Evidence map›Paper›PMID 26798474›Full record

ArticleClinical kidney journal2016

Chronic kidney disease hotspots in developing countries in South Asia.

Georgi Abraham, Santosh Varughese, Thiagarajan Thandavan, Arpana Iyengar, Edwin Fernando, S A Jaffar Naqvi, Rezvi Sheriff, Harun Ur-Rashid, Natarajan Gopalakrishnan, Rishi Kumar Kafle

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PubMed Full text at PMC Publisher
In one paragraph

Article in Clinical kidney journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 3 pooled it
7.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 3 syntheses or guidelines pooled it, 160 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Chronic kidney disease of unknown etiology in Sri Lanka.International journal of occupational and environmental health · 2016
    Pooled it
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5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 4 countries.

Georgi AbrahamMadras Medical Mission & Pondicherry Institute of Medical Science , Puducherry , India.
Santosh VarugheseChristian Medical College , Vellore , India.
Thiagarajan ThandavanTides IHMS , Chennai , India.
Arpana IyengarSt. Johns Medical College , Bengaluru , India.
Edwin FernandoStanley Medical College , Chennai , India.
S A Jaffar NaqviThe Kidney Foundation , Karachi , Pakistan.
Rezvi SheriffUniversity of Colombo , Colombo , Sri Lanka.
Harun Ur-RashidKidney Foundation Hospital and Research Institute , Dhaka , Bangladesh.
Natarajan GopalakrishnanMadras Medical College , Chennai , India.
Rishi Kumar KafleNational Kidney Center , Kathmandu , Nepal.
Child Health Research Foundation · BDChristian Medical College & Hospital · INKidney Centre · PKMadras Medical College · INMadras Medical Mission · INStanley Medical College · INSt.John's Medical College Hospital · INUniversity of Colombo · LK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In many developing countries in the South Asian region, screening for chronic diseases in the community has shown a widely varying prevalence. However, certain geographical regions have shown a high prevalence of chronic kidney disease (CKD) of unknown etiology. This predominantly affects the young and middle-aged population with a lower socioeconomic status. Here, we describe the hotspots of CKD of undiagnosed etiology in South Asian countries including the North, Central and Eastern provinces of Sri Lanka and the coastal region of the state of Andhra Pradesh in India. Screening of these populations has revealed cases of CKD in various stages. Race has also been shown to be a factor, with a much lower prevalence of CKD in whites compared to Asians, which could be related to the known influence of ethnicity on CKD development as well as environmental factors. The difference between developed and developing nations is most stark in the realm of healthcare, which translates into CKD hotspots in many regions of South Asian countries. Additionally, the burden of CKD stage G5 remains unknown due to the lack of registry reports, poor access to healthcare and lack of an organized chronic disease management program. The population receiving various forms of renal replacement therapy has dramatically increased in the last decade due to better access to point of care, despite the disproportionate increase in nephrology manpower. In this article we will discuss the nephrology care provided in various countries in South Asia, including India, Bangladesh, Pakistan, Nepal, Bhutan, Sri Lanka and Afghanistan.

Indexed as

CKDdiabetes mellitusglomerulonephritisglomerulosclerosispediatrics

Identifiers

PMID26798474
PMCPMC4720189
OpenAlexW2174298144

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.