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Kidney Week

Abstract: SA-PO051

Characteristics of Migrant and Non-Migrant ESRD Patients in Nepal

Session Information

Category: Diversity and Equity in Kidney Health

  • 900 Diversity and Equity in Kidney Health

Authors

  • Sharma, Shailendra, Sparrow Health System, Lansing, Michigan, United States
  • Inagaki, Yoko, Johns Hopkins University, Baltimore, Maryland, United States
  • Kafle, Rishi Kumar, National Kidney Center, Kathmandu, Nepal
  • Koirala, Sweta, Nepal Development Society, Pokhara, Gandaki, Nepal
  • Khadka, Nasatya, Nepal Development Society, Pokhara, Gandaki, Nepal
  • K.c., Pooja, Nepal Development Society, Pokhara, Gandaki, Nepal
  • Jakobsson, Kristina Margareta, Goteborgs universitet Sahlgrenska Akademin, Goteborg, Sweden
  • Glaser, Jason R., La Isla Foundation, Ada, Michigan, United States
  • Wesseling, Catharina, La Isla Foundation, Ada, Michigan, United States
  • Neupane, Dinesh, Johns Hopkins University, Baltimore, Maryland, United States
Background

Thousands of young Nepali migrant workers have died and many developed ESRD while working abroad. Although the etiology of kidney disease is yet to be established, exposure to recurrent heat stress is identified as a potential risk factor.

Methods

Cross-sectional study was conducted in 2 dialysis centers. Patients 18-80 yrs of age getting incenter hemodialysis were sampled. Questionnaire with migration and occupational history was administered.

Results

A total of 354 patients were included (mean age 46.5 ±13.9 yrs; 36% female). 31% were returnee migrant workers ( 88% male; 83% worked in the Gulf States, Malaysia, & India). The median duration of work abroad was 14 yrs (IQR 9-18) & >50% returned due to health problems. 50% of returnee migrant workers were <40 yrs old, compared to 30% of non-returnee migrant workers (P<0.001). A lower prevalence of diabetes (12% vs 24%; P=0.009) & immunologic diseases (5% vs 14%; P=0.022) were observed among returning migrants. Returnee migrants experienced extreme workloads (36%), no breaks (37%), & exhaustion (68%). Among those who reported heat exposure at work, 70% were exposed daily.

Conclusion

The findings provide meaningful information on potential risk factors for CKDnT. These results underscore the importance of conducting further studies to better understand & address the specific risks & challenges they face.

Characteristics of Participants

Occupational and environmental risk factors among returnee migrant workers (n=109)

Funding

  • Private Foundation Support