title: Glomerular diseases outcome at one year in a tertiary care centre.
abstract: OBJECTIVE
  To determine outcome in primary and secondary glomerular diseases at one year follow up.
  
  
  METHODS
  Study design is observational cohort, done in out-patient department, Dow Iinternational Medical College, DUHS. All information gathered on a proforma. All patients with dipstick positive proteinuria and clinical glomerular disease were included in study. Patients with no proteinuria were excluded so were patients with stage 5 CKD. Patients were followed for proteinuria and renal insufficiency at completion of one year follow up. Statistical analysis was done on SPSS version 16.
  
  
  RESULTS
  Total number of patients who completed one year follow up was 173. Mean age of patients was 51.67+ 10.16 (range 15 to 75 years). Ninety two (53.2%), were males and 81(46.8%) were females, ratio being 1.1: 1.0. Mean weight of our patients was 67.43+ 14.13 Kg, (35 to 107 kg). Commonest cause of glomerular disease in our patient was diabetic nephropathy which was seen in 94.2% patients. Commonest associated problem with glomerular disease was hypertension seen in 66.5% of patients. Four out of 173 patients had stage 5 CKD at end of follow up at one year while quantitativ proteinuria remained same at one year follow up.
  
  
  CONCLUSIONS
  One year follow up is critical for patients with glomerular disease associated with stage 4 CKD as progression to end stage renal failure may be seen within one year in these patients.
authors.affiliation: Dr. Huma Mamun Mahmud, MBBS, MCPS (Med), FCPS (Nephrol). Assistant Professor, Consultant Nephrologist, Department of Medicine, Dow International Medical College, Dow University of Heath Sciences, Karachi, Pakistan.
authors.forename: Huma Mamun
authors.initials: HM
authors.lastname: Mahmud
authors.affiliation: Dr. Darshan Kumar, MBBS, FCPS (Med). Assistant Professor, Dow International Medical College, Dow University of Heath Sciences, Karachi, Pakistan. Dow International Medical College (Ojha Campus), DUHS, Suparco Road, off Main University Road, Gulzar-e-Hijri, Scheme 33, Karachi, Pakistan.
authors.forename: Darshan
authors.initials: D
authors.lastname: Kumar
authors.affiliation: Dr. Humera Irum, MBBS. Senior Medical Officer (Nephrology), Dow International Medical College, Dow University of Heath Sciences, Karachi, Pakistan. Dow International Medical College (Ojha Campus), DUHS, Suparco Road, off Main University Road, Gulzar-e-Hijri, Scheme 33, Karachi, Pakistan.
authors.forename: Humera
authors.initials: H
authors.lastname: Irum
authors.affiliation: Dr. Syed Farman Ali, Dow International Medical College, Dow University of Heath Sciences, Karachi, Pakistan.
authors.forename: Syed
authors.initials: S
authors.lastname: Farman Ali
keywords: CKD; ESRF; Glomerular diseases; Outcome; Proteinuria