Outcome of pediatric patients with end-stage renal disease in Switzerland 1973-1982.
Outcome of pediatric patients with end-stage renal disease in Switzerland 1973-1982.
复制标题
1973-1982 年瑞士终末期肾病儿科患者的结果。
DOI：
--
复制
发表时间：
1984
期刊：
影响因子：
--
通讯作者：
L. Paunier
中科院分区：
文献类型：
--
作者：
E. Leumann;F. Egli;A. Fanconi;J. Guignard;R. Koegel;O. Oetliker;L. Paunier
在瑞士，终末期肾病的年发病率(ESRD：每百万人口1.32名1/2-16岁的患者或每百万同龄儿童6.5名)及其病因在过去15年中保持显著稳定。58例患者(69%)接受了透析和/或肾移植。5年总生存率为77%，10年总生存率为65%。26名未经治疗的患者(31%)死于尿毒症。尽管现有设施，但他们没有得到治疗，原因如下：年龄较小(8名患者中有7名不到2岁)、心理社会原因(6名)、严重精神发育迟滞(6名)和相关问题(6名)。据估计，即使在未来，仍有20%的ESRD儿童患者被认为不适合通过透析和肾移植进行治疗。
The annual incidence of end-stage renal disease (ESRD: 1.32 patients aged 1/2-16 years per million population or 6.5 per million children of same age) and the causes have remained remarkably constant over the last 15 years in Switzerland. 58 patients (69%) were treated by dialysis and/or renal transplantation. The overall survival rate was 77% at 5 years and 65% at 10 years. 26 untreated patients (31%) died of uremia. They had not been treated despite existing facilities for the following reasons: Young age (7 of the 8 patients being less than 2 years old), psychosocial reasons (6), severe mental retardation (6) and associated problems (6). It is estimated that even in the future 20% of all pediatric patients with ESRD will be considered unsuitable for therapy by dialysis and renal transplantation.