Department of Medicine, San Francisco General Hospital and University of California, San Francisco, San Francisco, CA 94110, USA.
Adv Chronic Kidney Dis. 2010 May;17(3):225-36. doi: 10.1053/j.ackd.2010.03.002.
Earlier recognition of chronic kidney disease (CKD) could slow progression, prevent complications, and reduce cardiovascular-related outcomes. However, current estimates of CKD awareness indicate that both patient- and provider-level awareness remain unacceptably low. Many of the factors that are possibly associated with CKD awareness, which could help guide implementation of awareness efforts, have yet to be fully examined. Also, little is known regarding whether increased patient or provider awareness improves clinical outcomes, or whether there are possible negative consequences of awareness for CKD patients. Further research is necessary to continue to design and refine awareness campaigns aimed at both patients and providers, but there is an immediate need for dissemination of basic CKD information, given both the high prevalence of CKD and its risk factors and the low estimated awareness of CKD.
早期识别慢性肾脏病（CKD）可以减缓其进展，预防并发症，并降低心血管相关结局的风险。然而，目前对 CKD 认知的估计表明，患者和提供者的认知水平仍然低得令人无法接受。许多可能与 CKD 认知相关的因素，这些因素可以帮助指导认知工作的实施，尚未得到充分研究。此外，对于提高患者或提供者的认知是否能改善临床结局，或者对于 CKD 患者来说，认知是否有潜在的负面影响，知之甚少。需要进一步的研究来继续设计和完善针对患者和提供者的认知活动，但鉴于 CKD 的高患病率及其风险因素以及对 CKD 的估计认知率较低，目前急需传播基本的 CKD 信息。
