Singapore’s renal specialists’ contribution to the WCN 2013

 
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The World Congress of Nephrology (WCN) is the leading biennial educational event in international nephrology and was held in Hong Kong from May 31–June 4 2013. Singapore’s renal research was well represented at the WCN this year with 10 scientific abstracts being presented.

These contributions spanned multiple research categories, including:

  • Epidemiology, outcomes and health service research in CKD (4)
  • Nutrition (CKD and ESKD) (2)
  • Diabetes Mellitus (clinical) (1)
  • Peritoneal Dialysis (1)
  • Clinical Study: Toxic Nephropathy (1)
  • Vascular Access in Dialysis (1)

One poster by Tan and colleagues, presented during the “Epidemiology, Outcomes and Health Service Research in CKD” session, provided results from a cross-sectional study assessing the prevalence and determinants of chronic kidney disease (CKD) in the elderly population in Singapore.1 Opportunistic screening of 378 adults (aged 55 years or older) from 14 senior activity centers in Singapore demonstrated that:1

  • 54.8% had CKD (defined as eGFR <60 mL/min/1.73m2 or ACR >30 mg/g [= 3.4 mg/mmol])
  • Significantly more individuals with CKD lived in 1–2 bedroom housing compared to more spacious units (75% vs 64%; p=0.02)
  • Hypertension was more common among individuals with CKD than those without (80% vs 72%; p=0.05), as was diabetes (39% vs 23%; p=0.001)
  • The age-adjusted odds for CKD were 4.45 (0.99-21.8) in those with stroke versus those without
  • Age and diabetes were independently associated with CKD in a multivariable model.

The authors concluded that CKD is common among the elderly population in Singapore, particularly those residing in low income housing units. These findings have implications for planning larger studies on health service delivery for CKD prevention and treatment, which should focus on the elderly with hypertension and diabetes.1

To review additional abstracts presented at WCN 2013, please click here.

References:

  1. Tan B, Chan A, David M et al. Prevalence of chronic kidney disease in the elderly in Singapore. Presented at the: World Congress of Nephrology (WCN). Hong Kong, May 31–June 4 2013: Abstract MO285.