ArticleThe Lancet regional health. Southeast Asia2025
CKDu-AGRI Study-a population-based cross-sectional study of chronic kidney disease and chronic kidney disease of unknown aetiology among agricultural workers in Tamil Nadu, India.
Article in The Lancet regional health. Southeast Asia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Kidney health for all: caring for people, protecting the planet.Kidney medicine · 2026Article
- Kidney health for all: Caring for people, protecting the planet.Journal of family medicine and primary care · 2026Article
- Kidney health for all: caring for people, protecting the planet.Kidney international reports · 2026Article
- Kidney Health for all: Caring for People, Protecting the Planet.Canadian journal of kidney health and disease · 2026Article
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18 authors.
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Abstract
Background: Chronic kidney disease of unknown cause (CKDu) has been reported in "hotspots" around the world and linked to occupational heat stress, exposure to agrochemicals and environmental toxins. This was a systematic, statewide, population-based, observational study of agricultural workers in Tamil Nadu, to estimate the prevalence of chronic kidney disease (CKD) and CKDu. Methods: The state of Tamil Nadu was divided into five agroclimatic zones and stratified multi-stage cluster sampling was performed to select a representative study population. All participants underwent clinical evaluation and laboratory testing (Phase 1). Repeat sampling was performed after 3 months for all individuals with an eGFR <60 mL/min per 1.73 m Findings: Among 3350 participants who were screened, the number of participants with eGFR ≤60 mL/min per 1.73 m Interpretation: The prevalence of CKD among agricultural workers in Tamil Nadu is 5.31%, with about half of these due to CKDu. The effect of transient subclinical AKI on CKD progression needs further study. Funding: Tamil Nadu Health System Reform Program, Department of Health and Family Welfare, Government of Tamil Nadu.
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