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Kidney Disease: Advantages in Clinical, Social, and Environmental Aspects

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A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Behavior, Chronic Disease and Health Promotion".

Deadline for manuscript submissions: closed (31 March 2023) | Viewed by 12002

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Special Issue Editors

Dr. Tomasz Porażko

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Department of Internal Medcine and Nephrology, Institute of Medical Sciences, University of Opole, ul. Oleska 48, 45-052 Opole, Poland
Interests: glomerulonephritis; chronic kidneys disease; hypertension; diabetes; cardiovascular disease; renal replacenent therapy; epidemiology

Dr. Tomasz Gołębiowski

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Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, ul. Borowska 213, 50-556 Wroclaw, Poland
Special Issues, Collections and Topics in MDPI journals

Dr. Andrzej Konieczny

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Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, ul. Borowska 213, 50-556 Wroclaw, Poland
Special Issues, Collections and Topics in MDPI journals

Dr. Hanna Augustyniak – Bartosik

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Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, ul. Borowska 213, 50-556 Wroclaw, Poland

Dr. Magdalena Kuriata-Kordek

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Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, ul. Borowska 213, 50-556 Wroclaw, Poland

Special Issue Information

Dear Colleagues,

Chronic kidney disease affects a significant number of the population worldwide, up to 15% according to different registries. It is mostly observed in older people; however, occurrence may also differ according to sex, ethnicity, social, economic and environmental factors. Aetiology of the disease is complex, divided to primary and secondary. The second type is strictly associated with global health issues as obesity, diabetes, hypertension, cancer diseases, or infectious diseases. Moreover, many of patients are unaware that they are affected. Therefore, it is of vital importance to define risk groups and detect kidney disease quickly in order to prevent progression to irreversible stage 5.

Despite many initiatives and programs, health care systems are still ineffective as the global population of patients requiring different forms of life saving renal replacement therapy is growing fast. It is expected to reach 5 million individuals. The fact produces a significant impact on the socioeconomic situation of all nations as the aim is to provide equal and unlimited access to effective treatment. There is need for global cooperation to solve this problem.

The Special Issue was founded as a new platform to publish results of especially international and multidisciplinary research groups on different aspects of kidney disease populations.

Dr. Tomasz Porażko
Dr. Tomasz Gołębiowski
Dr. Andrzej Konieczny
Dr. Hanna Augustyniak – Bartosik
Dr. Magdalena Kuriata-Kordek
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

glomerulonephritis
chronic kidneys disease
hypertension
diabetes
cardiovascular disease
renal replacement therapy
nephroocology
nephrolithiasis
epidemiology
social
economic and environmental impact

Published Papers (4 papers)

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Research

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12 pages, 392 KiB

Open AccessArticle

Resilience: A Protective Factor from Depression and Anxiety in Mexican Dialysis Patients

by Cristina J. González-Flores, Guillermo García-García, Abel Lerma, Héctor Pérez-Grovas, Rosa M. Meda-Lara, Rebeca M. E. Guzmán-Saldaña and Claudia Lerma

Int. J. Environ. Res. Public Health 2021, 18(22), 11957; https://doi.org/10.3390/ijerph182211957 - 14 Nov 2021

Cited by 8 | Viewed by 3077

Abstract

Depression and anxiety are highly prevalent psychological disorders in end-stage renal disease (ESRD) that have a negative clinical impact. The purpose of our study was to identify factors associated with the presence of depression and anxiety, in a sample of ESRD patients treated with hemodialysis. We included 187 patients from two dialysis facilities, age 18–65 years. Beck’s depression and anxiety inventories, KDQOL36 questionnaire, the cognitive distortion scale and the Mexican scale of resilience were used. Socio-demographic and clinical information was obtained from medical records. Depression was present in 143 (76.4%) patients. Patient with depression were older (33 (26–52) years vs. 30 (24.43) years, p = 0.025), had a lower education level (36% vs. 9%, p = 0.001), used more medications (67% vs. 36%, p = 0.001), had a comorbidity (75% vs. 41%, p = 0.001), and a higher proportion were waiting for a kidney transplant. Anxiety was present in 112 (59.8%) cases. By multivariate analysis, depression was independently associated with lower education, absence of previous kidney transplant, anxiety, higher cognitive distortion, lower psychological resilience, and lower quality of life scores. In conclusion, lower psychological resilience, lower education level, and higher cognitive distortions are factors associated with depression and anxiety in ESRD patients. Full article

(This article belongs to the Special Issue Kidney Disease: Advantages in Clinical, Social, and Environmental Aspects)

11 pages, 341 KiB

Open AccessArticle

The Suffering of Advanced Chronic Renal Patients and Their Relationship with Symptoms in Loja, Ecuador

by Patricia Bonilla-Sierra, Ana Magdalena Vargas-Martínez, Fatima Leon-Larios, Joselin Valeria Arciniega Carrión, Tatiana Cecibel Jiménez Alverca, María de las Mercedes Lomas-Campos and José Rafael González-López

Int. J. Environ. Res. Public Health 2021, 18(10), 5284; https://doi.org/10.3390/ijerph18105284 - 16 May 2021

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Abstract

Advanced Chronic Kidney Disease (ACKD) supposes a public health problem in Ecuador that requires a comprehensive approach. In view of the scarcity of studies on the subject in this country, the objective of this research was to determine the signs and symptoms associated with the patients’ physical, social and psychological spheres that allow properly developing palliative care. A longitudinal, prospective and observational study was conducted with ACKD patients. In order to assess the symptomatic burden and suffering of these patients, the Edmonton Symptom Assessment System Revised: renal (ESAS-r) for renal patients and the Distress Thermometer (DT) were used. The sample consisted of a total of 246 patients. The most common symptoms that affect them, causing them suffering in their daily lives, are those related to well-being, difficulty falling asleep and itching. It is necessary that health professionals adapt care measures and help patients undergoing renal treatment, especially those who have suffered the disease for a longer period of time, in order to alleviate the patients’ suffering and therefore improve their daily lives. To such an end, a care plan could be designed that includes early palliative care. Full article

(This article belongs to the Special Issue Kidney Disease: Advantages in Clinical, Social, and Environmental Aspects)

12 pages, 367 KiB

Open AccessArticle

Influence of Depression and Anxiety on Hemodialysis Patients: The Value of Multidisciplinary Care

by Carlos J. Delgado-Domínguez, Sergio Sanz-Gómez, Ana López-Herradón, Beatriz Díaz Espejo, Olaya Lamas González, Macarena de los Santos Roig, Isabel Berdud Godoy, Abraham Rincón Bello and Rosa Ramos Sánchez

Int. J. Environ. Res. Public Health 2021, 18(7), 3544; https://doi.org/10.3390/ijerph18073544 - 29 Mar 2021

Cited by 11 | Viewed by 3335

Abstract

Affective disorders promote poorer outcomes in hemodialysis patients. According to the presence or not of depression/anxiety in these patients, aims were to analyze differences in sociodemographic, clinical and/or psychological factors and to identify predictors. One hundred eighty-six hemodialysis patients were classified based on their depression/anxiety status. Basal characteristics showed differences between groups where mainly male sex (Depression: OR 0.2; Anxiety: OR 0.3) albumin (Depression: OR 0.1; Anxiety: OR 0.2) and calcium levels (Depression: OR 0.5; Anxiety: OR 0.4), impaired quality of life (Depression: OR 1.4; Anxiety: OR 1.2) and psychological inflexibility (Depression: OR 1.3; Anxiety: OR 1.2) were associated (all p < 0.01) to these mental conditions. Multivariate models showed that worse quality of life (OR 1.3; p < 0.001) predicted depression while marital status (with a partner; OR 0.3; p = 0.025) and albumin levels (OR 0.1; p = 0.027) were protective factors. Depression represented a risk factor for anxiety (OR 1.2; p = 0.001), although calcium levels (OR 0.5; p = 0.039) would protect this state. Interestingly, psychological inflexibility predicted both disorders (Depression: OR 1.2, p < 0.001 and Anxiety: OR 1.1; p = 0.002). Results highlight the relevance of well-trained multidisciplinary hemodialysis units to control the influence of these factors on the presence of depression/anxiety, and thus, their impact on the patients’ outcomes. Full article

(This article belongs to the Special Issue Kidney Disease: Advantages in Clinical, Social, and Environmental Aspects)

Other

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8 pages, 12434 KiB

Open AccessCase Report

Multisystem Amyloidosis in a Coal Miner with Silicosis: Is Exposure to Silica Dust a Cause of Amyloid Deposition?

by Tomasz Gołębiowski, Jakub Kuźniar, Tomasz Porażko, Renata Wojtala, Andrzej Konieczny, Magdalena Krajewska and Marian Klinger

Int. J. Environ. Res. Public Health 2022, 19(4), 2297; https://doi.org/10.3390/ijerph19042297 - 17 Feb 2022

Cited by 2 | Viewed by 1944

Abstract

The over-secretion of monoclonal immunoglobulin light chains by clonal B cells followed by the aggregation and extracellular deposition of fibrillar deposits are responsible forthe clinical course AL amyloidosis. It is well documented that silica significantly increases the number of immunoglobulin-secreting cells. In the present paper, we report on a coal miner with silicosis and fast progressing primary amyloidosis with predominantly heart, kidney, and lung manifestations. Severeheart failure due to myocardial hypertrophy resulted in the patient’s death. We conclude that long-term environmental silica exposure and silica deposition may contribute to the development of monoclonal gammopathy and amyloidosis due to chronic stimulus and the dysregulation of the immune system. Full article

(This article belongs to the Special Issue Kidney Disease: Advantages in Clinical, Social, and Environmental Aspects)

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