Chronic Kidney Disease severely impairs quality of life


Chronic kidney disease attracts attention as an important public health problem that has become an epidemic in the world and in our country. If kidney disease is detected early, it can often be prevented or its progression delayed. However, the low awareness of the disease does not allow it to be detected at an early stage. Because individuals are not aware of their disease, “end stage renal failure” develops and quality of life deteriorates.

“Kidney Patient, Connected To Life” Campaign

In order to improve the quality of life of individuals with kidney disease and support their connection and participation in life, the global motto of this year’s World Kidney Day has been determined as “Living Well with Kidney Disease”.

The Turkish Nephrology Association, which has been working since 2006 to increase public awareness of kidney health and diseases, to emphasize the importance of early diagnosis and to inform the public about the heavy burden of kidney disease on human health, every year on the World Kidney Day. It organizes awareness activities with the slogan “I am Commitment to Life”.

Turkish Nephrology Association President Prof. Dr. Kenan Ateş announced the results of the Quality of Life Survey, which they prepared for the World Kidney Day:

“We prepared a Quality of Life Questionnaire, available at www.dunyabobrekgunu.org, in order to evaluate the quality of life of our patients and to conduct studies on the problems detected afterwards. According to the results of this survey, only one third (34%) of the patients stated that their quality of life was good. According to this survey, 3 out of every 4 kidney patients stated that their diseases affect their daily physical activities, working conditions (at work or at home), sleep patterns and enjoyment of life. Two-thirds of the patients stated that their illnesses affected their responsibilities towards their families, their traveling capacity and their sexual life. The majority of the patients (87%) stated that they were satisfied with the family support they received, similarly 91% with the health service they received. 82% of kidney patients are due to diet, 85% to use a lot of medication, 84% to frequent hospital check-ups, 81% to dependence on doctors or other healthcare professionals, 88% to uncertainty about the future, and 78% They stated that they were uncomfortable with being a burden on their families, albeit to varying degrees. ”

“Online Patient Meeting on March 11”

Prof. Dr. Ateş stated that, within the scope of the World Kidney Day activities, they will hold an online Patient Meeting on March 11, 2021 at 14.30. Ateş stated that they will inform the public about kidney health, diseases, prevention and treatment methods, listen and discuss the problems of the patients in their own mouth at this meeting. Anyone will be able to attend the meeting free of charge at www.nefrolojitv.org, where the Covid-19 epidemic and vaccination will be discussed in terms of kidney patients and the questions from the patients will be answered.

2.5 million people die every year

Stating that approximately 2.5 million people die each year due to the problems caused by the disease, Prof. Dr. Kenan Ateş said, “Disability and mortality rates are very high in patients with chronic kidney disease due to accompanying problems, especially cardiovascular diseases. And these patients may need to be hospitalized frequently. Moreover, although there is a decrease in mortality rates in many diseases such as cardiovascular diseases, cancer and COPD, it is increasing in chronic kidney disease. Currently, chronic kidney disease is responsible for 4.5 percent of all deaths. As a result, chronic kidney disease was ranked 17th among all causes of death in 1990, but now it has risen to 12th place and is expected to rise to 5th place in 2040, ”he said.

“Kidney patients are in the high risk group in Covid-19”

This year corresponding to the date of March 11, 2021 World Kidney day, also in Turkey in the first case of the day, which describes the Covidien-19 is also the first anniversary of the Association stressed the Secretary General Prof. Dr. Mustafa Arıcı noted the following:

“This epidemic, which affects the whole world, has caused important problems in our country, and unfortunately caused many people and healthcare workers to lose their lives. The Turkish Nephrology Association evaluated the data of over a thousand kidney patients who were hospitalized in the first months of the epidemic and shared it with the international scientific world. “The Turkish Society of Nephrology Covidien-19 Experience Sharing” heading with realized and Turkey in 47 nephrology data collected by clinical 71 nephrologists’s participation, Covidien-19 because of the rate of death in patients with chronic renal inpatients in hospitals, 28.4%, 16.2% and renal hemodialysis patients showed that it was 11.1% in transplant patients. “

“More attention, more strict precaution is vital.”

Stating that kidney patients represent one of the highest risk groups in terms of Covid-19 and that these patients also affect their usual care processes, Prof. Dr. Mustafa Arıcı continued as follows:

“People with chronic kidney disease before the pandemic constitute the risky group where Covid-19 disease may progress most seriously. The immune system of kidney patients undergoing dialysis treatment is not strong enough to fight infections. Therefore, these people may be susceptible to infectious diseases due to their weakened body defenses. Dialysis patients must take the necessary precautions to be taken by healthcare professionals and authorities and continue their planned dialysis treatments without interruption. Likewise, it is vital that people who have had kidney transplants continue to use their medications, even if they are somewhat vulnerable to infectious diseases due to the immunosuppressive drugs they use to prevent organ rejection. It is recommended that these people be more careful during the pandemic period, take more stringent precautions, do not disrupt their treatment and stay at home as much as possible except for treatment requirements. “

Covid-19 questions asked in the Quality of Life Survey also yielded interesting results. 92% of kidney patients stated that they were concerned to varying degrees due to the Covid-19 outbreak. Almost half of the patients (47%) experienced problems related to their kidney health and treatment during the Covid-19 outbreak. Almost 3 (73%) of every 4 patients who filled out the questionnaire have not yet received the Covid-19 vaccine. 76% of patients are also concerned about the effects and side effects of the vaccine.

Global cost of dialysis and kidney transplant $ 1.5 trillion

Noting that Chronic Kidney Disease poses a global threat to the health economy, Kenan Ateş said, “Chronic kidney disease is often a progressive disease. The loss of the filtration function of the kidneys by more than 85-90% is called end-stage kidney disease. Dialysis or kidney transplant treatments are required for patients who reach the last stage to survive. There are currently around 3.5 million dialysis or kidney transplant patients around the world. This number is expected to reach 5.5 million in 2030.

In our country, the number of patients undergoing dialysis or kidney transplantation has increased 2.5 times in the last 15 years, reaching 85,000 today. Dialysis and kidney transplantation are expensive treatments and seriously threaten the health budgets of countries. Although there are differences between countries, approximately 5% of health budgets are spent for these treatments. The global cost of dialysis and kidney transplantation is estimated to be around $ 1.5 trillion. “The burden of the disease on the health economy increases even more with the inclusion of the follow-up and treatment expenses of the early stage patients.

Diabetes: The most important cause of chronic kidney disease

The most important factors that lead to chronic kidney disease in the world and Turkey showing diabetes and hypertension.

The prevalence of diabetes, which was 4 percent in 1995 worldwide, has reached 10 percent today. With this rate of increase, the number of patients, which is still around 465 million, is expected to reach 700 million in the next 20-25 years.

The frequency of diabetes is increasing dramatically in our country. The frequency, which was 5.2 percent in 1995, rose to 13.7 percent in 2010, only 15 years later. Today, this rate is estimated to exceed 15 percent.

Kidney disease develops in 30-40 percent of individuals with diabetes. CREDIT made in the study, diabetic patients had chronic kidney disease in 32.4 percent of individuals in Turkey. This rate is 2.5 times higher than non-diabetics. According to the data of the Kidney Registry System of the Turkish Nephrology Association, the underlying cause is shown as diabetes in approximately 40 percent of patients who have just started dialysis.

one from each kidney patient 6-7 adults in Turkey

While Chronic Kidney Disease is considered one of the most important public health problems seen in one in 10 adults worldwide, there are approximately 850 million kidney patients worldwide. This number is higher than the number of patients with common diseases such as diabetes, cardiovascular diseases, cancer, COPD and depression.

The CREDIT study conducted by the Turkish Nephrology Association shows that 15.7 percent of adults in our country have chronic kidney disease. Accordingly, one out of every 6-7 adults in our country has kidney disease and the disease still affects more than 9 million citizens.

Early diagnosis and early treatment are also important in kidney disease.

It is very important to regularly monitor renal functions in individuals who are in the risk group for chronic kidney disease (diabetes, hypertension, cardiovascular disease, obesity or kidney disease in their family or advanced age) and to initiate kidney-sparing treatment approaches from the early stages of the disease. Early diagnosis is also important for your kidney health.


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