Abstract
Prevalence studies on Chronic Kidney Disease of unknown etiology (CKDu) need stringent reporting on outcomes following existing guidelines. Only by doing so, the much-needed comparisons between occupations, regions and climates for the elucidation of the etiology/etiologies of CKDu, and subsequently for its prevention, are possible. We, here, comment on methodological issues in a recently published study on rice farmers from West Java, Indonesia.
Highlights
Comment on Fitria et al.: Environmental and Occupational Risk Factors Associated with Chronic Kidney Disease of Unknown Etiology in West Javanese Rice Farmers, Indonesia [1]
Chronic Kidney Disease (CKD) not related to diabetes, hypertension or other specific etiology is increasingly taking a toll on manual laborers in hot climates
For Chronic Kidney Disease of unknown etiology (CKDu) this classification is especially problematic since CKDu presents with little or no proteinuria until advanced stages [4], in stark contrast to diabetes and hypertensive nephropathy
Summary
Comment on Fitria et al.: Environmental and Occupational Risk Factors Associated with Chronic Kidney Disease of Unknown Etiology in West Javanese Rice Farmers, Indonesia [1]. Chronic Kidney Disease (CKD) not related to diabetes, hypertension or other specific etiology is increasingly taking a toll on manual laborers in hot climates. The heat stress hypothesis has not been properly explored in occupational settings in South and Southeast Asia.
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