Evidence map›Paper›PMID 40739546›Full record

ArticleBMC nephrology2025

Epidemiology and economic burden of end-stage kidney disease by age, gender, and province among Iranian Hajj pilgrims in 2012-22: a retrospective study of 469,581 participants.

Pirhossein Kolivand, Samad Azari, Hossein Saffari, Taher Doroudi, Ali Marashi, Masoud Behzadifar, Fereshte Karimi, Soheila Rajaie, Behzad Raei, Seyed Jafar Ehsanzadeh and 3 more

Abstract read
In one paragraph

Article in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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

13 authors.

Pirhossein Kolivand *Department of Health Economics, Faculty of Medicine, Shahed University, Tehran, Iran.
Samad Azari *Hospital Management Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Hossein Saffari *School of Medicine, Hasheminejad Kidney Center (HKC), Iran University of Medical Sciences, Tehran, Iran.
Taher DoroudiIranian Red Crescent Society, Haj Medical Center, Tehran, Iran.
Ali MarashiIranian Red Crescent Society, Haj Medical Center, Tehran, Iran.
Masoud BehzadifarSocial Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
Fereshte KarimiResearch Center for Emergency and Disaster Resilience, Red Crescent Society of the Islamic Republic of Iran, Tehran, Iran.
Soheila RajaieResearch Center for Emergency and Disaster Resilience, Red Crescent Society of the Islamic Republic of Iran, Tehran, Iran.
Behzad RaeiDepartment of Health, Safety, and Environment Management, School of Public Health, Zanjan University of Medical Science, Zanjan, Iran.
Seyed Jafar EhsanzadehEnglish Language Department, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Arash ParvariDepartment of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Majid Keyvan KhesalResearch Center for Health Management in Mass Gathering, Red Crescent Society of the Islamic Republic of Iran, Tehran, Iran.
Peyman SaberianDepartment of Anesthesiology, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran. pymnsbrin82@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAnnually, over 3.5 million Hajj pilgrims from approximately 180 countries worldwide travel to Mecca for Hajj rituals. End-stage kidney disease (ESKD) is a high-morbidity condition that necessitates high-cost and time-intensive care, the present study aims to investigate the prevalence and economic burden of ESKD among Iranian Hajj pilgrims during the last decade.

methodsAll demographic information, risk factors, prevalence and Hospital costs of ESKD were extracted from the database and medical records of the Hajj Pilgrimage Medical Centre, Iranian Red Crescent Society through file reading. Also, the multiple logistic regression model was used.

resultsIn total, the study encompassed data on 469,581 Hajj pilgrims. According to the findings, the highest prevalence of ESKD was observed in pilgrims aged 70 years and above. Results show that for the gender variable, the odds of having ESKD among women is 0.523 times that of men, for the creatinine (Cr), for each unit increase in the level of blood creatinine, the odds of having ESKD will be 1.383 times, Additionally, in pilgrims with diabetes (1) and hypertension (HTN), the odds of ESKD are 2.33 and 3.345 times, respectively. Results show that the mean total hospital costs are $4178.4.

conclusionThe present study shows a significant difference in the prevalence of ESKD in age, gender, and distribution in different provinces. To reduce the mortality and morbidity of ESKD patients, appropriate medication prescriptions, on-time dialysis, lifestyle modifications, and the reduction of disease complications through consultation with a nephrologist are essential during Hajj.

Indexed as

Cost of IllnessIslamKidney Failure, ChronicTravelAdultAgedAge FactorsFemaleHumansIranMaleMiddle AgedPrevalenceRetrospective StudiesRisk FactorsSex FactorsEconomic burdenEnd-stage kidney diseaseEpidemiologyHajjIran

Identifiers

PMID40739546
PMCPMC12312534

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.