Pasinski R, Pasinski M
Arch Intern Med. 1987 Jun;147(6):1093-6.
We retrospectively reviewed the medical records of the Zuni Indians with end-stage renal disease from July 1973 through December 1983. Thirty-eight cases of end-stage renal disease were compiled. We report a prevalence of 2902/10(6) for 1983 and an average annual incidence over the study period of 722/10(6)/y. This prevalence is 10.9 times the rate for all whites of Arizona and New Mexico and 3.6 times the rate for all Indians of Arizona and New Mexico. The Zuni incidence is 8.6 times the incidence for Arizona and New Mexico. The most frequent causes were chronic glomerulonephritis (40%) and diabetic nephropathy (24%). In 21% of the cases no cause could be assigned. The cause for these high rates of end-stage renal disease is unknown. Hypotheses with preliminary clinical findings are presented. Further comprehensive study is recommended.
我们回顾性地查阅了1973年7月至1983年12月期间祖尼印第安人终末期肾病的病历。共收集到38例终末期肾病病例。我们报告1983年的患病率为2902/10⁶，研究期间的年平均发病率为722/10⁶/年。这一患病率是亚利桑那州和新墨西哥州所有白人患病率的10.9倍，是亚利桑那州和新墨西哥州所有印第安人患病率的3.6倍。祖尼人的发病率是亚利桑那州和新墨西哥州发病率的8.6倍。最常见的病因是慢性肾小球肾炎（40%）和糖尿病肾病（24%）。21%的病例无法明确病因。终末期肾病高发病率的原因尚不清楚。文中提出了基于初步临床发现的假设。建议进一步进行全面研究。
