This work was designed to study the epidemiological aspects of end stage renal disease (ESRD) in Kalyoubia Governorate . All attendants of the four dialysis centers providing the service in the locality, during the period from November 1994 till February 1996, were the target group for this study (210 patients).
The results of this study revealed that the majority of patients (81.9%) were males and 73.8% were rural residents A higher percentage of the studied cases (62.4%) aged 45 years or more . However, females were found to have the disease more frequently at a younger age (<45 years). About two thirds of males (63.4%) were manual and skilled workers while 79.0% of females were housewives. Disease duration was found to be significantly higher among males than females (4.1 ± 2.4 & 2.9±1.9 years respectively). Subsequently, haemodialysis duration was significantly higher among males (P<0.05). Tubulo-interstitial diseases (D.M., obstructive uropathy, mediteranean fever, gout and iatrogenic nephropathies) were the etiological factor in 31.0% of the studied patients. Vascular diseases (hypertension & collagen diseases) caused 16.2%, of cases, glomerulopathy (glomerulonephritis & bilharziasis) was responsible for 29.0%, congenital diseases 4.3% while 19.5%.of cases resulted from unknown etiology. Hypertension was found to be significantly related to the etiology of ESRD while socio-demographic factors were not significantly related. Hence, early detection, control of infections and chronic conditions predisposing to renal diseases together with regulation of drug use are recommended.
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