CHARACTERISTICS OF PATIENTS REFERRED FOR TREATMENT OF END-STAGE RENAL-DISEASE IN A DEFINED POPULATION

CHARACTERISTICS OF PATIENTS REFERRED FOR TREATMENT OF END-STAGE RENAL-DISEASE IN A DEFINED POPULATION
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DOI:
10.2105/ajph.72.8.829
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发表时间:
1982-01-01
影响因子:
12.7
通讯作者:
FRIEDMAN, GD
FRIEDMAN, GD
中科院分区:
医学2区
文献类型:
--
作者:
HIATT, RA;FRIEDMAN, GD

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1972-1977年美国加州北部凯撒基金会健康计划(KFHP)终末期肾病(ESRD)转诊的发生率在这100万人口中,1973年联邦ESRD计划生效后,年龄调整后的年发病率为4490 / 100万。按年龄划分的发病率在男性中最高。70岁和50-59岁年龄组的女性;男女比例为1.4:1。ESRD患者最常见的诊断是肾小球肾炎(11.4/百万/年)、糖尿病肾病(5.0/百万/年)、原发性高血压疾病(3.1/百万/年)和多囊肾病(2.4/百万/年)。ESRD的估计转诊率黑人最高,白人最低,亚洲人居中。在健康计划服务区域内,发病率因地理区域而异,在黑人人口比例最高的地方发病率最高。
The incidence of referral for treatment of end-stage renal disease (ESRD) in the Kaiser Foundation Health Plan (KFHP) in northern California [USA] from 1972-1977. In this population of > 1 million persons, an age-adjusted annual incidence of 44.9/million was found after 1973, when the Federal ESRD Program went into effect. Age-specific incidence was highest in men .gtoreq. 70 yr of age and in women in the 50-59 yr age group; the male/female ratio was 1.4:1. The most common diagnoses of patients referred with ESRD were glomerulonephritis (11.4/million per yr), diabetic nephropathy (5.0/million per yr), primary hypertensive disease (3.1/million per yr), and polycystic kidney disease (2.4/million per yr). Estimated rates of referral for ESRD were highest for blacks, lowest for whites and intermediate for Asians. Incidence varied by geographic area within the health plan service area and was highest where the percentage of the black population was highest.