MMWR Morb Mortal Wkly Rep. 2004 Oct 8;53(39):918-20.
Kidney disease is the ninth leading cause of death in the United States. Approximately 19 million U.S. adults have chronic kidney disease, and an estimated 80,000 persons have chronic kidney failure diagnosed annually. Major causes of chronic kidney failure are diabetes mellitus and hypertension, which account for approximately 60% of new cases. To assess national and state-specific trends in the prevalence of chronic kidney failure during 1990-2001, CDC analyzed data from the United States Renal Data System (USRDS). This report summarizes the results of that analysis, which indicated that the prevalence of chronic kidney failure in the United States increased 104% during 1990-2001. Treating and controlling risk factors and screening persons at high risk for chronic kidney failure are key steps that health-care providers and public health practitioners can take to reverse the upward trend in this disease.
肾病是美国第九大死因。美国约有1900万成年人患有慢性肾病，据估计每年有8万人被诊断为慢性肾衰竭。慢性肾衰竭的主要病因是糖尿病和高血压，约占新发病例的60%。为评估1990 - 2001年期间慢性肾衰竭患病率的全国及各州特定趋势，美国疾病控制与预防中心（CDC）分析了来自美国肾脏数据系统（USRDS）的数据。本报告总结了该分析结果，结果表明1990 - 2001年期间美国慢性肾衰竭的患病率上升了104%。治疗和控制风险因素以及筛查慢性肾衰竭高危人群是医疗保健提供者和公共卫生从业者可以采取的关键措施，以扭转这种疾病的上升趋势。
