Risk factors for chronic kidney disease of non-traditional causes: a systematic review

Objectives. To evaluate the potential associations between chronic kidney disease of uncertain or nontraditional etiology (CKDnT) and agrochemicals, heat stress, heavy metals, and other factors identified in the literature in any region of the world and at any time. Methods. This was a systematic r...

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Detalles Bibliográficos
Autores principales: Chapman, Evelina, Haby, Michelle M., Illanes, Eduardo, Sánchez Viamonte, Julián, Elias, Vanessa, Reveiz, Ludovic
Formato: Articulo
Lenguaje:Inglés
Publicado: 2019
Materias:
Acceso en línea:http://sedici.unlp.edu.ar/handle/10915/107511
http://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC6461065&blobtype=pdf
Aporte de:
id I19-R120-10915-107511
record_format dspace
institution Universidad Nacional de La Plata
institution_str I-19
repository_str R-120
collection SEDICI (UNLP)
language Inglés
topic Ciencias Médicas
Renal insufficiency
chronic
agricultural workers’ diseases
agrochemicals
heat exhaustion
meta-analysis
spellingShingle Ciencias Médicas
Renal insufficiency
chronic
agricultural workers’ diseases
agrochemicals
heat exhaustion
meta-analysis
Chapman, Evelina
Haby, Michelle M.
Illanes, Eduardo
Sánchez Viamonte, Julián
Elias, Vanessa
Reveiz, Ludovic
Risk factors for chronic kidney disease of non-traditional causes: a systematic review
topic_facet Ciencias Médicas
Renal insufficiency
chronic
agricultural workers’ diseases
agrochemicals
heat exhaustion
meta-analysis
description Objectives. To evaluate the potential associations between chronic kidney disease of uncertain or nontraditional etiology (CKDnT) and agrochemicals, heat stress, heavy metals, and other factors identified in the literature in any region of the world and at any time. Methods. This was a systematic review of the most frequent exposures suspected to be possible causes of CKDnT. A search was conducted of PubMed, LILACS, World Wide Science electronic databases, among other sources. Only medium- and high-quality studies were included. The synthesis of evidence included a narrative synthesis, meta-analysis, and meta-regression. Results. Four systematic reviews and 61 primary studies were included. Results of the meta-analysis suggest that exposure to agrochemicals and working in agriculture increase the risk of CKDnT, but this only reached significance for working in agriculture. When cross-sectional studies were excluded, agrochemical exposure became significant. However, there is substantial heterogeneity in the effect sizes. Conclusions. Based on the existing evidence and the precautionary principle, it is important to implement preventive measures to mitigate the damage caused by CKDnT to both agricultural workers and their communities (i.e., improvement of working conditions, cautious management of agrochemicals, etc.). More high-quality research is needed to measure impact and to build the evidence base.
format Articulo
Articulo
author Chapman, Evelina
Haby, Michelle M.
Illanes, Eduardo
Sánchez Viamonte, Julián
Elias, Vanessa
Reveiz, Ludovic
author_facet Chapman, Evelina
Haby, Michelle M.
Illanes, Eduardo
Sánchez Viamonte, Julián
Elias, Vanessa
Reveiz, Ludovic
author_sort Chapman, Evelina
title Risk factors for chronic kidney disease of non-traditional causes: a systematic review
title_short Risk factors for chronic kidney disease of non-traditional causes: a systematic review
title_full Risk factors for chronic kidney disease of non-traditional causes: a systematic review
title_fullStr Risk factors for chronic kidney disease of non-traditional causes: a systematic review
title_full_unstemmed Risk factors for chronic kidney disease of non-traditional causes: a systematic review
title_sort risk factors for chronic kidney disease of non-traditional causes: a systematic review
publishDate 2019
url http://sedici.unlp.edu.ar/handle/10915/107511
http://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC6461065&blobtype=pdf
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