ASSOCIATION OF SOCIOECONOMIC STATUS WITH GLOMERULAR DISEASES AT A TERTIARY CARE HOSPITAL IN BANGLADESH

 

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https://storage.unitedwebnetwork.com/files/1099/4b340c267f3d7e8f7b8f107a1d57039e.pdf
ASSOCIATION OF SOCIOECONOMIC STATUS WITH GLOMERULAR DISEASES AT A TERTIARY CARE HOSPITAL IN BANGLADESH

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Md. Enamul
Kabir
Afzalul Bashar bashar_kmc13@yahoo.com Khulna Specialized hospital Nephrology Khulna Bangladesh -
Md. Obaidul Huq drohuq@gmail.com Khulna Specialized hospital, Khulna Nephrology Khulna Bangladesh -
Muhammed Arshad Ul Azim arshadulazim@gmail.com Khulna Medical College hospital Nephrology Khulna Bangladesh -
A N M Ehsanul Karim dr.ehsankarim@gmail.com NIKDU Nephrology Dhaka Bangladesh -
Rana Mokarram Hossain ranamokarram@gmail.com Bangladesh Medical University Nephrology Dhaka Bangladesh -
Md. Omar Faroque ofaroque68@gmail.com Bangladesh Medical University Nephrology Dhaka Bangladesh -
Ferdous Jahan jahanf@bsmmu.edu.bd Bangladesh Medical University Nephrology Dhaka Bangladesh -
Md. Kabir Hossain drkhdmc@gmail.com Bangladesh Medical University Nephrology Dhaka Bangladesh -
A. K. M Shahidur Rahman suzon9388831@gmail.com Bangladesh Medical University Nephrology Dhaka Bangladesh -
Md. Enamul Kabir Enamulkabir71@gmail.com Khulna Specialized hospital, Khulna Nephrology khulna Bangladesh *
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Social deprivation is a well-known risk factor for chronic kidney disease (CKD), however its association with glomerular diseases is less well understood. This study was aimed to evaluate the association of Socioeconomic Status (SES) with glomerular diseases among patients attending at a tertiary care hospital in Bangladesh.

 

This cross-sectional study was conducted at Department of Nephrology, Shaheed Sheikh Abu Naser Specialized Hospital, Khulna, Bangladesh from January 2016 to December 2020. A total of 184 diagnosed patients of glomerulonephritis (GN) were enrolled. Patient’s socioeconomic status (SES) was assessed using Modified BG Prasad socioeconomic classification. Morphological pattern of glomerular diseases was assessed according to the histopathology report. Relationship of glomerular diseases with particular socioeconomic status (SES) was identified.

Among 184 study patients, 99 were male and 85 were female, their mean age was 31.18 ± 13.55 years. It was observed that, in proliferative variety; Mesangial Proliferative Glomerulonephritis (Mes PGN) was the leading morphological variant (34.7%) followed by Membranoproliferative Glomerulonephritis [MPGN (16.8%)], Lupus Nephritis [LN (7.1%)], Focal Segmental Proliferative Glomerulonephritis [FSPGN (7.1%)], IgA Nephropathy (6.5%), IgM Nephropathy (4.3%) and Crescentic Glomerulonephritis [Cres GN (2.2%) serially. In the non-proliferative glomerulonephritis; Membranous Nephropathy (MN) was the commonest form (10.9%) followed by Focal Segmental Glomerulosclerosis [FSGS (7.6%)] and Minimal Change Disease [MCD (2.7%)]. All types of GN were significantly prevalent in the lower socioeconomic classes (Class- III, IV, V), while the frequency of Mes PGN and MPGN were significantly higher in Class- IV and Class- V socioeconomic classes.

Lower   socioeconomic   classes   are   associated   with   a higher incidence of glomerular diseases particularly Mesangial Proliferative Glomerulonephritis (Mes PGN) and Membranoproliferative Glomerulonephritis (MPGN) in Bangladesh.

 

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