KIDNEY DISEASE IN INCARCERATED TASMANIANS

S KUO1, C WAKE2, A GRAVER1, G KIRKLAND1, MD JOSE1,3, L JEFFS1

1Royal Hobart Hospital, Hobart, Tasmania; 2Tasmanian Prison Service, Tasmania; 3School of Medicine, University of Tasmania, Hobart, Tasmania

Aim: To determine the prevalence of chronic kidney disease (CKD) in incarcerated Tasmanians compared to the general Tasmanian population and to identify potential causes for discrepancy.

Background: The Australian Health Survey (2011-12) reported Tasmania to have the highest prevalence of CKD of all Australian states. In 2009, we published a report that found an increased number of severe CKD patients in lower socio-economic areas in Tasmania. The prison population is considered socially disadvantaged therefore should be at high risk for CKD, however, this has not been translated clinically.

Methods: A retrospective pilot study was performed with health data provided by the Tasmanian Prison Service on newly incarcerated prisoners (>18 years) over a 3 month period in 2011-2012. Creatinine and estimated glomerular filtration rate (eGFR) were obtained and compared to population data in Tasmania.

Results: Preliminary data over this time period identified 299 people newly incarcerated in Tasmania (87% male, mean age 41). 209 had creatinine and eGFR results, with 1.4% having eGFR <60 mL/min/1.73m2. This unadjusted figure is lower than reported by the Australian Health Survey  (4.6%,p=0.0033). Urine ACR was not performed during this time period. Potential contributors to this include lower prevalence of obesity (14.5% vs 27.8%, p=0.00011) and diabetes mellitus (3.7% vs 5.8%, p=0.14335) in the incarcerated population.

Conclusions: Preliminary, unadjusted data suggests there is a lower prevalence for CKD in incarcerated Tasmanians. Potential contributors include lower prevalence of diabetes and obesity. Further data will be obtained.

About ANZSN

The ASM is hosted by Australian and New Zealand Society of Nephrology.

The aims of the Society are to promote and support the study of the kidney and urinary tract in health and disease, and to ensure the highest professional standards for the practice of nephrology in Australia and New Zealand.

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