Ghelichi-Ghojogh Mousa, Fararouei Mohammad, Seif Mozhgan, Shahryari Bahram, Pakfetrat Maryam
Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
HIV/AIDS Research Center, School of Health, Shiraz University of Medical Sciences, P.O. Box: 71645-111, Shiraz, Iran.
Int Urol Nephrol. 2022 Jul;54(7):1603-1612. doi: 10.1007/s11255-021-03037-9. Epub 2021 Oct 28.
This study aimed to investigate the impact of social and clinical factors on the diagnostic delay of chronic kidney disease (CKD) among Iranian patients.
Our study was conducted on 350 CKD patients who were referred to Faghihi and Motahari clinics (the two largest kidney diseases referral centers in Shiraz the capital of Fars province). Data were collected via an interviewer-administered questionnaire. A multiple linear regression model was used to measure the effect of factors affecting the delay of CKD diagnosis.
The medians and Interquartile ranges (IQR) of all delays, patient delay, and doctor delay were 6.5 (0-12.2), 5.1 (0-11.2), and 0.9 (0-3.1) months, respectively. The results showed that women were diagnosed 1.61 months earlier than men (p < 0.05). The duration of all delays in patients residing in the rural areas was 1.28 months longer than patients residing in the urban areas (p < 0.05). Also, patients with perceived good economic status were diagnosed 1.30 months earlier than patients who reported having very poor economic status (p < 0.05).
The delay is in part due to the neglect and misinterpretation of symptoms by both patients and physicians. It is necessary to improve the awareness of CKD among general public and medical professionals.
本研究旨在调查社会和临床因素对伊朗慢性肾脏病（CKD）患者诊断延迟的影响。
我们对350例转诊至法吉希诊所和穆塔哈里诊所（法尔斯省省会设拉子最大的两家肾脏病转诊中心）的CKD患者进行了研究。通过访谈式问卷收集数据。采用多元线性回归模型来衡量影响CKD诊断延迟的因素的作用。
所有延迟、患者延迟和医生延迟的中位数及四分位数间距（IQR）分别为6.5（0 - 12.2）个月、5.1（0 - 11.2）个月和0.9（0 - 3.1）个月。结果显示，女性的诊断时间比男性早1.61个月（p < 0.05）。农村地区患者的所有延迟时间比城市地区患者长1.28个月（p < 0.05）。此外，自认为经济状况良好的患者比报告经济状况很差的患者诊断时间早1.30个月（p < 0.05）。
诊断延迟部分归因于患者和医生对症状的忽视及误解。有必要提高普通公众和医学专业人员对CKD的认识。
