[High prevalence of proteinuric nephropathy screened in patients with type 2 diabetes consulting community-based general practitioners in French overseas departments and territories. ALBUM study].

Abstract

UNLABELLED:

OBJECTIVE, METHOD: Chronic kidney disease is a major public health problem. This observational epidemiological study aimed to evaluate the prevalence of proteinuric nephropathy in patients with type 2 diabetes consulting a community-based general practitioner in French overseas departments and territories (DOM-TOM). Screening was carried out with reagent strips Albustix for proteinuria and, in case of trace amounts or a negative result, Microalbustix for microalbuminuria.

RESULTS:

91 general practitioners participated in the study with 402 evaluable patients (54% female, mean age 60.1 +/- 11.2 years). The duration of diabetes was 8.9 +/- 6.6 years and mean HbA1c was 7.3 +/- 1.4% (52.2% with HbA1c < or = 7%). Screening was positive for 45.7% of the patients: 23.6% positive for proteinuria with Albustix [95% CI: 19.5-27.8] and 22.1% with Microalbustix.

CONCLUSION:

Screening with reagent strips revealed that nearly half the patients had proteinuria or albuminuria, thus confirming the high prevalence of nephropathy in type 2 diabetes patients living in the Dom-Tom and illustrating the need for frequent renal function screening in type 2 diabetics in general medicine for the prevention of chronic kidney disease.

• Authors: Xavier Debussche, Maryse Pholsena, Alain Fournier, Pauline Kangambega, Jean-Marc Gabriel, Carine Hénin, Mohamed Meddeb, Franck Semel, Yogananda Thirapathi-Appadu, Michèle Vado-Prudent, Violaine Emal-Aglae
• Journal: La Revue du praticien (Rev Prat) Vol. 64 Issue 6 Pg. 761-6 (Jun 2014) ISSN: 0035-2640 [Print] France
• Vernacular Title: Prévalence elevée de la protéinurie dépistée en médecine générale chez les patients diabétiques de type 2 dans les DOM-TOM. Etude ALBUM.
• PMID: 25090752 (Publication Type: English Abstract, Journal Article, Observational Study)

Chemical References

• Reagent Strips

Topics

• Cross-Sectional Studies
• Diabetes Mellitus, Type 2 (epidemiology)
• Female
• General Practitioners
• Humans
• Male
• Middle Aged
• Prevalence
• Proteinuria (diagnosis, epidemiology)
• Reagent Strips
• Renal Insufficiency, Chronic (epidemiology, etiology)