Analysis of prognostic significance of risk factors for development of chronic kidney disease

Currently, more than two million people receive renal replacement therapy worldwide, but it is estimated that this is only 10% of patients in need. From this point of view, it is extremely important to increase caution about identifying risk factors and causes of chronic kidney disease in order to prevent it in a timely manner at the primary level. In Azerbaijan, an increase in patients on hemodialysis in dynamics was revealed. At the same time, both the number of hemodialysis centers and devices for hemodialysis increases. The number of dialysis machines from 2014 to 2019 tended to increase by +15.8% in 2015, +16.9% in 2016, +13.0% in 2017, +1.7% in 2018, +3.3% in 2019. The provision of patients with hemodialysis devices increased from 0.4 in 2014 to 0.7 per 10 thousand of the population in 2019. The positive trend in dialysis sessions received by patients in the republic was +16.7% in 2017, +12.1% in 2016, +5.4% in 2015, +1.3% in 2018, +0.3% in 2019. In the Javad-zade Republican Clinical Urological Hospital, an increase in dialysis sessions was noted in 2016 (+9.4%), 2016 (+9.4%) and 2017 (+5.2%). Identification of possible effects of risk factors for chronic kidney disease showed that in men, polycystic kidney disease had a statistically significant effect (RR=1.470, 95% CI 1.007-2.146), and in women, obesity (RR=3.366, 95% CI 2.286-4.954), iron deficiency anemia (RR=2.859, 95% CI 2,516-3,249). It is necessary to guarantee state financial support for renal replacement therapy for patients with chronic kidney disease, as well as state support for the development of dialysis centers.