Abstract
BackgroundEnd-Stage renal disease (ESRD) causes considerable morbidity and mortality, and significantly alters patients’ quality of life. There are very few published data on this problem in the French Overseas territories. The development of a registry on end stage renal disease in French Guiana in 2011 allowed to describe the magnitude of this problem in the region for the first time.MethodsUsing data from the French Renal Epidemiology and Information Network registry (R.E.I.N). Descriptive statistics on quantitative and qualitative variables in the registry were performed on prevalent cases and incident cases in 2011, 2012 and 2013.ResultsFrench Guiana has one of the highest ESRD prevalence and incidence in France. The two main causes of ESRD were hypertensive and diabetic nephropathies. The French Guianese population had a different demographic profile (younger, more women, more migrants) than in mainland France. Most patients had at least one comorbidity, predominantly (95.3%) hypertension. In French Guiana dialysis was initiated in emergency for 71.3% of patients versus 33% in France (p < 0.001).ConclusionThese first results give important public health information: i) End stage renal disease has a very high prevalence relative to mainland France ii) Patients have a different demographic profile and enter care late in the course of their renal disease. These data are closer to what is observed in the Caribbean or in Latin America than in Mainland France.
Highlights
End-Stage renal disease (ESRD) causes considerable morbidity and mortality, and significantly alters patients’ quality of life
The irreversible alteration of renal function leads to chronic renal failure which may reach a end stage requiring dialysis for the patient to survive
It is estimated that nearly 1 in 100 persons is suffering from renal failure, among whom 0.13% have end stage renal disease (ESRD) [1]
Summary
End-Stage renal disease (ESRD) causes considerable morbidity and mortality, and significantly alters patients’ quality of life. The development of a registry on end stage renal disease in French Guiana in 2011 allowed to describe the magnitude of this problem in the region for the first time. The irreversible alteration of renal function leads to chronic renal failure which may reach a end stage requiring dialysis for the patient to survive. ESRD is both a consequence and an aggravating factor of a number of cardiovascular and metabolic pathologies. It is associated with a considerable increase in morbidity and mortality, and significantly alters the patients’ quality of life [2]. The increase of the incidence of these 2 pathologies raises the concern that the prevalence of chronic renal failure will increase in years to come
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
