Barsoum R S, Rihan Z E, Ibrahim A S, Lebstein A
Bull World Health Organ. 1974;51(6):647-54.
The pattern of mortalities from genitourinary diseases in Egypt was analysed from recent official figures. On the basis of certain assumptions concerning etiology, age, and geographical distribution, it was estimated that 37.7 per million of the general population would benefit from regular dialysis treatment, though the facilities available will permit only 5% of these subjects to receive treatment in 1975. As other diseases and conditions are much more prevalent, no great relative increase in dialysis facilities in Egypt is anticipated in the near future. A computer-controlled plan is suggested for organizing regular dialysis treatment at the national level to ensure an appropriate choice of medically suitable subjects of highest value to the community. Means of reducing the need for dialysis by minimizing the incidence of terminal chronic renal failure and of making best use of the available facilities are discussed.
根据埃及最近的官方数据,对该国泌尿生殖系统疾病的死亡模式进行了分析。基于有关病因、年龄和地理分布的某些假设,据估计,每百万普通人群中有37.7人将受益于定期透析治疗,尽管现有的设施在1975年只能允许这些患者中的5%接受治疗。由于其他疾病和病症更为普遍,预计埃及在不久的将来透析设施不会有大幅相对增加。建议制定一项计算机控制计划,以便在国家层面组织定期透析治疗,确保从医学角度适当选择对社区最有价值的患者。文中还讨论了通过尽量减少终末期慢性肾衰竭的发病率以及充分利用现有设施来减少透析需求的方法。