title: [High prevalence of proteinuric nephropathy screened in patients with type 2 diabetes consulting community-based general practitioners in French overseas departments and territories. ALBUM study].
abstract: OBJECTIVE, METHOD: Chronic kidney disease is a major public health problem. This observational epidemiological study aimed to evaluate the prevalence of proteinuric nephropathy in patients with type 2 diabetes consulting a community-based general practitioner in French overseas departments and territories (DOM-TOM). Screening was carried out with reagent strips Albustix for proteinuria and, in case of trace amounts or a negative result, Microalbustix for microalbuminuria.
  
  
  RESULTS
  91 general practitioners participated in the study with 402 evaluable patients (54% female, mean age 60.1 +/- 11.2 years). The duration of diabetes was 8.9 +/- 6.6 years and mean HbA1c was 7.3 +/- 1.4% (52.2% with HbA1c < or = 7%). Screening was positive for 45.7% of the patients: 23.6% positive for proteinuria with Albustix [95% CI: 19.5-27.8] and 22.1% with Microalbustix.
  
  
  CONCLUSIONS
  Screening with reagent strips revealed that nearly half the patients had proteinuria or albuminuria, thus confirming the high prevalence of nephropathy in type 2 diabetes patients living in the Dom-Tom and illustrating the need for frequent renal function screening in type 2 diabetics in general medicine for the prevention of chronic kidney disease.
authors.forename: Xavier
authors.initials: X
authors.lastname: Debussche
authors.forename: Maryse
authors.initials: M
authors.lastname: Pholsena
authors.forename: Alain
authors.initials: A
authors.lastname: Fournier
authors.forename: Pauline
authors.initials: P
authors.lastname: Kangambega
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Gabriel
authors.forename: Carine
authors.initials: C
authors.lastname: Hénin
authors.forename: Mohamed
authors.initials: M
authors.lastname: Meddeb
authors.forename: Franck
authors.initials: F
authors.lastname: Semel
authors.forename: Yogananda
authors.initials: Y
authors.lastname: Thirapathi-Appadu
authors.forename: Michèle
authors.initials: M
authors.lastname: Vado-Prudent
authors.forename: Violaine
authors.initials: V
authors.lastname: Emal-Aglae
mesh_terms: D003430:Cross-Sectional Studies; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology*; D005260:Female; D058005:General Practitioners; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011507:Proteinuria / Q000175:diagnosis / Q000453:epidemiology*; D011934:Reagent Strips; D051436:Renal Insufficiency, Chronic / Q000453:epidemiology* / Q000209:etiology
chemical_list: D011934:Reagent Strips