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Diabetes and Hypertension factors for chronic kidney disease in the Caribbean

March 8th Marked World Kidney Day

Chronic kidney disease is a worldwide public health problem, affecting people of all ages and races – approximately 10 percent of the population. According to recent studies, Chronic Kidney Disease is more likely to develop in women compared with men, with an average 14% prevalence in women and 12% in men.

In the Caribbean, the Caribbean renal registry has identified diabetes mellitus and hypertension as the leading causes of chronic kidney disease and end-stage renal failure. Chronic non-communicable diseases including chronic kidney disease continue to be a major financial challenge in the Caribbean. Patients with chronic kidney disease have high rates of healthcare utilization, morbidity and mortality, and hence constitute a significant economic and clinical burden to the healthcare system.

Kidney diseases occur when the nephrons are damaged and cannot filter the blood. The damage can happen quickly, as in the case of injury or toxins, however most damage occurs over a period of time. When the kidneys fail, harmful waste and excess fluid accumulate in the body causing serious alterations, blood pressure may rise, the body retains excess fluid and does not produce enough red blood cells. Dialysis is the process of removing excess water, solutes and toxins from the blood for patients with kidneys that have lost the ability to perform these functions in a natural way.

Dr. Neerja Agrawal, Medical Director of the Kidney Transplant Program at Cleveland Clinic Florida, states “It’s not easy to be a patient with kidney disease.” A transplant may be the best course to improve their quality of life.

Dr. Agrawal explains that at Cleveland Clinic Florida, specialists will do a thorough medical history and review necessary blood work to determine whether they are a candidate for a kidney transplant. They also meet with the transplant surgeon and a multi-disciplinary team involving dieticians, social workers and pharmacists. Once they have gone through the evaluation, a selection meeting is conducted to discuss all findings and determine whether they can be listed for transplantation.

An extension of the Cleveland Clinic in Ohio, Cleveland Clinic Florida’s transplant program was developed by a multidisciplinary team of Cleveland Clinic Florida physicians in close collaboration with physicians from Cleveland Clinic in Ohio, which has more than 50 years of successful kidney transplant experience. The program was granted accreditation and support from Florida’s Agency for Health Care Administration (AHCA) and the United Network for Organ Sharing (UNOS) to perform kidney transplants in 2013. In addition, transplant surgeons at Cleveland Clinic in Ohio are dually licensed and perform kidney transplants in Florida.

“Once they become our patients, they become patients for life – even if they move to another state or country, we still keep in touch with them. They feel very secure because we follow them very closely and want us to know everything that is happening,” says Dr. Agrawal.

 

About Cleveland Clinic Florida

Cleveland Clinic Florida, located in Weston, West Palm Beach, Atlantis, Palm Beach Gardens and Parkland, is a not-for-profit, multi-specialty, academic medical center that integrates clinical and hospital care with research and education. Cleveland Clinic Florida has 255 physicians with expertise in 55 specialties. The medical campus is fully integrated and includes diagnostic centers, outpatient surgery and a 24-hour emergency department located in the state-of-the-art hospital. Cleveland Clinic Florida ranked #1 among the best hospitals in the Miami-Fort Lauderdale metro area and fifth in Florida in US News & World Report’s 2016-2017 ranking of Best Hospitals metro area rankings. Cleveland Clinic Florida is an integral part of Cleveland Clinic Ohio, where providing outstanding patient care is based upon the principles of cooperation, compassion and innovation. Physicians at Cleveland Clinic are experts in the treatment of complex conditions that are difficult to diagnose. For more information about Cleveland Clinic Florida, visit www.clevelandclinicflorida.org. Follow us on Twitter and Facebook.

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