Doctors say kidney failures have doubled in last 15 years in India

The number of Indians suffering from kidney failures

has doubled in the last 15 years with a rise of 10 % in
the number of citizens undergoing dialysis due to
chronic kidney diseases (CKD), health experts have
said.
Health experts said that the number of Indians suffering from kidney failures has
doubled in the last 15 years with a rise of 10 percent in the number of citizens
undergoing dialysis due to Chronic Kidney Diseases (CKD). According to health experts,
several Indian population-based studies in the past estimated the incidence of EndStage Kidney Disease (ESKD) is 150-230 per million and about 220,000-275,000 new
patients need Renal Replacement Therapy (RRT) every year. It is estimated that
approximately 75,000 patients are on dialysis which is growing at the rate of 10-20
percent annually. The question is whether India has the resources and skill to handle

this ever-increasing population of ESKD in India, said Dr Rajesh Kumar, consultant

nephrologist at Mumbai-based SRV Hospital.
Stating that the exact burden of chronic kidney diseases in India is still undefined, the
approximate prevalence of CKD is 800 per million populations (PMP). According to the
experts, one percent of the Gross Domestic Product (GDP) in India is spent on the
health sector while the figure in China is three percent and 8.3 percent in the US.
Earlier figures have shown that 65 percent diagnosed patients do not receive dialysis
and medical treatment on time. Looking at these facts, it is a challenge to cope up with
an ever-increasing ESKD population who require Renal Replacement therapy (RRT) in
the form of Hemodialysis, Continuous Ambulatory Peritoneal Dialysis or Kidney
Transplantation. Hence a sincere and serious attempt is necessary to bring down the
cost of dialysis treatment, Dr Kumar told IANS. (Read: 8 tests for checking if your
kidneys are functioning fine)
According to Dr Pradeep Gadge, a dialectologist with Seven Hills and Breach Candy
Hospitals in Mumbai, diabetes is considered as the most common causes for kidney
failures and it is estimated that over one million patients worldwide are alive on
dialysis. With this exponential increase in diabetic patients in India, the number of
patients with kidney ailments is likely to rise high, he noted, adding that every year, an
estimated 3.5-4 lakh new cases are likely to be diagnosed with kidney ailments. (Read:
World Kidney Day: Dont ignore your childs kidneys)
Diabetes and blood pressure are most common cause of kidney disease in adults but in
children, Chronic glomerulonephritis and Recurrent UTI (Reflux) are the most important
causes apart from congenital anomalies of urinary system, Dr Gadge said. Throwing
light on the facilities for dialysis, Dr M.M. Bahadur, nephrologist at Wockhardt
Hospital, said: Two lakh patients in a year reach the CAPD (Continuous Ambulatory
Peritoneal Dialysis) stage 5 where they need dialysis of which less than 10 percent
actually get treated due to non-availability of facility, cost factor and proximity.
Continuous Ambulatory Peritoneal Dialysis means dialysis throughout the day, at home
or at work. During CAPD, a bag of dialysis fluid is drained into the peritoneal cavity
through a Tenckhoff Catheter. With only 300-400 dialysis centres available in India and
with 1,500 nephrologist in metro cities who treat kidney patients, more than 60
percent of the patients do not receive medical attention on time. Only four percent of
the patients get donors, noted Dr Bahadur. According to the health ministry, 2,000

new dialysis centres will be set up at district-level hospitals in the country within the
next two years to tackle the problem.
Source: IANS
http://www.thehealthsite.com/news/doctors-say-kidney-failures-have-doubled-in-last-15-years-in-india-ag0316/

Tags: World Kidney Day, Kidney disease, chronic kidney disease, Diseases & Conditions
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