The global burden of chronic kidney disease: How valid are the estimates?

被引：59
|
作者：
Glassock, Richard J. [1 ]
Winearls, Christopher [2 ]
机构：
[1] Univ Calif Los Angeles, David Geffen Sch Med, Los Angeles, CA 90095 USA
[2] Oxford Kidney Unit, Oxford, England
来源：
NEPHRON CLINICAL PRACTICE | 2008年 / 110卷 / 01期
关键词：
chronic renal disease; end-stage kidney disease; epidemiology; glomerular filtration rate;
D O I：
10.1159/000151244
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
Background/Aims: The values for the global prevalence of chronic kidney disease (CKD) are poorly understood. Current classification schemas may overstate the prevalance of CKD. This minireview analyzes the pitfalls in the use of current classification approaches for identifying CKD on a global basis. Methods: Literature review and comment. Results: Published estimates for the global burden of CKD are likely to be incorrect and inflated. Overestimations of prevalence have occurred due to flaws in the classification systems employed and in ascertainment methods. Conclusions: A revision of the current system of diagnosing and classifying CKD is needed in order to determine with greater precision true global burden of CKD. A new system is proposed. Copyright (C) 2008 S. Karger AG, Basel.
引用
收藏
页码：C39 / C46
页数：8
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