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Article: Prevalence of silent kidney disease in Hong Kong: the screening for Hong Kong Asymptomatic Renal Population and Evaluation (SHARE) program.

TitlePrevalence of silent kidney disease in Hong Kong: the screening for Hong Kong Asymptomatic Renal Population and Evaluation (SHARE) program.
Authors
Issue Date2005
Citation
Kidney International. Supplement, 2005 n. 94, p. S36-40 How to Cite?
AbstractBACKGROUND: End-stage renal disease (ESRD) is epidemic worldwide. In Hong Kong, the annual incidence of ESRD has risen from 100 pmp (per million population) in 1996 to 140 pmp in 2003. SHARE (Screening for Hong Kong Asymptomatic Renal Population and Evaluation program) is a population-based screening program aimed at identifying the prevalence of unrecognized renal disease in asymptomatic individuals, allowing further evaluation and disease-modifying interventions. METHODS: From November to December 2003, SHARE was conducted in several large residential communities in Hong Kong. The screening tool included a questionnaire documenting demographics and history or family history of diabetes mellitus (DM), hypertension (HT), and chronic kidney disease (CKD), together with on-site measurements of blood pressure (BP) and urine dipstick for protein, blood, and glucose. RESULTS: There were a total of 1811 participants. One thousand two hundred and one subjects were entered into the final analysis. Among the 1201 who were apparently "healthy" (asymptomatic and without history of DM, HT, or CKD), the prevalence of positive (> or =1+) urine dipstick for protein, glucose, blood, protein or blood, any urine abnormality, and HT (BP> or =140/90) was 3.2%, 1.7%, 13.8%, 16%, 17.4%, and 8.7%, respectively. Thirty three percent of the age over 60 years old group had either hypertension or urine abnormalities, compared with 24.0% in the 41- to 60-year-old group and 9.7% in the 20- to 40-year-old group. Having a family history of diabetes or hypertension increases the risk of having urine abnormalities, while a family history of hypertension also increases the risk of high blood pressure. CONCLUSION: It is concluded that subclinical abnormalities in urinalysis or BP readings are prevalent across all age groups in the adult population. An effective screening program at the primary care level that identifies these subjects for further evaluation is warranted, and the public in Hong Kong should be educated toward the significance of such findings in order to have regular health check for asymptomatic renal diseases.
Persistent Identifierhttp://hdl.handle.net/10722/162803
ISSN
2013 SCImago Journal Rankings: 1.208

 

DC FieldValueLanguage
dc.contributor.authorLi, PKen_US
dc.contributor.authorKwan, BCen_US
dc.contributor.authorLeung, CBen_US
dc.contributor.authorKwan, THen_US
dc.contributor.authorWong, KMen_US
dc.contributor.authorLui, SLen_US
dc.contributor.authorTsang, WKen_US
dc.contributor.authorMak, CCen_US
dc.contributor.authorMak, SKen_US
dc.contributor.authorYu, AWen_US
dc.contributor.authorTang, Sen_US
dc.date.accessioned2012-09-05T05:23:46Z-
dc.date.available2012-09-05T05:23:46Z-
dc.date.issued2005en_US
dc.identifier.citationKidney International. Supplement, 2005 n. 94, p. S36-40en_US
dc.identifier.issn0098-6577en_US
dc.identifier.urihttp://hdl.handle.net/10722/162803-
dc.description.abstractBACKGROUND: End-stage renal disease (ESRD) is epidemic worldwide. In Hong Kong, the annual incidence of ESRD has risen from 100 pmp (per million population) in 1996 to 140 pmp in 2003. SHARE (Screening for Hong Kong Asymptomatic Renal Population and Evaluation program) is a population-based screening program aimed at identifying the prevalence of unrecognized renal disease in asymptomatic individuals, allowing further evaluation and disease-modifying interventions. METHODS: From November to December 2003, SHARE was conducted in several large residential communities in Hong Kong. The screening tool included a questionnaire documenting demographics and history or family history of diabetes mellitus (DM), hypertension (HT), and chronic kidney disease (CKD), together with on-site measurements of blood pressure (BP) and urine dipstick for protein, blood, and glucose. RESULTS: There were a total of 1811 participants. One thousand two hundred and one subjects were entered into the final analysis. Among the 1201 who were apparently "healthy" (asymptomatic and without history of DM, HT, or CKD), the prevalence of positive (> or =1+) urine dipstick for protein, glucose, blood, protein or blood, any urine abnormality, and HT (BP> or =140/90) was 3.2%, 1.7%, 13.8%, 16%, 17.4%, and 8.7%, respectively. Thirty three percent of the age over 60 years old group had either hypertension or urine abnormalities, compared with 24.0% in the 41- to 60-year-old group and 9.7% in the 20- to 40-year-old group. Having a family history of diabetes or hypertension increases the risk of having urine abnormalities, while a family history of hypertension also increases the risk of high blood pressure. CONCLUSION: It is concluded that subclinical abnormalities in urinalysis or BP readings are prevalent across all age groups in the adult population. An effective screening program at the primary care level that identifies these subjects for further evaluation is warranted, and the public in Hong Kong should be educated toward the significance of such findings in order to have regular health check for asymptomatic renal diseases.en_US
dc.languageengen_US
dc.relation.ispartofKidney international. Supplementen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshDiabetes Mellitus - Epidemiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHong Kong - Epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshHypertension, Renal - Epidemiologyen_US
dc.subject.meshKidney Diseases - Diagnosis - Epidemiologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMass Screeningen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPrevalenceen_US
dc.subject.meshRisk Factorsen_US
dc.titlePrevalence of silent kidney disease in Hong Kong: the screening for Hong Kong Asymptomatic Renal Population and Evaluation (SHARE) program.en_US
dc.typeArticleen_US
dc.identifier.emailTang, S:scwtang@hku.hken_US
dc.identifier.authorityTang, S=rp00480en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid15752237en_US
dc.identifier.scopuseid_2-s2.0-15944403516en_US
dc.identifier.issue94en_US
dc.identifier.spageS36en_US
dc.identifier.epage40en_US
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLi, PK=25928016800en_US
dc.identifier.scopusauthoridKwan, BC=16060862800en_US
dc.identifier.scopusauthoridLeung, CB=16750769500en_US
dc.identifier.scopusauthoridKwan, TH=7102388102en_US
dc.identifier.scopusauthoridWong, KM=35118491900en_US
dc.identifier.scopusauthoridLui, SL=7102379130en_US
dc.identifier.scopusauthoridTsang, WK=7201558610en_US
dc.identifier.scopusauthoridMak, CC=8268522100en_US
dc.identifier.scopusauthoridMak, SK=7102103296en_US
dc.identifier.scopusauthoridYu, AW=7401478900en_US
dc.identifier.scopusauthoridTang, S=7403437082en_US

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