Key result
High-risk Mexican patients with diabetes or hypertension show poor CKD knowledge comparable to normal subjects.
Why the study?
Patients with higher knowledge about CKD increase adherence to preventive treatment, but CKD knowledge had not previously been evaluated in a Mexican population.
Cross-Sectional (n=1,061)
Absolute Event Rate: 13.4% vs 13.8%
High-risk patients with diabetes and/or hypertension in Mexico demonstrate poor understanding of chronic kidney disease, emphasizing the need for improved patient education.
Low CKD knowledge in high-risk Mexicans may limit adherence; leaves open whether education programs improve prevention before practice change.
Chronic kidney disease (CKD) is the progressive and irreversible functional and/or structural impairment of the kidney; its main etiologies include hypertension and diabetes. Mexico has the second highest prevalence of CKD worldwide with a high economic burden affecting public and private health systems. Patients with higher knowledge about CKD increase their adherence to preventive treatment. In this study we aim to describe the knowledge of CKD in a sample of Mexican high-risk population, comparing it with general Mexican population, medical students and nephrologists. A cross-sectional, observational study was performed divided in two phases: translation and validation of the knowledge questionnaire to Spanish, and cross-sectional survey to evaluate the knowledge of CKD in patients with diagnosis of diabetes and/or hypertension. We interviewed medical students, general population, and nephrologists to attain validation of the questionnaire in Spanish. The questionnaire was answered by 1,061 participants within the high-risk population. The results of the questionnaire were: 22/24, 18/24, 13.8/24, and 13.4/24 in nephrologists, medical students, normal subjects, and high-risk population, respectively. The questions with least correct answers were related to kidney functions and CKD risk factors. To our knowledge this is the first time a questionnaire for CKD knowledge is applied in Mexican population. These findings suggest poor understanding of kidney functions, risk factors, and symptoms of CKD. It is important not only to provide medical treatment to chronic illness but also awareness of the consequences of not achieving goals of treatment.
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Maya-Quinta et al. (2023) conducted a cross-sectional in Diabetes and/or hypertension (high risk for Chronic Kidney Disease) (n=1,061). Diagnosis of diabetes and/or hypertension (high-risk population) vs. Normal subjects, medical students, and nephrologists was evaluated on Score on a 24-point CKD knowledge questionnaire. High-risk Mexican patients with diabetes and/or hypertension demonstrated poor knowledge of chronic kidney disease, scoring 13.4 out of 24 compared to 13.8 in normal subjects.
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