PREVALENCE OF CHRONIC KIDNEY DISEASE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS IN A HIGH-ANDEAN HOSPITAL IN PERU

Quiroz-Mendoza I.U.; Huamán-Saavedra J.J.; Neciosup Obando J.E.; Ávila García S.M. · Revista de la Facultad de Medicina Humana (2025) · DOI: 10.25176/rfmh.v25i4.7079

Resumen

Introduction: In high-Andean regions, the frequency of chronic kidney disease (CKD) associated with type 2 diabetes mellitus (T2DM) remains uncertain. Objectives: To estimate the prevalence of CKD in adult patients with T2DM attending the outpatient clinic of Hospital EsSalud II Cajamarca. Methods: A descriptive, cross-sectional study was conducted from 2019 to 2022. Adult patients with a diagnosis of T2DM and at least two serum creatinine (Cr) measurements taken three months apart were included. The estimated glomerular filtration rate (eGFR) was calculated using Cr values, and kidney function was classified according to Kidney Disease: Improving Global Outcomes (KDIGO) guidelines. CKD was defined as an eGFR less than 60 ml/min/1.73 m². Results: A total of 1,353 patients with T2DM were analyzed. Early-stage eGFR categories accounted for 78.6% of cases. CKD was identified in 291 patients, with a prevalence of 21.5% (95% CI: 19.3–23.7), with similar values in men and women. CKD prevalence increased with age, reaching 32.4% in the group aged 60 years or older, with a prevalence ratio (PR) of 2.72 compared to those under 60. Scatter plots showed an inverse relationship between Cr and eGFR, with greater Cr variability in men and older adults. Conclusion: In this high-altitude population, CKD in T2DM was common among older adults, underscoring the need for ongoing renal monitoring. © Article published by the Revista de la Facultad de Medicina Humana of Universidad Ricardo Palma. It is an open access article, distributed under the terms of the Creative Commons License: Creative Commons Attribution 4.0 International, CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/), which allows non-commercial use, distribution and reproduction in any medium, provided that the original work is duly cited.

Instituciones: Universidad Nacional de Trujillo