Aetiology of End-Stage Renal Disease among Adult Sudanese Patients

Abstract

Background: Very limited data are available public awareness for the causes of End Stage Renal Diseases (ESRD). Public awareness of the cause of (ESRD) helps both the nephrologists, patients and their families to anticipate problems during renal replacement therapy and helps to plan
preventive measures for the community.
Objectives: To find out the major preventable causes of ESRD among adult Sudanese patients on regular haemodialysis (HD) at three haemodialysis centres.
Patients and methods: This is a prospective, descriptive study. Diabetes, hypertension and history of urinary tract obstruction were taken to determine the causes of ESRD. Interventions like renal biopsies were not taken and cases like nephritis are labelled as others.
Results: The population examined was one hundred patients on regular HD. We found that the leading cause of ESRD were hypertension in 43, diabetes mellitus in 18 obstructive uropathy in two and other causes (nephritis) in 37 patients.
Conclusion: Hypertension, diabetes mellitus, and obstructive uropathy are the major noncommunicable preventable diseases that cause ESRD.

Key words: Sudan, ESRD, haemodialysis