Department of Medicine, Division of Nephrology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Kidney Int. 2017 Apr;91(4):766-768. doi: 10.1016/j.kint.2017.01.027.
Indigenous populations in North America have very high rates of diabetes and diabetic complications, including end-stage renal disease. A promising new report demonstrates a substantial decline in the incidence of diabetic end-stage renal disease among American Indians and Alaska Natives, coinciding with a public health intervention targeting diabetes management in this population. This success may offer a model for interventions to improve kidney disease outcomes in other high-risk populations.
北美的原住民群体糖尿病及其并发症（包括终末期肾病）的发病率非常高。一项有前景的新报告表明，美国印第安人和阿拉斯加原住民的糖尿病终末期肾病发病率大幅下降，这与针对该人群糖尿病管理的公共卫生干预措施相吻合。这一成功可能为其他高危人群改善肾脏病结局的干预措施提供范例。
