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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
3265.0: Monday, December 12, 2005 - 3:15 PM

Abstract #110691

Prevention of end stage renal disease in type 2 diabetics

Donna Calvin, MS, APRN, CNN, Nursing/Public Health, University of Illinois, Chicago, 840 South Damen, Chicago, IL 60612, 708 748 4546, dcalvi1@uic.edu and Karen Roberts, MS, APRN, Chronic Kidney Disease, Fresenius Medical Care, 9730 South Western suite 150, Evergreen Park, IL 60805.

The purpose of this presentation is to increase awareness of the impact of chronic kidney disease (CKD) in the African American population; and to enhance healthcare provider's ability to prevent, identify and treat CKD by discussing strategies used by healthcare providers in an established CKD clinic. The results of evidenced-based research support the fact that the identification and treatment of CKD may impede or arrest progression to end stage renal disease (ESRD). This clinic was established five years ago on the south side of Chicago for the purpose of preventing or delaying the progression to ESRD in those diagnosed with early stages of CKD. The clinic predominantly serves African Americans with type 2 diabetes, the leading cause of ESRD. The prevalence of ESRD in the US has quadrupled since 1978 with the highest incidence rates among African Americans. Diabetes and diabetes-related complications disproportionately affect African-Americans. In particular, African-Americans with diabetes are 2.6-5.6 times more likely to suffer from CKD than Caucasians. The incidence of ESRD among African Americans is alarming,1000 per million compared to the overall incidence in the United States of 334 per million. A multidisciplinary approach is employed in managing the hypertension, hyperlipidemia and diabetes that lead to ESRD and in treating the co-morbid conditions of CKD. The patients' disease and their social and environmental concerns are incorporated into their treatment plan. In our CKD clinic, 17% of patients who initiated treatment in the early stages had some improvement in kidney function while 52% have remained stable. Historically, treatment for early stages CKD was non-existent. Typically, people were referred to the nephrologist when they needed renal replacement therapy. Our results emphasize the need to initiate management of CKD in the early stages and to increase screening efforts for the identification of CKD.

Learning Objectives:

  • At the end of the session the participants will

    Presenting author's disclosure statement:

    I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

    [ Recorded presentation ] Recorded presentation

    Avoidable Differences in Health Outcomes in African and African American Children

    The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA