Abstract Issue

Volume 13 Issue 12 (December) 2024

Original Articles

To study thyroid function in chronic kidney disease patients in tertiary care centre
Dr. Sumit Pattaiya, Dr. Tariq Jalaly, Dr. Avinash Jhariya, Dr. Risabh Patel, Dr. Anubha Namdeo, Dr. Yash Mishra

Background: Chronic kidney disease (CKD) is a growing health concern worldwide. Thyroid dysfunction is common in CKD patients, affecting disease progression and patient outcomes.Objectives: To determine the prevalence of thyroid disorders in CKD patients and explore relationships with age, gender, CKD staging, and comorbidities.Methods: The present study enrolled 135chronic kidney disease patients from L.N. Medical College and Research Centre & J.K. Hospital, Bhopal. Inclusion criteria consisted of CKD diagnosis, elevated blood urea and serum creatinine, reduced creatinine clearance, and ultrasonography evidence. Exclusion criteria included pre-existing thyroid disorders, medications affecting thyroid function, acute illness, and hemodialysis.Results: Normal thyroid function was observed in 48.1% of patients.Primary subclinical hypothyroidism (19.3%), non-thyroidal illness (12.6%), and clinical/overt hypothyroidism (8.9%) were common.CKD staging revealed stages 3 and 4 as most prevalent (31.11% each).Thyroid disorders were significantly associated with CKD stages (p-value 0.002). No significant association was found between thyroid disorders and age (p-value 0.346) or gender (p-value 0.845).Hypertension (109) and comorbidities (101) were highly prevalent.Conclusion: Thyroid dysfunction is common in CKD patients, with primary subclinical hypothyroidism and non-thyroidal illness being prevalent. CKD staging significantly correlates with thyroid disorders. Regular thyroid function monitoring is crucial in CKD patients across all age groups and genders.

 
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