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Sahutoglu T, Danis R, Pembegul I, Ozturk I, Huzmeli C, Tugcu M, Oguz EG, Bora F, Islam M, Ayar Y, Yilmaz Z, Tanburoglu DB, Genc F, Bindal ME, Tuglular S, Kazancioglu R. Resilience and challenges of peritoneal dialysis survivors in the aftermath of the 2023 Kahramanmaraş earthquake. Ther Apher Dial 2024. [PMID: 38647140 DOI: 10.1111/1744-9987.14130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2024] [Accepted: 03/29/2024] [Indexed: 04/25/2024]
Abstract
INTRODUCTION Peritoneal dialysis (PD) remains understudied in disaster nephrology. This retrospective multicenter study explores the experiences of PD survivors following the February 6, 2023, Kahramanmaraş Earthquake. METHODS Adult PD patients from 11 affected cities were analyzed to assess challenges faced during and postearthquake, alongside clinical outcomes. RESULTS Among 101 participants (median age: 45 years, median PD duration: 24 months), 57 were female, with 79 on continuous ambulatory PD. Challenges included power outages and water shortages, with primary shelter in kin's houses (33%) and homes (28%). Twelve patients experienced PD program delays, and three lacked assistance postdisaster. Sixteen patients changed PD modalities, with seven experiencing postearthquake peritonitis. Clinical parameters remained stable, except for a slight decrease in hemoglobin levels. CONCLUSION Despite challenges, PD survivors exhibited resilience, highlighting the importance of addressing peritonitis and unusual pathogens in disaster preparedness initiatives.
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Affiliation(s)
- Tuncay Sahutoglu
- Department of Nephrology, Mehmet Akif Inan Education and Research Hospital, Sanliurfa, Turkey
| | - Ramazan Danis
- Department of Nephrology, Diyarbakır Gazi Yaşargil Education Research Hospital, Diyarbakir, Turkey
| | - Irem Pembegul
- Department of Nephrology, Malatya Training and Research Hospital, Malatya, Turkey
| | - Ilyas Ozturk
- Department of Nephrology, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey
| | - Can Huzmeli
- Department of Nephrology, Hatay Education and Research Hospital, Hatay, Turkey
| | - Murat Tugcu
- Division of Nephrology, School of Medicine, Marmara University, Istanbul, Turkey
| | - Ebru Gok Oguz
- Department of Nephrology, Etlik City Hospital, Health Sciences University, Ankara, Turkey
| | - Feyza Bora
- Department of Nephrology, Faculty of Medicine, Akdeniz University, Antalya, Turkey
| | - Mahmud Islam
- Department of Nephrology, Faculty of Medicine, Sakarya University, Sakarya, Turkey
| | - Yavuz Ayar
- Nephrology Department, Bursa City Health Application Research Center, Bursa Faculty of Medicine, University of Health Sciences, Bursa, Turkey
| | - Zulfikar Yilmaz
- Department of Nephrology, Faculty of Medicine, Dicle University, Diyarbakir, Turkey
| | | | - Fatih Genc
- Department of Nephrology, Faculty of Medicine, Elazig University, Elazig, Turkey
| | - Mehmet Emin Bindal
- Department of Nephrology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey
| | - Serhan Tuglular
- Division of Nephrology, School of Medicine, Marmara University, Istanbul, Turkey
| | - Rumeyza Kazancioglu
- Department of Nephrology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
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Kaya B, Paydas S, Kuzu T, Basak Tanburoglu D, Balal M, Eren Erdogan K, Gonlusen G. Primary glomerulonephritis in diabetic patients. Int J Clin Pract 2021; 75:e13713. [PMID: 32955768 DOI: 10.1111/ijcp.13713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Accepted: 09/11/2020] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Primary glomerulonephritis (PGN) has a significant part in non-diabetic kidney disease (NDKD) in diabetes mellitus (DM) patients. In our study, we compared the clinical, demographic and laboratory features of patients with biopsy-proven diabetic nephropathy (DN) and PGN with type 2 DM. METHODS In our retrospective study, type 2 DM patients who underwent kidney biopsy between 2011 and 2019 were included. Demographic, clinical and laboratory characteristics of DN and PGN patients were compared. RESULTS Seventy patients with a mean age of 55.7 ± 9.4 and 43 (61.4%) males were included. About 38 (54.3%) of the patients had DN and 32 (45.7%) had PGN. In the PGN, membranous GN (20, 62.5%) was most common. In DN patients, diabetes duration was longer; complications such as retinopathy, neuropathy, hypertension, coronary artery disease, heart failure were more frequent. At the time of renal biopsy, blood sugar, HbA1C, blood pressure, serum albumin and proteinuria values were similar in two groups. The pathological damage findings of kidney biopsy in DN patients were more severe. In the first year after kidney biopsy decrease in eGFR was higher in DN patients, whereas eGFR did not change in PGN patients. CONCLUSION In a diabetic patient, fasting blood sugar, hbA1C, serum albumin and proteinuria did not differ in the differential diagnosis of DN and PGN, whereas complications of DM (retinopathy, neuropathy, hypertension, coronary artery disease) were more characteristic in differentiation. Detection of PGN in a diabetic patient is crucial for the success of the treatment, according to DN.
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Affiliation(s)
- Bulent Kaya
- Department of Nephrology, Cukurova University Faculty of Medicine, Adana, Turkey
| | - Saime Paydas
- Department of Nephrology, Cukurova University Faculty of Medicine, Adana, Turkey
| | - Tolga Kuzu
- Department of Nephrology, Cukurova University Faculty of Medicine, Adana, Turkey
| | | | - Mustafa Balal
- Department of Nephrology, Cukurova University Faculty of Medicine, Adana, Turkey
| | | | - Gulfiliz Gonlusen
- Department of Pathology, Cukurova University Faculty of Medicine, Adana, Turkey
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Turgutalp K, Cebeci E, Turkmen A, Derici Ü, Seyahi N, Eren N, Dede F, Gullulu M, Basturk T, Manga Sahin G, Yılmaz M, Sipahi S, SAHIN G, Ulu MS, Tatar E, Gundogdu A, Turan Kazancioglu R, Sevinc C, Gungor O, Sahin İ, Kutlay S, Kurultak I, Aydin Z, Altun B, Dursun B, Yilmaz Z, Uzun O, Suleymanlar G, Candan F, Sezer S, Tanburoglu DB, Bicik Bahçebaşı Z, Guven Taymez D, Oygar D, Akcali E, Istemihan Z, Akcay OF, Dincer MT, Ergul M, Yenigun E, Turkmen K, Ozturk S. P0490IS THE SEVERITY OF GLOMERULAR IGG STAINING IN PATIENT WITH IGA NEPHROPATHY USEFUL FOR PREDICTING POOR RENAL PROGNOSIS? THE DATA FROM TSN-GOLD WORKING GROUP. Nephrol Dial Transplant 2020. [DOI: 10.1093/ndt/gfaa142.p0490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background and Aims
In IgA nephropathy (IgAN), which is characterized by mesangial IgA accumulation, there is the formation of circulating autoantibodies against galactose deficient IgA1s (Gd-IgA1). IgG / Gd-IgA1 immunocomplexes accumulate in the glomerular mesangium and play a role in the pathogenesis of IgAN. Recent studies have suggested a relationship between glomerular IgG deposition and the severity of glomerular inflammation. However, detection of the presence and severity of IgG in routine immunofluorescence microscopy (IFM) may fail. This study aims to investigate whether IgG positivity detected by IFM is associated with poor renal prognostic indicators and whether renal prognosis can be predicted according to IgG positivity.
Method
4399 patients who were enrolled between May 2009-June 2019 in database of Turkish Society of Nephrology, Glomerular Diseases Working Group (TSN-GOLD) including 44 centers were evaluated. After exclusion criteria, 994 primary IgAN patients were included in the study. Glomerular IgG negative and positive patients were compared by means of Oxford classification scores, histopathological evaluations, proteinuria, creatinine, albumin, blood pressures. IgG positive patients were divided into subgroups according to the grade of the IFM positivity. The relationship between IgG positivity and poor prognosis criteria were evaluated.
Results
Demographic and biochemical findings of glomerular IgG positive and negative patients at the time of biopsy are shown in Table 1. No difference was found between the groups. There was no difference in the demographic and biochemical findings at the time of biopsy in IgG subgroup analyses (Table 2). There was no difference between the histopathological and Oxford MEST scores of the subgroups. Glomerular IgG positivity was not associated with diastolic blood pressure, systolic blood pressure, urea, uric acid, age, eGFR, albumin, proteinuria (p> 0.05 for all, r= -0.084, r= -0.102, r= -0.006, r=0.062, r= 0.014, r= -0.044, r= -0.061, r= -0.066, r= 0.150, respectively).
Conclusion
Glomerular IgG positivity detected by routine IFM in IgAN is not associated with poor renal prognostic indicators. It is difficult to predict renal prognosis by looking at the severity of IgG positivity at the baseline evaluation.
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Affiliation(s)
| | - Egemen Cebeci
- Haseki Training and Research Hospital, Department of Nephrology, Istanbul, Turkey
| | - Aydin Turkmen
- Istanbul University, Department of Nephrology, Istanbul, Turkey
| | - Ülver Derici
- Gazi University Faculty of Medicine, Department of Nephrology, Ankara, Turkey
| | - Nurhan Seyahi
- Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Department of Nephrology, Istanbul, Turkey
| | - Necmi Eren
- Kocaeli University, Department of Nephrology, Kocaeli, Turkey
| | - Fatih Dede
- Health Sciences University, Ankara Numune Education and Research Hospital, Department of Nephrology, Ankara, Turkey
| | - Mustafa Gullulu
- Uludag University Faculty of Medicine, Department of Medicine, Bursa, Turkey
| | - Taner Basturk
- Health Sciences University, Sıslı Hamidiye Etfal Training and Research Hospital, Department of Nephrology, Istanbul, Turkey
| | - Gulizar Manga Sahin
- Istanbul Abdulhamid Han Training and Research Hospital, Department of Nephrology, Istanbul, Turkey
| | - Mürvet Yılmaz
- Health Sciences University, Bakirkoy Sadi Konuk Training and Research Hospital, Department of Nephrology, Istanbul, Turkey
| | - Savas Sipahi
- Sakarya University Medical Faculty Education and Research Hospital, Department of Nephrology, Istanbul, Turkey
| | - Garip SAHIN
- Eskisehir Osmangazi University, Department of Nephrology, Istanbul, Turkey
| | - Memnune Sena Ulu
- Afyon Health Sciences University, Department of Nephrology, Afyon, Turkey
| | - Erhan Tatar
- Health Sciences University, Izmir Bozyaka Training and Research Hospital, Department of Nephrology, Izmir, Turkey
| | - Ali Gundogdu
- Erciyes University, Department of Nephrology, Kayseri, Turkey
| | | | - Can Sevinc
- Atatürk University, Department of Nephrology, Erzurum, Turkey
| | - Ozkan Gungor
- Kahramanmaras Sutcu Imam University, Department of Nephrology, Kahramanmaraş, Turkey
| | - İdris Sahin
- Inonu University Faculty of Medicine, Department of Nephrology, Malatya, Turkey
| | - Sim Kutlay
- Ankara University, School of Medicine, Department of Nephrology, Ankara, Turkey
| | - Ilhan Kurultak
- Trakya University, Department of Nephrology, Edirne, Turkey
| | - Zeki Aydin
- Darica Farabi Training and Research Hospital, Department of Nephrology, Kocaeli, Turkey
| | - Bulent Altun
- Hacettepe University, Department of Nephrology, Ankara, Turkey
| | - Belda Dursun
- Pamukkale University, Department of Nephrology, Denizli, Turkey
| | - Zulfikar Yilmaz
- Dicle University, Department of Nephrology, Diyarbakır, Turkey
| | - Ozcan Uzun
- Dokuz Eylül University, Department of Nephrology, İzmir, Turkey
| | | | - Ferhan Candan
- Cumhuriyet University, Department of Nephrology, Sivas, Turkey
| | - Siren Sezer
- Atilim University Medicana International Hospital, Department of Nephrology, Ankara, Turkey
| | | | - Zerrin Bicik Bahçebaşı
- Kartal Lutfi Kirdar Training and Research Hospital, Department of Nephrology, Istanbul, Turkey
| | | | - Deren Oygar
- Lefkosa BND Training and Research Hospital, Department of Nephrology, Lefkosa, Cyprus
| | - Esra Akcali
- Mersin University, Department of Nephrology, Mersin, Turkey
| | - Zulal Istemihan
- Istanbul University, Department of Nephrology, Istanbul, Turkey
| | - Omer Faruk Akcay
- Gazi University Faculty of Medicine, Department of Nephrology, Ankara, Turkey
| | - Mevlut Tamer Dincer
- Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Department of Nephrology, Istanbul, Turkey
| | - Metin Ergul
- Kocaeli University, Department of Nephrology, Kocaeli, Turkey
| | - Ezgi Yenigun
- Health Sciences University, Ankara Numune Education and Research Hospital, Department of Nephrology, Ankara, Turkey
| | - Kultigin Turkmen
- Necmettin Erbakan University, Meram School of Medicine, Department of Internal Medicine, Division of Nephrology, Konya, Turkey
| | - Savas Ozturk
- Haseki Training and Research Hospital, Department of Nephrology, Istanbul, Turkey
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