Research Institute of Nephrology, Jinling Hospital, Nanjing University School of Medicine, 305 East Zhong Shan Road, Nanjing 210002, China.
Nat Rev Nephrol. 2013 Sep;9(9):523-8. doi: 10.1038/nrneph.2013.146. Epub 2013 Jul 23.
China has a large population and a high prevalence of chronic kidney disease (CKD). The increasing incidence of obesity and type 2 diabetes mellitus, coupled with an ageing population, will exacerbate the burden of CKD unless effective control and prevention strategies are implemented. The unmet challenges of managing the growing number of patients with end-stage renal disease (ESRD) in China are reflected by the lower rate of patients receiving dialysis relative to many Western countries, owing to a lack of financial and clinical resources, and inequalities in access to health care across regions and populations. The feasibility of expanding peritoneal dialysis is being examined, and ongoing health-care reforms provide an invaluable opportunity to improve the status and quality of dialysis for patients with ESRD in China. The Chinese Society of Nephrology (CSN) advocates for efforts focused on preventing CKD coupled with early detection, treatment, and adequate follow-up to reduce mortality and the long-term burden of CKD. In addition, rapid advances in nephrology research, from basic science to clinical epidemiology, as well as broad communication and collaboration between the CSN and other international nephrology societies, will promote the development of nephrology in China.
中国人口众多,慢性肾脏病(CKD)的患病率较高。肥胖症和 2 型糖尿病发病率的上升,加上人口老龄化,将使 CKD 的负担加重,除非实施有效的控制和预防策略。中国在管理不断增加的终末期肾病(ESRD)患者方面面临着巨大的挑战,与许多西方国家相比,接受透析治疗的患者比例较低,这是由于缺乏财务和临床资源,以及在区域和人群之间存在医疗保健获取方面的不平等。正在研究扩大腹膜透析的可行性,正在进行的医疗保健改革为改善中国 ESRD 患者的透析状况和质量提供了宝贵的机会。中国肾脏病学会(CSN)倡导努力预防 CKD,同时进行早期检测、治疗和充分随访,以降低死亡率和 CKD 的长期负担。此外,肾脏病学研究的快速发展,从基础科学到临床流行病学,以及 CSN 与其他国际肾脏病学会之间的广泛交流与合作,将促进中国肾脏病学的发展。