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2015 ; 6
(5
): 759-73
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Diabetic nephropathy in Africa: A systematic review
#MMPMID26069725
Noubiap JJ
; Naidoo J
; Kengne AP
World J Diabetes
2015[Jun]; 6
(5
): 759-73
PMID26069725
show ga
AIM: To determine the prevalence and incidence of diabetic nephropathy in Africa.
METHODS: We performed a systematic narrative review of published literature
following the MOOSE Guidelines for Meta-Analysis and Systematic Reviews of
Observational Studies. We searched PubMed-MEDLINE for all articles published in
English and French languages between January 1994 and July 2014 using a
predefined strategy based on the combination of relevant terms and the names of
each of the 54 African countries and African sub-regions to capture the largest
number of studies, and hand-searched the reference lists of retrieved articles.
Included studies reported on the prevalence, incidence or determinants of chronic
kidney disease (CKD) in people with diabetes within African countries. RESULTS:
Overall, we included 32 studies from 16 countries; two being population-based
studies and the remaining being clinic-based surveys. Most of the studies (90.6%)
were conducted in urban settings. Methods for assessing and classifying CKD
varied widely. Measurement of urine protein was the most common method of
assessing kidney damage (62.5% of studies). The overall prevalence of CKD varied
from 11% to 83.7%. Incident event rates were 94.9% for proteinuria at 10 years of
follow-up, 34.7% for end-stage renal disease at 5 years of follow-up and 18.4%
for mortality from nephropathy at 20 years of follow-up. Duration of diabetes,
blood pressure, advancing age, obesity and glucose control were the common
determinants of kidney disease. CONCLUSION: The burden of CKD is important among
people with diabetes in Africa. High quality data from large population-based
studies with validated measures of kidney function are still needed to better
capture the magnitude and characteristics of diabetic nephropathy in Africa.
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