Levin Adeera
University of British Columbia, Division of Nephrology, St. Paul's Hospital, Vancouver, British Columbia, Canada.
Kidney Int Suppl. 2005 Dec(99):S7-10. doi: 10.1111/j.1523-1755.2005.09902.x.
The prevalence of impaired kidney function has been estimated to be between 10% and 20% of adult populations in most countries worldwide. Reduced kidney function has been recognized as a risk factor for poor outcomes, and thus requires attention. Key aspects of management of CKD have been defined for referred populations, but not necessarily for those unreferred. In order to improve patient outcomes, there is a need to take a more holistic approach to the problem, by coordinating the efforts of policy makers, those involved in health care system redesign, clinicians, and researchers. In so doing, there should be an improvement in both identification and management of patients with impaired kidney function, whether cared for by primary care physicians, specialists, or nephrologists, and irrespective of the health care system.
据估计，在世界上大多数国家，肾功能受损在成年人群中的患病率为10%至20%。肾功能下降已被公认为是不良预后的一个危险因素，因此需要引起关注。慢性肾脏病管理的关键方面已针对转诊人群进行了定义，但不一定适用于未转诊人群。为了改善患者预后，有必要采取更全面的方法来解决这个问题，即协调政策制定者、参与医疗保健系统重新设计的人员、临床医生和研究人员的工作。这样做，无论是由初级保健医生、专科医生还是肾病科医生照顾，无论在何种医疗保健系统下，肾功能受损患者的识别和管理都应得到改善。
