Chronic Kidney Disease Among Workers: A Review of the Literature

Details

• Personal Author:
  Chicas R ; Dickman NE ; Flocks J ; Hertzberg V ; Mac V ; McCauley L ; Mix J
• Description:
  For the past two decades, agricultural workers in regions of Central America have reported an epidemic of chronic kidney disease of undetermined etiology (CKDu) that is not associated with established risk factors of chronic kidney disease. Several hypotheses have emerged, but the etiology of CKDu remains elusive and controversial. The aim of this literature review was to describe the potential risk factors of CKDu in Mesoamerica and implications for the U.S. agricultural worker population. PubMed and CINAHL databases were searched for articles published between 2000 and 2018 that examined CKDu in Mesoamerica; 29 original studies were included in this review. CKDu is a multifactorial disease that is often asymptomatic with hallmark characteristics of elevated serum creatinine and blood urea nitrogen (BUN), low glomerular filtration rate, electrolyte abnormalities, and non-nephrotic proteinuria. Reducing the global prevalence of CKDu will require more robust studies on causal mechanisms and on interventions that can reduce morbidity and mortality in vulnerable populations. [Description provided by NIOSH]
• Subjects:
  Agriculture Chronic Disease Hot Temperature Occupational Health Safety
• Keywords:
  Agricultural Communities Agricultural Workers Author Keywords: Agricultural Workers Chronic Diseases Chronic Kidney Disease CKDu Etiology Heat Exposure Kidney Disorders Kidneys Mesoamerican Nephropathy Occupational Hazards Outdoor Workers

  More +
• ISSN:
  2165-0799
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Florida ; Georgia ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  481-490
• Volume:
  67
• Issue:
  9
• NIOSHTIC Number:
  nn:20070677
• Citation:
  Workplace Health Saf 2019 Sep; 67(9):481-490
• Contact Point Address:
  Roxana Chicas, BSN, RN, Nell Hodgson Woodruff School of Nursing, Emory University, 1520 Clifton Road, Atlanta, GA 30322, USA
• Email:
  rchicas@emory.edu
• Federal Fiscal Year:
  2019
• NORA Priority Area:
  Agriculture, Forestry and Fishing
• Performing Organization:
  University of Florida, Gainesville
• Peer Reviewed:
  True
• Start Date:
  20160930
• Source Full Name:
  Workplace Health & Safety
• End Date:
  20270929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:96bed069b7b1f97428e3732d5816f52aa370dc89dbfeb5d3fc9d62b5382fd25201813a2337277f332de3493c46c85ec3836b4c96e00cf8fba62e3d15dd296f88
• Download URL:
  https://stacks.cdc.gov/view/cdc/208853/cdc_208853_DS1.pdf
• File Type:
  [PDF - 156.17 KB ]