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Conference Paper: 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
KeywordsGlycosuria
Hematuria
Hypertension
Proteinuria
Screening
Issue Date2005
PublisherNature Publishing Group. The Journal's web site is located at http://www.nature.com/ki/index.html
Citation
Kidney International, Supplement, 2005, v. 67 n. 94, p. S-36-S-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 (≥1+) urine dipstick for protein, glucose, blood, protein or blood, any urine abnormality, and HT (BP≥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. © 2005 by the International Society of Nephrology.
Persistent Identifierhttp://hdl.handle.net/10722/78265
ISSN
2014 SCImago Journal Rankings: 0.578
References

 

DC FieldValueLanguage
dc.contributor.authorLi, PKTen_HK
dc.contributor.authorKwan, BCHen_HK
dc.contributor.authorLeung, CBen_HK
dc.contributor.authorKwan, THen_HK
dc.contributor.authorWong, KMen_HK
dc.contributor.authorLui, SLen_HK
dc.contributor.authorTsang, WKen_HK
dc.contributor.authorMak, CCYen_HK
dc.contributor.authorMak, SKen_HK
dc.contributor.authorYu, AWYen_HK
dc.contributor.authorTang, Sen_HK
dc.date.accessioned2010-09-06T07:40:58Z-
dc.date.available2010-09-06T07:40:58Z-
dc.date.issued2005en_HK
dc.identifier.citationKidney International, Supplement, 2005, v. 67 n. 94, p. S-36-S-40en_HK
dc.identifier.issn0098-6577en_HK
dc.identifier.urihttp://hdl.handle.net/10722/78265-
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 (≥1+) urine dipstick for protein, glucose, blood, protein or blood, any urine abnormality, and HT (BP≥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. © 2005 by the International Society of Nephrology.en_HK
dc.languageengen_HK
dc.publisherNature Publishing Group. The Journal's web site is located at http://www.nature.com/ki/index.htmlen_HK
dc.relation.ispartofKidney International, Supplementen_HK
dc.subjectGlycosuriaen_HK
dc.subjectHematuriaen_HK
dc.subjectHypertensionen_HK
dc.subjectProteinuriaen_HK
dc.subjectScreeningen_HK
dc.titlePrevalence of silent kidney disease in Hong Kong: The Screening for Hong Kong Asymptomatic Renal Population and Evaluation (SHARE) programen_HK
dc.typeConference_Paperen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0085-2538&volume=Suppl 94&spage=s36&epage=40&date=2005&atitle=Prevalence+of+silent+kidney+disease+in+Hong+Kong:+The+Screening+for+Hong+Kong+Asymptomatic+Renal+Population+and+Evaluation+(SHARE)+programen_HK
dc.identifier.emailTang, S:scwtang@hku.hken_HK
dc.identifier.authorityTang, S=rp00480en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.scopuseid_2-s2.0-33644697506en_HK
dc.identifier.hkuros136714en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33644697506&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume67en_HK
dc.identifier.issue94en_HK
dc.identifier.spageSen_HK
dc.identifier.epage36en_HK
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLi, PKT=25928016800en_HK
dc.identifier.scopusauthoridKwan, BCH=16060862800en_HK
dc.identifier.scopusauthoridLeung, CB=16750769500en_HK
dc.identifier.scopusauthoridKwan, TH=7102388102en_HK
dc.identifier.scopusauthoridWong, KM=35118491900en_HK
dc.identifier.scopusauthoridLui, SL=7102379130en_HK
dc.identifier.scopusauthoridTsang, WK=7201558610en_HK
dc.identifier.scopusauthoridMak, CCY=8268522100en_HK
dc.identifier.scopusauthoridMak, SK=7102103296en_HK
dc.identifier.scopusauthoridYu, AWY=7401478900en_HK
dc.identifier.scopusauthoridTang, S=7403437082en_HK

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