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Journal articles
End stage renal disease in French Guiana (data from R.E.I.N registry): South American or French?
Abstract : Background: End-Stage renal disease (ESRD) causes considerable morbidity and mortality, and significantly alters
patients’ quality of life. There are very few published data on this problem in the French Overseas territories. The
development of a registry on end stage renal disease in French Guiana in 2011 allowed to describe the magnitude
of this problem in the region for the first time.
Methods: Using data from the French Renal Epidemiology and Information Network registry (R.E.I.N). Descriptive
statistics on quantitative and qualitative variables in the registry were performed on prevalent cases and incident
cases in 2011, 2012 and 2013.
Results: French Guiana has one of the highest ESRD prevalence and incidence in France. The two main causes of
ESRD were hypertensive and diabetic nephropathies. The French Guianese population had a different demographic
profile (younger, more women, more migrants) than in mainland France. Most patients had at least one comorbidity,
predominantly (95.3%) hypertension. In French Guiana dialysis was initiated in emergency for 71.3% of patients versus
33% in France (p < 0.001).
Conclusion: These first results give important public health information: i) End stage renal disease has a very high
prevalence relative to mainland France ii) Patients have a different demographic profile and enter care late in the
course of their renal disease. These data are closer to what is observed in the Caribbean or in Latin America than in
Mainland France.
Cited literature [35 references]
https://www.hal.inserm.fr/inserm-01567222
Contributor : Inserm Cic1424 Centre d'Investigation Clinique Antilles Guyane <>
Submitted on : Friday, July 21, 2017 - 8:42:27 PM
Last modification on : Wednesday, July 18, 2018 - 8:11:28 PM
Contributor : Inserm Cic1424 Centre d'Investigation Clinique Antilles Guyane <>
Submitted on : Friday, July 21, 2017 - 8:42:27 PM
Last modification on : Wednesday, July 18, 2018 - 8:11:28 PM
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