Mortality statistics
Stage GFR
African American)
• Cockcroft & Gault formula
– Ccr (mL/min) = (140 − age)/sCr * weight/72 *
1.73/BSA, where age is in years, sCr is in
mg/dL, weight is in kilograms, and BSA is body
surface area using the formula:
– BSA = 0.20247 × [height (m)]0.725 × [weight
(kg)]0.425
NNHeS 2003-2004 Renal Report
Prevalence of CKD in adults
using predicted GFR from MDRD equation
Stages of GFR
1 >=90 72.8%
2 60-89 24.6%
3 30-59 2.2%
4 15-29 0.2%
5 <15 0.2%
The prevalence of
macroalbuminuria was
4.2%
NNHeS 2003-2004 Renal Report
Microalbuminuria
The prevalence of
microalbuminuria was
18.5%
This is equivalent to
8,626,027
Adult Filipinos
NNHeS 2003-2004 Renal Report
Prevalence of CKD Stage 3-5
according to AGE
25
20.7%
20
15
10 7.5%
5.0% 2.9%
5
0.3% 1.0%
0
20-29 30-39 40-49 50-59 60-69 70+
Mean level of GFR by age group:
Philippine vs. US data
Number of Patients
7000
5997
6000 5597
5070
5000
4363 4409
4000
3000
2000
2001 2002 2003 2004 2005
NEW PATIENTS ON DIALYSIS: 2001-2005
ACCORDING TO DIALYSIS MODALITY
Number of Patients
7000
5997
6000 5597 TOTAL
5070
5000 4363 4409
4000
HD
3000
2000
1000 PD
0
2001 2002 2003 2004 2005
ACCEPTANCE RATE TO RRT PROGRAMS
(PMP)
Data from International Federation of Renal Registries
website and the Philippine Renal Disease Registry
MALAYSIA
AUSTRALIA
KOREA
INDIA
SPAIN
CANADA
MEXICO
US
MALAYSIA
AUSTRALIA
KOREA
INDIA
SPAIN
CANADA
MEXICO
US
OTHERS
APKD
GOUT
OBSTR
UNK
CPN
HPN
20%
GN 26%
DM
38%
2500
Number of Patients
2000
1500
1000
500
0
DM GN HPN
NNHeS 2003-2004 Renal Report
Prevalence of CKD Stage 3-5
according to AGE
15
10 7.5%
5.0% 2.9%
5 0.3% 1.0%
0
20-29 30-39 40-49 50-59 60-69 70+
END STAGE RENAL IS A BAD
DISEASE TO HAVE
Limited survival
Expensive
Retrospective cohort study of 327 patients from NKTI and
SLMC diagnosed to have ESRD 2000-2001
OVERALL SURVIVAL
1.00
0.75
0.50
0.25
0.00
365 730 1000
analysis time
1.00
0.75
Private
0.50
0.25
Service
0.00
365 730 1000
days
National
mortality
data
Treatment is too expensive
Philippine Society of
Nephrology