The effect of the World Kidney Day campaign on the awareness of chronic kidney disease and the status of risk factors for cardiovascular disease and renal progression
The effect of the World Kidney Day campaign on the awareness of chronic kidney disease and the status of risk factors for cardiovascular disease and renal progression
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DOI：
10.1093/ndt/gfp512
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发表时间：
2010-02-01
影响因子：
6.1
通讯作者：
Kim, Suhnggwon
中科院分区：
文献类型：
--
作者：
Chin, Ho Jun;Ahn, Jeong Myeong;Kim, Suhnggwon
方法。我们选择了57 718名接受过常规健康检查的人。平均CKD认知度为3.1% (95% CI: 2.6-3.7%)，随CKD分期的进展而增加。认知从WKD运动前的1.1%上升到运动后的5.8% （P < 0.001）。与wkd前相比，wkd后CKD认知度在CKD 2期（OR 4.535: 95% CI: 2.044-10.062）和3期（OR 6.614: 95% CI: 4.282-10.217）增加，在4期（OR 13.800: 95% CI: 2.127-89.524）显著增加。经协方差分析，ckd知者对糖尿病（90.0%比54.2%,P < 0.001）和高血压（87.2%比64.7%,P < 0.001）的知者高于ckd不知者，收缩压（116.9 +/- 1.0比120.1 +/- 0.2,P < 0.01）和血清胆固醇（198.3 +/- 2.7比205.0 +/- 0.5,P < 0.05）水平较低。WKD运动对CKD受试者对危险因素的认识和控制有积极影响，但在韩国，CKD意识的绝对频率仍然不理想。我们需要新的宣传策略来宣传CKD早期诊断和适当治疗的重要性。
Methods. We selected 57 718 people who had undergone a routine health check-up.Results. The average CKD awareness was 3.1% (95% CI: 2.6-3.7%) and was increased with progressing CKD stage. The awareness was increased from 1.1% before the WKD campaign to 5.8% after the campaign (P < 0.001). CKD awareness in the post-WKD period was increased in CKD stages 2 (OR 4.535: 95% CI: 2.044-10.062) and 3 (OR 6.614: 95% CI: 4.282-10.217) and profoundly increased in stage 4 (OR 13.800: 95% CI: 2.127-89.524), compared to the pre-WKD period. In the CKD-aware group compared to the CKD-unaware group, the awareness of diabetes mellitus (90.0% versus 54.2%, P < 0.001) and hypertension (87.2% versus 64.7%, P < 0.001) was higher and the levels of systolic blood pressure (116.9 +/- 1.0 versus 120.1 +/- 0.2, P < 0.01) and serum cholesterol (198.3 +/- 2.7 versus 205.0 +/- 0.5, P < 0.05) were lower by covariance analysis.Conclusions. The WKD campaign had a positive impact on the awareness and control of risk factors in CKD subjects but the absolute frequency of CKD awareness still remains undesirable in Korea. We need new campaign strategies to publicize the importance of early diagnosis and appropriate management of CKD.