AUTHOR=Tolossa Tadesse , Fetensa Getahun , Regassa Bikila , Yilma Mekdes T., Besho Merga , Fekadu Ginenus , Wakuma Bizuneh , Bekele Daniel , Mulisa Diriba 

TITLE=Burden and Determinants of Chronic Kidney Disease Among Diabetic Patients in Ethiopia: A Systematic Review and Meta-Analysis

JOURNAL=Public Health Reviews

VOLUME=Volume 42 - 2021

YEAR=2021

URL=https://www.ssph-journal.org/journals/public-health-reviews/articles/10.3389/phrs.2021.1603969

DOI=10.3389/phrs.2021.1603969

ISSN=2107-6952

ABSTRACT=Background: Chronic kidney disease (CKD) among diabetic patients is becoming a global health burden and the incidence is high in low-income countries. In Ethiopia, there is no national representative evidence; therefore, this review aimed to estimates the pooled burden of CKD among patients with diabetes.
Methods: Published and unpublished articles from various electronic databases were accessed. We included all observational studies in the review. A random-effects model was used to estimate the pooled estimate with a 95% confidence interval (CI). 
Results: Published (297) and unpublished (2) literature were identified from several databases and digital libraries, of which twelve articles were selected for final meta-analysis. The analysis found that the pooled burden of CKD among patients with diabetes was 18.22 %. Factors such as hypertension, type of DM, and duration of DM were found to have significant association with CKD.
Conclusion: The current review revealed a higher burden of CKD among patients with diabetes in Ethiopia. For better control of chronic kidney disease, integrated management of hypertension and DM should be designed with a special focus on chronic diabetic patients.