Stamm C, Burnier M, Zanchi A
Service de néphrologie CHUV, 1011 Lausanne.
Rev Med Suisse. 2011 Mar 2;7(284):495-9.
Diabetic nephropathy is the first cause of endstage renal disease. The demographic expansion, the increase in the incidence of diabetes and the prolonged survival rates explain the steep increase observed these last 30 years. In the United States, improved treatment has brought to a decline in the incidence of end-stage renal disease in the diabetic population since the mid nineties. We examined the change in prevalence of diabetics on dialysis from 2001 and 2009 in the Canton de Vaud, Switzerland. The prevalence of diabetics on dialysis increased from 18% to 31% in dialysis centers and increased from 1.1/1000 to 1.9/1000 in the diabetic population. These are strong indicators that efforts are needed to improve the renal outcome of patients with diabetic nephropathy.
糖尿病肾病是终末期肾病的首要病因。人口增长、糖尿病发病率上升以及生存率延长，解释了过去30年中观察到的急剧增长。在美国，自九十年代中期以来，改善治疗已使糖尿病患者人群中终末期肾病的发病率有所下降。我们研究了瑞士沃州2001年至2009年期间接受透析治疗的糖尿病患者的患病率变化。透析中心接受透析治疗的糖尿病患者患病率从18%升至31%，糖尿病患者人群中的患病率从1.1/1000升至1.9/1000。这些有力指标表明，需要努力改善糖尿病肾病患者的肾脏预后。
