Dr. P. Ravi Kumar is currently Senior Consultant Nephrologist and Head of the Nephrology Department at The Sri Manakula Vinayagar Medical College and Hospital, India. After completing his MB, MD, & DNB he worked in an exclusive cancer institute for a year. Then he proceeded to University of Toronto and did a three year Clinical Fellowship in Nephrology where he rotated at all the three major hospitals under the university network, Toronto General, Toronto Western & Sunnybrook Health Sciences Centre in Toronto, Canada. He then served as WHO Consultant in Nephrology in East Africa for 4 years and was Consultant Nephrologist for the Ministry of Health, Republic of Seychelles, Africa. He then returned to Canada as a Returning Fellow / Physician, Nephrology Ward services, at The University of Toronto/Sunny brook Health Sciences Centre, Canada for 8 years. He served as the Executive director/Medical Advisor of Nursing & Home health care services in Canada for 12 years. He has over 30 research articles and over 40 scientific presentations to his credit. He also actively practices meditation and medical hypnosis. He is also a certified Life coach.
His major clinical interests are in Preventive Nephrology, Environmental Nephrology, Tropical Nephrology and Palliative Nephrology. He has also done major work on HTLV-1 in Dialysis, Survival analysis in rural population on dialysis, Prolonged QT syndromes in Dialysis and Drug interactions. He also actively preaches patient advocacy in renal patients.
The burden of CKD is on the rise globally and in India. There are scarce population based studies based in rural industrialized settings in India and elsewhere. The study was done to find out the prevalence and determinants of chronic kidney disease (CKD) among adults in rural Pondicherry, India. It was a community-based cross sectional study in 13 villages of a Primary Health Centre in rural Pondicherry. A representative sample of 422 adults more than or equal to 50 years of both genders was selected by population proportional to size methods. All the participants were screened by SCORED questionnaire to get the potential cases of CKD. We did serum creatinine, urine examination, blood pressure and anthropometric measurement for the potential cases. CKD was diagnosed by estimation of glomerular filtration rate and presence ofprotienuria. The data was analyzed using Statistical Package for Social Science version 24. The study was approved by the Institutional Ethics Committee of SMCMCH, Pondicherry. The prevalence of CKD was found to be 24.2% in the study sample of respondents 50 years or more. Most (73.5%) of the CKD cases were at stage 2, Stage 3a had 15 % and stage 3b had 2% of the cases. The determinants of CKD were Rising age (60-69 years, PR: 2.36,CI:1.36-4.07), Poor Nutritional status (underweight: PR: 2.26,CI:1.05-4.89), (overweight: PR: 2.19,CI:1.06-4.52), (obese:PR: 2.13 CI: 1.13-4.01)and presence of at least one chronic co-morbidity(PR:5.85,CI:1.38-24.78). Majority of the patients in the CKD group had minimal proteinuria -87.25%. In the CKD group 42.15% had no hypertension or diabetes mellitus. Considering the higher prevalence of CKD in the study area, targeted screening of adult population should be undertaken as means of early detection, diagnosis, treatment and follow up of at risk individuals to prevent further progression of CKD.Further research is required to look at the etiology of CKD in such industrialized, coastal settings