Mortality pattern of chronic kidney disease of uncertain etiology in Girandurukotte, Sri Lanka

Mortality in Chronic Kidney Disease of uncertain etiology (CKDu) is not well described despite being a major public health crisis in Sri Lanka. Data on CKDu have many gaps and published data on mortality are sparse. This retrospective descriptive study was designed to describe the mortality of CKDu in an endemic area. Deaths were identified by tracing clinic defaulters from 2005 to 2015 in renal clinic, Girandurukotte. The majority who passed away were male (83.70%) farmers (80.39%) in their productive age (mean age 58.0 ± 13.01). Immediate cause of death was end-stage renal disease (ESRD) in 94.12% of deaths, reflecting the unavailability of Renal Replacement Therapy (RRT). Therefore, strategies are urgently required to enhance early identification, to provide standard medical care and to expand RRT in CKDu affected areas.