Clinical-Epidemiological Profile of Patients of a Medical teaching University Center in the Amazon

Introduction: Renal system diseases, including Chronic Kidney Disease (CKD), Nephrolithiasis, Glomerulopathies, Diabetic Nephropathy, and recurrent Urinary Tract Infections (UTIs), significantly impact patient health, necessitating hospitalizations and hemodialysis, thereby affecting quality of life and healthcare costs. Objective: This study aimed to profile these diseases at the Nephrology outpatient clinic of CEMEC (CESUPA Medical Specialties Center) to enhance patient care strategies. Methodology: Data from 302 patients, predominantly women (66.6%) over 50 years (83.1%), were collected from January 2022 to June 2023. Statistical analysis utilized BioEstat and SPSS 21, including the Chi-square goodness-of-fit test and G-test. Results: Prevalent conditions included CKD (stages G3-G5 with high albuminuria), Polycystic Kidney Disease, renal lithiasis, UTIs (mainly E. Coli-related), and Glomerulopathies. Treatment involved statins, Angiotensin II Receptor Blockers (ARBs), Erythropoietin, and Ferrous Sulfate. Laboratory tests focused on Creatinine, Hemoglobin, and Vitamin D levels, showing normal parameters in patients with Nephrolithiasis and Autosomal Dominant Polycystic Kidney Disease. Conclusion: This study highlights the importance of tailored management strategies, early interventions, and integrated approaches to address the challenges posed by CKD and related conditions, aiming to improve patient outcomes and healthcare delivery.