Abstract
Kidney disease in Black Africans appears to be more frequent, severe, and develops earlier in contrast to its occurrence in Caucasians. More than 10% of the Congolese urban population exhibits signs of chronic kidney disease, impacting adults in their productive years. Glomerular disease remains the leading cause followed by hypertension and diabetes. Acute kidney injury, however, is mainly due to acute infections (i.e., malaria, typhoid fever, sepsis) and/or toxicity (drugs and/or medicinal herbs). Late referral seriously undermines prognosis and chances of survival. With a population of 82 million, only 235 patients are currently on dialysis (230 on hemodialysis and 5 on continuous ambulatory peritoneal dialysis; kidney transplant is not available) due to lack of health expenditure coverage whether private or public. This chapter aims to describe the epidemiology and management of kidney diseases (acute kidney injury as well as chronic kidney disease), highlighting the role of gene and environment interactions, in the Democratic Republic of the Congo.
Original language | English (US) |
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Title of host publication | Nephrology Worldwide |
Publisher | Springer International Publishing |
Pages | 25-34 |
Number of pages | 10 |
ISBN (Electronic) | 9783030568900 |
ISBN (Print) | 9783030568894 |
DOIs | |
State | Published - Mar 18 2021 |
Externally published | Yes |
Keywords
- Acute kidney injury
- Chronic kidney disease
- Democratic Republic of the Congo
- Epidemiology
ASJC Scopus subject areas
- General Medicine