title: Etiology of end-stage renal disease in two regions of saudi arabia.
abstract: A total of 127 patients with end-stage renal disease (ESRD) including 45 from Al-Madinah and 82 from the Gizan regions of Saudi Arabia were studied to determine the etiology of ESRD. The categorization into various diagnoses were according to established criteria. A total of 22 renal biopsies were also obtained to aid in the diagnosis. The mean age of the study patients was 50 years in Al-Madinah region and 37 years in Gizan region. Overall, the etiology could be established in 56 patients (44.1%) including 31 patients (68.9%) in Al-Madinah and 25 patients (30.5%) in Gizan regions. Diabetic nephropathy was the commonest cause of ESRD in Al-Madinah (45.2%) while obstructive nephropathy was the commonest identifiable cause in Gizan (24%). Our study suggests that diabetes and obstruction are the main conditions against which strategies for prevention and treatment should be directed.
authors.affiliation: Division of Nephrology, King Khalid University Hospital, Riyadh, Saudi Arabia.
authors.forename: A H
authors.initials: AH
authors.lastname: Mitwalli
authors.forename: A R
authors.initials: AR
authors.lastname: Al-Swailem
authors.forename: K
authors.initials: K
authors.lastname: Aziz
authors.forename: T T
authors.initials: TT
authors.lastname: Paul
authors.forename: S
authors.initials: S
authors.lastname: Aswad
authors.forename: F A
authors.initials: FA
authors.lastname: Shaheen
authors.forename: A A
authors.initials: AA
authors.lastname: Alam