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【medical-news】13%美国人困于肾脏病
Diabetes, High Blood Pressure Behind Rise in Chronic Kidney Disease
Nov. 6, 2007 -- Thirteen percent of Americans now have chronic kidney disease, up 3% over the last decade, mostly due to higher rates of diabetes and high blood pressure.
Kidney disease ranks low on America's radar screen. But it's a major killer. While many patients with chronic kidney disease go on to die of kidney failure, many more of these patients die of heart disease.
Johns Hopkins University researcher Josef Coresh, MD, PhD, and colleagues analyzed data from the two most recent National Health and Nutrition Examination Surveys (NHANES). These CDC surveys collected data -- including physical examinations with blood and urine tests -- on 15,488 Americans from 1988 to 1994 and on 13,233 Americans from 1999 to 2004.
According to their conservative analyses, 10% of Americans had chronic kidney disease between 1988 and 1994 and 13% of Americans had chronic kidney disease between 1999 and 2004.
Driving the increase is a dramatic rise in diabetes and high blood pressure. Each of these conditions can lead to kidney disease.
A recent CDC report on the same NHANES data suggested that 17% of Americans have chronic kidney disease. Coresh and colleagues came up with a lower number because the CDC analysis included people with earlier signs of kidney disease, while the Coresh team counted only those with persistent kidney disease.
Even the lower number is of great concern.
"The high prevalence of chronic kidney disease overall, and particularly among older individuals and persons with [high blood pressure] and diabetes, suggests that chronic kidney disease needs to be a central part of future public health planning," Coresh and colleagues conclude.
Highlighting the problem is a "Health Trends" report from Quest Diagnostics, a national network of laboratories and patient-service centers.
The report, based on Quest Diagnostics test results from 2005 to 2006, shows that the majority of patients with diabetes and/or high blood pressure do not regularly get an inexpensive test to check for protein in the urine, an early sign of kidney disease.
"More aggressive monitoring in the early stages of kidney disease allows more time for evaluation and intervention," Joseph A. Vassalotti, MD, chief medical officer of the National Kidney Foundation, says in a news release. "We need to work together to promote implementation of early detection and treatment of chronic kidney disease."
Early treatment for kidney disease can protect against permanent kidney damage. And at the first sign of kidney disease, people should take steps to cut their risk of heart disease.
The Coresh study appears in the Nov. 7 issue of The Journal of the American Medical Association. 13% of Americans Have Kidney Disease
Diabetes, High Blood Pressure Behind Rise in Chronic Kidney Disease
Nov. 6, 2007 -- Thirteen percent of Americans now have chronic kidney disease, up 3% over the last decade, mostly due to higher rates of diabetes and high blood pressure.
2007年11月 6日-- 目前13%的美国人患有慢性肾疾病,其患病率较过去十年增加了3%,这主要是由于糖尿病和高血压患病率的升高 。
Kidney disease ranks low on America's radar screen. But it's a major killer. While many patients with chronic kidney disease go on to die of kidney failure, many more of these patients die of heart disease.
在美国，与其他疾病相比，肾疾病的患病率较低，但其危害性却很大。虽然很多患有肾疾病的病人最终死于肾功能衰竭,但更多的肾疾病患者死于心脏疾病。
Johns Hopkins University researcher Josef Coresh, MD, PhD, and colleagues analyzed data from the two most recent National Health and Nutrition Examination Surveys (NHANES). These CDC surveys collected data -- including physical examinations with blood and urine tests -- on 15,488 Americans from 1988 to 1994 and on 13,233 Americans from 1999 to 2004.
约翰霍普金斯大学的研究人员Josef Coresh 博士及其同事对最近两次全国健康和营养状况调查（NHANES）收集到的数据进行了分析。由疾病控制中心（CDC）进行的这两次调查分别收集了1988到1994年间的15448名和1999到2004年间的13233名美国人的相关数据。
According to their conservative analyses, 10% of Americans had chronic kidney disease between 1988 and 1994 and 13% of Americans had chronic kidney disease between 1999 and 2004.
据他们保守估计，在1988到1994年间，10%的美国人患有慢性肾疾病，而在1999到2004年间，这一数字达到了13%。
Driving the increase is a dramatic rise in diabetes and high blood pressure. Each of these conditions can lead to kidney disease.
引起这一增长的原因是糖尿病和高血压患病率的急剧增长。两者均可导致肾疾病的发生。
A recent CDC report on the same NHANES data suggested that 17% of Americans have chronic kidney disease. Coresh and colleagues came up with a lower number because the CDC analysis included people with earlier signs of kidney disease, while the Coresh team counted only those with persistent kidney disease.
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作者:admin@医学,生命科学 2011-03-25 05:11
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