ArticleRenal failure2019
Factors associated with late presentation of patients with chronic kidney disease in nephrology consultation in Cameroon-a descriptive cross-sectional study.
Article in Renal failure, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Burden and distribution of chronic kidney disease in sub-saharan africa: a systematic review with meta-analysis.African health sciences · 2025Pooled it
- Kidney disease screening at ART initiation among adults with HIV in Uganda: A missed priority for a high-risk population.PLOS global public health · 2026Article
- Clinical and Financial Impacts of Late Referral in Patients With Chronic Kidney Disease: A Narrative Review.Cureus · 2025Review
- Perspectives of adult advanced pre-dialysis chronic kidney disease patients about kidney replacement therapy in three referral hospitals in Rwanda.BMC nephrology · 2025Article
- Recommendation to improve chronic kidney disease management guideline in primary healthcare, KwaZulu-Natal.Curationis · 2025Article
- Addressing social responsibility of kidney healthcare facilities in Africa.Frontiers in health services · 2025Article
- Causes and outcome of acute kidney injury amongst adults patients in two hospitals of different category in Cameroon; a 5 year retrospective comparative study.BMC nephrology · 2022Article
- Impact of social and clinical factors on the diagnostic delay of chronic kidney disease: an evaluation study.International urology and nephrology · 2022Article
- Kidney Health for All-Efforts in Low-Income Settings to Enhance Community Engagement, Kidney Health Awareness, and Screening.Kidney international reports · 2022Article
- Update on Existing Care Models for Chronic Kidney Disease in Low- and Middle-Income Countries: A Systematic Review.Canadian journal of kidney health and disease · 2022Article
- [Epidemiologic and clinical profile, 90 days survival of incident end stage renal patient in haemodialysis during SARS-CoV2 pandemic: Experience of the General Hospital of Douala].Nephrologie & therapeutique · 2021Article
- Correlation of sociodemographic profiles with psychological problems among hospitalized patients receiving unplanned hemodialysis.Renal failure · 2020Article
- Chronic kidney disease in Cameroon: a scoping review.BMC nephrology · 2020Article
- Current Management Strategies of Chronic Kidney Disease in Resource-Limited Countries.International journal of nephrology and renovascular disease · 2020Review
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6 authors.
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Abstract
backgroundLate 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.
objectiveDetermine the prevalence and factors associated with LP of CKD patients to nephrologists in Cameroon.
methodsA 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 m
resultsWe 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.
conclusionLP is high in Cameroon, attributed to physician's practical attitudes and patient's socio-cultural behaviors and economic conditions.
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