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The risk of kidney failure in diabetes is five times higher for those who have not completed high school. Even parent education and family finances are important for the risk of kidney failure. He is shown in a new thesis at the University of Umeå.
"We are seeing a positive evolution in health and survival for diabetics suffering from kidney failure, but we need to put more emphasis on socio-economic factors such as the economy and the elderly." So that everyone can benefit from this improvement, "says Cecilia Toppe, PhD student in the Department of Clinical Sciences. at the University of Umeå.
In her thesis, Cecilia Toppe used a number of national registries, such as the Swedish Diabetes Registry for the Child, the National Diabetes Registry and the Kidney Registry, to identify type 1 diabetic patients with a kidney failure and requiring dialysis.
Among type 1 diabetics, such as children or adolescents, more than one in twenty, about five percent, suffered from kidney failure requiring dialysis. Over time, fewer patients today are developing kidney failure and they are at least three years older when they start dialysis than in the 90s. Those who suffer from kidney failure today They also survive longer than those who had them in the 1990s or early 2000s. The best survival was observed in patients receiving a new transplanted kidney, of which just over half had presented kidney failure requiring dialysis during the study.
The most important socioeconomic risk factor for the development of kidney failure was the level of education of the patient. If you had not gone to high school, there was a risk of kidney failure more than five times as if you had finished high school. When the risks were examined at the parental level, it was possible to observe that both parents, but especially the mother, had a high level of education. There could also be some increased risk of kidney failure if a family member had at one point received social support.
"It is possible that people with higher education and a better economy lead a healthier life with better nutrition and more outdoor living, so that they take better care of their diabetes than vulnerable people on the socio-economic plan For Cecilia Toppe, the challenge of care is to ensure that everyone has the same support and support to manage their diabetes, regardless of their origin.
Cecilia Toppe was born and raised in Ängelholm, Skåne. She is a graduate doctor at Linköping University. She is also a trainee in medicine and endocrinologist at the Ryhov County Hospital in Jönköping.
To the thesis
For more information, please contact
Cecilia Tops
Telephone: 070-862 61 39
Email: [email protected]
About the thesis
Cecilia Toppe, Department of Clinical Sciences / Pediatric Unit, defends herself Friday, November 30th at. 9:00 am his thesis entitled: Temporal trends and risk factors for end-stage renal disease caused by type 1 diabetes. Opponent: Torild Skrivarhaug, Associate Professor, Institute of Clinical Medicine, Pediatrics Unit, Faculty of Medicine, University of Oslo. Principal Supervisor: Anna Möllsten. Location: Norrlands University Hospital 6M – Laboratory, Betula.
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