Diagnosis And Monitoring Of Chronic Kidney Disease Progression In Patients With Diabetes Mellitus - A Retrospective Study

The study was retrospective and the purpose was to assess how screening and monitoring of chronic kidney disease are performed in patients with diabetes mellitus, in terms of routine medical practice. The study was performed on a sample of 127 patients with diabetes mellitus who died during hospitalization, between 2006-2010. Data were collected from autopsy reports and from clinical medical records of patients with diabetes mellitus, aiming for 5 years prior to death. The main cause of death was represented by cardiovascular events (61.4% of patients). Most of the patients associate high blood pressure and dyslipidemia. To diagnosis and monitoring the development of chronic kidney disease were performed albuminuria measurements (0.6 determinations / patient / year) and serum creatinine measurements (0.41 determinations / patient / year). 91.8% of patients with diabetes duration greater than 1 year had at least one determination of albuminuria within five years. Most patients in the study group associated multiple cardiovascular risk factors. Investigations for diagnosis and monitoring the development of diabetic kidney disease are performed less frequently than recommendations and the causes are multiple.