This document summarizes the Caribbean Renal Registry for Jamaica in 2012. It thanks collaborators from various hospitals and dialysis units. It describes the significance of a renal registry for monitoring chronic kidney disease trends, determining causes and complications, and assessing quality of life and economic burden. It provides some initial data on the prevalence and stages of CKD in Jamaica, as well as the leading causes. It also shows statistics on end-stage renal disease patients regarding treatment modalities, insurance status, and outcomes like place of death.
2. COLLABORATORS/SPECIAL
THANKS
1. MINISTRY OF HEALTH, JAMAICA
1. Dr. T Davidson
2. Caribbean Institute of Nephrology
1. TEAM
3. Spanish Town Hospital
1. Dr. R. Smith
2. Staff
4. Mandeville Regional Hospital
1. Dr.Ukala
2. Staff
5. St. Ann’s Bay Hospital
1. Records department and Renal Clinic Staff
6. Diabetic Associates Renal Unit
1. Dialysis Unit staff
3. COLLABORATORS/SPECIAL
THANKS
1. Hope Dialysis Unit
1. Dr. R. Smith
2. University Hospital of the West Indies
1. Department of Medicine Research Team
3. Winchester Dialysis
1. Staff of Unit
4. Hargreeves Dialysis
1. Staff
5. Lydia Dialysis
1. Staff of unit
6. Belamour Dialysis
1. staff
8. Chronic non-communicable disease
and chronic kidney disease
• There is always an ongoing concern for the burden of disease
worldwide.
• There is an incessant search to calculate disease burden and
to project prevalence, if not the incidence, of CNCD globally.
Diabetes mellitus
Hypertension
Obesity
Cardiovascular diseases (CVD)
Chronic kidney disease (CKD)
Dyslipidaemia
• are now the focus of healthcare global talk.
• Jamaica as well other Caribbean countries are also engaged
in this wave.
» AK Soyibo, L Roberts, EN Barton. WIMJ 2012
9. SIGNIFICANCE OF A REGISTRY
• TO MONITOR THE INCIDENCE AND PREVALENCE
OF CHRONIC KIDNEY DISEASE (CKD).
• TO DETERMINE THE CAUSES OF CKD AND
EMERGING TRENDS.
• FOR COMPARISON OF THESE CAUSES WITHIN THE
CARIBBEAN AND WITH NON-CARIBBEAN
COUNTRIES.
10. ….CONTINUED
• TO ASSESS THE QUALITY OF LIFE IN PATIENTS WITH
CKD IN THE CARIBBEAN USING SURROGATE
MARKERS
• TO DETERMINE OTHER CO-MORBID CONDITIIONS
IN CKD.
• TO DETERMINE CAUSES OF MORBIDITY AND
MORTALITY.
11. ….CONTINUED
• TO DETERMINE THE BURDEN OF CKD FOR EACH
COUNTRY
• TO ASSESS WHETHER THE BURDEN OF CKD IS
UNIFORM THROUGHOUT.
• TO DETERMINE THE ECONOMIC AND SOCIAL
COST OF CKD IN CARIBBEAN COUNTRIES.
• TO PLAN AND FORMULATE POLICIES IN THE
HEALTH CARE SECTOR.
12. BURDEN OF CKD
• CKD/ESRD-specific complication
• CKD/ESRD-related complication
13. BURDEN OF CKD
CKD/ESRD-specific complications
• Such as
Anemia
mineral bone disease.
• tend to occur later in the course of disease and
may be best treated by a nephrologist.
• The emphasis would be to identify and monitor
these complications before or as they arise
14. BURDEN OF CKD
CKD-related complications
• Which includes
obesity
Diabetes
hypertension
• though treatable by nephrology, may be most
easily treated by primary care physicians and
internists.
15.
16. DATA COLLECTION
Incidence of ESRD
Prevalence
Patients survival
• LIMITED DATA
Demographics
Date of start
Cause of CKD
Stages of CKD
Treatment and switches
Death (date and cause)
41. Type of Insurance in
HD Patients with Insurance status in HD patients
insurance (N=101) (N= 598)
Insured Not Insured Unknown
17%
80
70
13%
60
50
40 70%
30
20
10
0
Government Private Unknown
name/conference (to edit: View Master Slide master
42. Smoking history in ESRD-HD
(N=598) for Jamaica
Never Smoked
Ex-smoker
Current Smoker
0 10 20 30 40 50 60