crónica vigilancia epidemiológica diagnóstico diferencial América Central Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Insuficiencia renal crónica enfermedades renales nefritis enfermedad crónica vigilancia epidemiológica diagnóstico diferencial América Central Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Matthew Lozier Reina Maria Turcios-Ruiz Gary Noonan Pedro Ordunez Chronic kidney disease of nontraditional etiology in Central America: a provisional epidemiologic case definition for surveillance and epidemiologic studies |
topic_facet |
Insuficiencia renal crónica enfermedades renales nefritis enfermedad crónica vigilancia epidemiológica diagnóstico diferencial América Central Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
SYNOPSIS Over the last two decades, experts have reported a rising number of deaths caused by chronic kidney disease (CKD) along the Pacific coast of Central America, from southern Mexico to Costa Rica. However, this specific disease is not associated with traditional causes of CKD, such as aging, diabetes, or hypertension. Rather, this disease is a chronic interstitial nephritis termed chronic kidney disease of nontraditional etiology (CKDnT). According to the Pan American Health Organization (PAHO) mortality database, there are elevated rates of deaths related to kidney disease in many of these countries, with the highest rates being reported in El Salvador and Nicaragua. This condition has been identified in certain agricultural communities, predominantly among male farmworkers. Since CKD surveillance systems in Central America are under development or nonexistent, experts and governmental bodies have recommended creating standardized case definitions for surveillance purposes to monitor and characterize this epidemiological situation. A group of experts from Central American ministries of health, the U.S. Centers for Disease Control and Prevention (CDC), and PAHO held a workshop in Guatemala to discuss CKDnT epidemiologic case definitions. In this paper, we propose that CKD in general be identified by the standard definition internationally accepted and that a suspect case of CKDnT be defined as a person age < 60 years with CKD, without type 1 diabetes mellitus, hypertensive diseases, and other well-known causes of CKD. A probable case of CKDnT is defined as a suspect case with the same findings confirmed three or more months later. |
format |
Article in Journal/Newspaper |
author |
Matthew Lozier Reina Maria Turcios-Ruiz Gary Noonan Pedro Ordunez |
author_facet |
Matthew Lozier Reina Maria Turcios-Ruiz Gary Noonan Pedro Ordunez |
author_sort |
Matthew Lozier |
title |
Chronic kidney disease of nontraditional etiology in Central America: a provisional epidemiologic case definition for surveillance and epidemiologic studies |
title_short |
Chronic kidney disease of nontraditional etiology in Central America: a provisional epidemiologic case definition for surveillance and epidemiologic studies |
title_full |
Chronic kidney disease of nontraditional etiology in Central America: a provisional epidemiologic case definition for surveillance and epidemiologic studies |
title_fullStr |
Chronic kidney disease of nontraditional etiology in Central America: a provisional epidemiologic case definition for surveillance and epidemiologic studies |
title_full_unstemmed |
Chronic kidney disease of nontraditional etiology in Central America: a provisional epidemiologic case definition for surveillance and epidemiologic studies |
title_sort |
chronic kidney disease of nontraditional etiology in central america: a provisional epidemiologic case definition for surveillance and epidemiologic studies |
publisher |
Pan American Health Organization |
url |
https://doaj.org/article/8f1dee29e9314a4c99ecf121af3c3567 |
geographic |
Arctic Pacific |
geographic_facet |
Arctic Pacific |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 40, Iss 5, Pp 294-300 |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892016001100294&lng=en&tlng=en https://doaj.org/toc/1680-5348 1680-5348 https://doaj.org/article/8f1dee29e9314a4c99ecf121af3c3567 |
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1766343629419315200 |