J MARTÍN ALANÍS NARANJO1, C RAYMUNDO IBARRA JAIMES, G OLGUÍN CONTRERAS1
1Dr. Belisario Dominguez Hospital of Specialties, Mexico City, Mexico
Aim: To study the association between a history of cesarean section and the initiation of renal replacement therapy in hypertensive and/or diabetic women.
Background: The association between a history of cesarean section and the initiation of renal replacement therapy in patients with diabetes mellitus and/or arterial hypertension is unknown.
Methods: A retrospective cohort study was conducted. We recruited female patients with a history of diabetes mellitus and/or hypertension who started renal replacement therapy by peritoneal dialysis from January 2017 to January 2019. Clinical data were obtained at the time of starting renal replacement therapy, as was the obstetric history of all patients. The statistical analysis was performed using SPSS; the data are expressed as the mean +/- SD, and p < 0.05 indicated a significant difference.
Results: A total of 127 women were recruited; 95 had diabetes with hypertension, and 27 and 5 had only hypertension or diabetes mellitus, respectively. Only 46 patients had a history of cesarean section. At the time of starting renal replacement therapy, patients presented the following data: mean age, 54.3 (+/- 12.6) years; mean BMI, 26 (+/- 5) kg/m2); mean creatinine, 12.9 (+/- 5.6) mg/dl; urea, 272 (+/- 94) mg/dl; and hemoglobin, 7.9 (+/- 1.8) g/dL. Although the initiation of renal replacement therapy occurred at a younger age in the group with a history of cesarean section compared to the group without a history of cesarean section, 51.8 (+/- 11.4) years and 56 (+/- 12.8) years, respectively, the difference was not significant (p = 0.068).
Conclusions: No relationship was observed between history of cesarean section and the initiation of renal replacement therapy in women with diabetes mellitus and/or hypertension.
Dr. Martín Alanís grew up in Michoacan, Mexico. He attended medical school at Michoacan University of San Nicolas of Hidalgo. During his internship in Morelia, Mexico he developed a love for internal medicine and nephrology. In 2017, he obtained his medical degree and entered to a Internal Medicine residency program at Dr. Belisario Domínguez Hospital of Specialties in Mexico City. He currently hopes to pursue a nephrology fellowship after completing residency.