KIDNEY FOUNDATION MISSION St. Gregorios Dayabhavan Kunigal
Chronic Kidney Disease Asymptomatic Irreversible Silent Killer
Chronic Kidney Disease Can be prevented? Progression can be delayed? Life can be sustained? Yes
What are Kidneys? A vital organ to sustain life
Functions of Kidney Removing toxins from blood through Nephrons Formation of blood Strengthening Bones Production of Vitamin D
Chronic Kidney Disease (CKD) Causes Scarring in the Kidney Irreversible A Silent Killer
Heart Disease.. Ten fold higher in CKD Patients..Risk Factor
Causes of CKD Hypertension Diabetes
Current status % - detected – 120milion Every 5 th Indian is diabetic India, Diabetic Capital of the world Increment by two fold in future
Medical Treatment 7 out of 100 reach hospital Survivors - 2 out of 7 Out of 120 million Dialysis - Above 60,000 Transplant - 10,000 Per Year
Experience A Middle Class Family
35yr old bread winner of a middle class family Diabetic No Regular follow up Presents with swelling of legs Seen by Nephrologist
Treatment Dialysis Temporary Life Support Cost Rs to per month
Treatment Transplantation Cost Rs 5 lakhs to 12 lakhs Plus Monthly Maintenance Rs per month
Patients Problem
The sole earner - income per month 15,000/- Does not have enough money for treatment Total Denial Children - education at risk Not enough money to sustain family & life
What are his options? Bankruptcy Opt to Die
Can We save them from the Silent Killer?
Key Issues to be addressed Management of patients with kidney disease Social issues surrounding with the families of CKD patients Creating public awareness of kidney disease and its prevention.
Implementation Medical Screening & Categorization
Screening Test
Treatment For CKD Patients
Group A Patients with initial stage of CKD Proper medication - Diet - Exercise Delay the progression by 15 – 20 yrs COST - Rs 6000 –10000 per yr Bread Winners Effective and critical
Initial Stage of CKD - Progression Bread Winners Effective and critical
Group A Patients with end stage CKD
COST- Rs 25,000 – 30,000 per month FREQUENCY - 2 to 3 times a week Dialysis Temporary Life Support DURATION – 4 hrs Reduction in working efficiency Expensive long term basis Bread Winners - Not preferable
Transplant A Second lease of life With Complications 10 – 12 lakhs (4 yrs dialysis Cost ) COST - Rs 5 lakhs (2 yrs dialysis Cost)
Could lead normal healthy life with One Kidney Donor
Prevention
Group B – Potential Candidates Hypertension and Diabetic Patients Exercise - Diet Proper medication advised by a physician COST- Rs per month
Strong family history of diabetic and hypertension Group B - Prevention Prevent diabetic and Hypertension by diet, exercise & annual medical check up
What is practical? Prevention or Treatment
Pledge of the Mission “Prevent Kidney Disease Save them from the Silent Killer
Thank You