Hanset M
Rev Med Brux. 2007 Sep-Oct;28(5):465-8.
The prevalence of chronic kidney in the general population disease is increasing. The primary care physician can detect the first stage of chronic renal disease and can delay the progression to kidney failure. He can give special attention to patients with hypertension or with diabetes, or more than 60-year old, or with a familial history of chronic renal disease or with recurrent urinary infections. The detection of chronic renal disease can be done by measurement of the renal function (MDRD, Cockroft-Gault), by measurement of blood pressure and by detection of proteinuria. The treatment goals of chronic renal disease are defined after referral to a nephrologist.
普通人群中慢性肾脏病的患病率正在上升。初级保健医生能够检测出慢性肾脏病的第一阶段，并可延缓其向肾衰竭的进展。他可以特别关注高血压患者、糖尿病患者、60岁以上的患者、有慢性肾脏病家族史的患者或反复发生泌尿系统感染的患者。慢性肾脏病的检测可通过测量肾功能（MDRD、Cockroft-Gault公式）、测量血压和检测蛋白尿来进行。慢性肾脏病的治疗目标在转诊至肾脏病专家后确定。
