|
Country : Bangladesh Population : 130 million Number of kidney and urology patients : 10 million Number of acute renal failure/year : 12-15 thousand Number of Chronic renal failure/year : 18-20 thousand Total Doctors: 30 thousand Medical College : 25 Total no of Nephrologist : 60 Total no of Urologist : 60 Total no of postgraduate trainee in Nephrology : 4 0 |
CAUSES OF ACUTE RENAL FAILURE (ARF)
Medical Causes (n=134)
|
No of patients |
Patients recovery (n) | |
| Gastroenteritis |
65 |
52 |
| Viral hepatitis |
16 |
14 |
| Septicaemia |
16 |
12 |
|
Rapidly progressive Glomerulonephritis |
15 |
13 |
| Enteric fever |
6 |
5 |
| Other |
16 |
8 |
CAUSES OF CHRONIC RENAL FAILURE :
|
Existing Patients
(1990-1994) |
New Patients (1998) | |
| Glomerulonephritis |
47% |
40% |
| Diabetic nephropathy |
24% |
31% |
| Hypertension |
13% |
15% |
| Obstructive uropathy |
8% |
8% |
| Unknown |
10% |
6% |
TREATMENT OFFERED IN PATIENTS WITH END STAGE RENAL FAILURE 1988 - 2000
|
HD |
PD |
TX
|
Total | |
| No. of patients |
5347 |
1036 |
445
|
6826 |
| Mean age (yrs) |
41 |
57 (CAPD) |
34
|
44 |
| Patients survival |
75% |
45% |
96% |
- |
Hd, Haemodialysis; PD, Peritoneal dialysis; Transplantation, CAPD, Continuous ambulatory peritoneal dialysis.
Data of renal transplantation
Total no. of transplants: 433 from 1988-2000
Donor information: (n=212)
Parent: 120 (58.8%) Sibling: 84 (41.2%)
Complication:
Acute rejection 57 (18%)
ATN: 16 (5%)
Proteinuria 163 (51%)
Chronic rejection 66 (31%)
Diabetes mellitus 53 (17%)
Tuberculosis 19 (6%)
Hepatitis 11 (3.4%)
Urological disease spectrum
Total population: 120 million
Urology burdent: about 1.3 million
Common urological problem
(Hospital bases data of 1st Jan. 98 to 31st Dec. 99)
|
Urinary stone disease |
16.72% |
|
BHP |
16.29% |
|
Stricture urethra |
15.64% |
|
Obstructive uropathy |
14.14% |
|
Genitourinary trauma |
8.89% |
|
Congenital anomaly |
6.53% |
|
Congenital anomaly |
6.53% |
|
Renal cell carcinoma |
1.17% |
|
Carcinoma prostate |
1.71% |