Profile of End Stage Chronic Kidney Disease due to Obstructive Uropathy Patients Undergoing Hemodialysis

DOI:

https://doi.org/10.11594/bjurology.2024.005.01.6

Keywords:

chronic kidney disease, hemodialysis, obstructive uropathy

Abstract

Introduction. Chronic Kidney Disease (CKD) is a condition of gradual decline in kidney function and ability caused by various kidney diseases. CKD can be caused by several conditions, including obstructive uropathy. Hemodialysis is one of the therapy options for CKD patients. The purpose of this study was to analyze the profile of CKD due to obstructive uropathy patients at Saiful Anwar General Hospital Malang, who underwent hemodialysis.

Methods. This study is a descriptive observational research with a cross sectional design, which uses secondary data taken from medical records of patients with end-stage CKD due to obstructive uropathy who undergo hemodialysis in the hemodialysis unit of Dr. Saiful Anwar General Hospital Malang, for the period of 2021-2023.

Result. Based on the gender, there were more male patients than female patients (53.13%:46.87%) were females. Hypertension comorbidity was the highest percentage, 71.88%. Based on various conditions, urinary tract stones were the highest cause of obstructive uropathy compared to other causes with a percentage of 62.5%.

Conclusion. The result showed that patients were predominantly male with comorbid hypertension. The most common cause of obstructive uropathy in this study was urinary tract stones.

Keywords: chronic kidney disease, hemodialysis, obstructive uropathy

References

Sari Y, Simanjuntak S, and Hutasoit ESP. Hubungan Faktor Risiko Dengan Penyakit Gagal Ginjal Kronik Di Unit Hemodialisa. J. Kedokt. Methodist, 12(2), pp. 36–41, 2019, [Online]. Available: https://ejurnal.methodist.ac.id/index.php/jkm/article/view/615/531.

Nasution SH, Syarif S, and Musyabiq S. Penyakit Gagal Ginjal Kronis Stadium 5 Berdasarkan Determinan Umur, Jenis Kelamin, dan Diagnosa Etiologi di Indonesia Tahun 2018. JK Unila, 4(2), pp. 157–160, 2020, [Online]. Available: https://juke.kedokteran.unila.ac.id/index.php/JK/article/view/2885.

Tseng TY, Stoller ML. Obstructive Uropathy. Clin. Geriatr. Med., 25(3), pp. 437–443, 2009, doi: 10.1016/j.cger.2009.06.003.

Yaxley J, Yaxley W. Obstructive uropathy – acute and chronic medical management. World J. Nephrol. 12(1), pp. 1–9, 2023, doi: 10.5527/wjn.v12.i1.1.

Izzah N, Kamaliah A, Cahaya N, Rahmah S. Gambaran Karakteristik Pasien Gagal Ginjal Kronik Yang Menggunakan Suplemen Kalsium di Poliklinik Sub Spesialis Ginjal Hipertensi Rawat Jalan RSUD Ulin Banjarmasin. 08(1), pp. 113–126, 2021.

Pralisa K, Dewi DAK, Ilmiawan MI. Gambaran etiologi penyakit ginjal kronik stadium V pada pasien rawat inap di RSUD Dokter Soedarso Pontianak tahun 2017-2018. J. Cerebellum, 6(3), pp. 59, 2021, doi: 10.26418/jc.v6i3.45308.

Rusdi AF, Soebhali B, Nugroho H. Hubungan Kepadatan Batu Menurut Hounsfield Unit (HU) dengan Komposisi Batu Saluran Kemih di Poli Urologi RSUD Abdul Wahab Sjahranie Samarinda. J. Sains dan Kesehat. 4(2), pp. 105–111, 2022.

Shirazi F, Shahpourian F, Hosseini A, Rad AH, Heidari S, et al. Personal characteristics and urinary stones. Hong Kong J. Nephrol. 11(1), pp. 14–19, 2009, doi: 10.1016/S1561-5413(09)60004-1.

Artiany S, Aji, YGT. Gambaran Komorbid pada Pasien Hemodialisis di Rumah Sakit Angkatan Udara (RSAU) dr Esnawan Antariksa. J. Keperawatan Cikini, . 2, 2, pp. 1–6, 2021, doi: 10.55644/jkc.v2i2.57.

Pranandhira R, Rahman E, Khatimah H. Karakteristik Pasien Chronic Kidney Disease yang Dilakukan Hemodialisis di RSUD Ulin Banjarmasin selama Pandemi Covid-19. Homeostasis, 6(1), pp. 69–78, 2023, [Online]. Available: https://ppjp.ulm.ac.id/journals/index.php/hms/article/view/8790/0.

Simorangkir R, Andayani TM, Wiedyaningsih C, Faktor-Faktor yang Berhubungan dengan Kualitas Hidup Pasien Penyakit Ginjal Kronis yang Menjalani Hemodialisis. Jurnal Farmasi Dan Ilmu Kefarmasian Indonesia, 8(1), pp. 16–21, 2021.

Tjekyan SRM. Prevalensi dan Faktor Risiko Penyakit Ginjal Kronik di RSUP Dr. Mohammad Hoesin Palembang Tahun 2012. Majalah Kedokteran Sriwijaya, 46(4), pp. 275–282, 2014, [Online]. Available: https://repository.unsri.ac.id/10849/.

Siregar S, Karim MI. Karakteristik Pasien Penyakit Ginjal Kronis Yang Dirawat Di Rumah Sakit Hasan Sadikin Bandung Tahun 2018. J. Pengabdi. Kpd. Masy. 4(4), pp. 82–85, 2019.

Fakhruddin A, Chasani S, Ismail A. Faktor-Faktor Penyebab Penyakit Ginjal Kronik di RSUP dr. Kariadi Semarang Periode 2008-2012. Dr. Diss. Diponegoro Univ., 2013.

Awad SM. Chronic renal failure in Al-Anbar of Iraq. Saudi J. Kidney Dis. Transplant., 22(4), pp. 825–828, 2011.

Rašić S, Srna A, Uncanin S, Džemidžić J, Rebić J, Muslimović A, et al. Long-term outcome of patients with lupus nephritis: A single center experience. Bosn. J. Basic Med. Sci., 10(SUPPL. 1), pp. 63–67, 2010, doi: 10.17305/bjbms.2010.2651.

Bono L, Cameron JS, Hicks JA. The very long-term prognosis and complications of lupus nephritis and its treatment. QJM An Int. J. Med., 92(4), pp. 211–218, 1999, doi: 10.1093/qjmed/92.4.211.

Khan SZ, Fahim F, Mansoor K. Obstructive uropathy: Causes and outcome in pediatric patients. J. Postgrad. Med. Inst., 26(2), pp. 176–182, 2012.

Madani K, Otoukesh H, Rastegar A, and Why SV. Chronic renal failure in Iranian children. Pediatr. Nephrol., 16(2), pp. 140–144, 2001, doi: 10.1007/s004670000522.

Gulati S, Mittal S, Sharma RK, Gupta A. Etiology and outcome of chronic renal failure in Indian children. Pediatr. Nephrol., 13(7), pp. 594–596, 1999, doi: 10.1007/s004670050750.

Alexander RT, Hemmelgarn BR, Wiebe N, Bello A, Morgan C, Samuel S, et al. Kidney stones and kidney function loss: A cohort study. BMJ, . 345, 7873, pp. 1–8, 2012, doi: 10.1136/bmj.e5287.

Yang J, Sun BG, Min HJ, Son YB, Kim TB, Lee J, et al. Impact of acute kidney injury on long-term adverse outcomes in obstructive uropathy. Sci. Rep., 11(1), pp. 1–9, 2021, doi: 10.1038/s41598-021-03033-0.

Oemiati R, Rahajeng E, Kristanto AY. Prevalensi Tumor Dan Beberapa Faktor Yang Mempengaruhinya Di Indonesia. J. Penelit. Kesehat., 39(4), pp. 190–204, 2011.

Lida F. Hubungan Antara Kondisi Komorbid dan Mortalitas Pada Pasien Gagal Ginjal Kronik yang Menjalani Hemodialisis di RSU Dokter Soedarso Pontianak. J. Mhs. PSPD FK Univ. Tanjungpura, 3(1), 2015.

Tanasescu MD, Stroescu AEB, Raducu L, Limbau AM, Diaconescu AC, Balan DG, et al. Uterine cervical cancer and chronic kidney disease: An association that should not be skipped. Rev. Chim., 69(9), pp. 2524–2526, 2018, doi: 10.37358/rc.18.9.6568.

Roth KS, Koo HP, Spottswood SP, Chan JC. Obstructive uropathy: An important cause of chronic renal failure in children. Clin. Pediatr. (Phila)., 41(5), pp. 309–314, 2002, doi: 10.1177/000992280204100503.

Published

2024-07-22

How to Cite

Profile of End Stage Chronic Kidney Disease due to Obstructive Uropathy Patients Undergoing Hemodialysis. (2024). Brawijaya Journal of Urology, 5(01), 8-12. https://doi.org/10.11594/bjurology.2024.005.01.6