Title
Diabetes mellitus and diabetic nephropathy in Peru
Other title
Diabetes mellitus y nefropatía diabética en el Perú
Date Issued
01 January 2015
Access level
metadata only access
Resource Type
journal article
Publisher(s)
Asociacion Regional de Dialisi y Transplantes Renales de Capital Federal y Provincia de Buenos Aires
Abstract
Objectives: To describe the scientific literature production in Peru about type 2 diabetes mellitus (DM) and diabetic nephropathy (DN). Methods: A non-systematic review of the scientific production about DM and DN in peruvian population and has been published in national and international medical journals until february 2015 was conducted. We used the databases Medline, Web of Science, Scopus, SciELO and Google Scholar. The results were divided a priori into 5 areas: Prevalence DM 2, clinical management of the diabetic patient, diagnosis of DN, risk factors for albuminuria, and early assessment of DN. Results: We found 22 items. The prevalence of DM varies depending on the definition and study population and was higher on the coast than in the highlands (4.3% vs. 2.1%). In public hos pitals in Lima, 40% of diabetic patients have HbA1c > 7%. Likewise, the control of DM patients in Peru is poor compared with their Latin American counterparts. The “screening” of the NFD is uncommon, only 8.9% of patients have albuminuria in their assessments in hospitals nationwide. Modifiable factors associated with albuminuria in patients with DN were found such as glucose (OR 1.19 95% CI 1.05 to 1.34), hypertension (OR 0.48 95% CI 0.33 to 0.70) and stages of chronic kidney disease OR: 93 (p = 0.007). There are hospitals where nephrology care in patients with DN is mostly under emergency conditions. Conclusions: The results of these articles reflect that there are aspects in the screening and management of both diseases that can be improved and scarcity of studies on the subject in Peru.
Start page
229
End page
237
Volume
35
Issue
4
Language
Spanish
OCDE Knowledge area
Urología, Nefrología
Subjects
Scopus EID
2-s2.0-85019462350
Source
Revista de Nefrologia, Dialisis y Trasplante
ISSN of the container
03263428
Sources of information:
Directorio de Producción Científica
Scopus