Glassock Richard J, Winearls Christopher
David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.
Nephron Clin Pract. 2008;110(1):c39-46; discussion c47. doi: 10.1159/000151244. Epub 2008 Aug 8.
BACKGROUND/AIMS: The values for the global prevalence of chronic kidney disease (CKD) are poorly understood. Current classification schemas may overstate the prevalance of CKD. This minireview analyzes the pitfalls in the use of current classification approaches for identifying CKD on a global basis.
Literature review and comment.
Published estimates for the global burden of CKD are likely to be incorrect and inflated. Overestimations of prevalence have occurred due to flaws in the classification systems employed and in ascertainment methods.
A revision of the current system of diagnosing and classifying CKD is needed in order to determine with greater precision true global burden of CKD. A new system is proposed.
背景/目的：对慢性肾脏病（CKD）全球患病率的值了解不足。当前的分类方案可能高估了CKD的患病率。本综述分析了在全球范围内使用当前分类方法识别CKD时存在的缺陷。
文献综述与评论。
已发表的关于CKD全球负担的估计可能不正确且被夸大。由于所采用的分类系统和确定方法存在缺陷，导致患病率被高估。
需要修订当前的CKD诊断和分类系统，以便更精确地确定CKD的真实全球负担。提出了一种新系统。
