實際上中國的相關數據不夠全麵，可能不能反映真實情況。比如表中中國慢性腎病死亡率沒有數據

來源: http://www.sciencedirect.com/science/article/pii/S0140673612601159

 

Table.

Chronic kidney disease epidemics in the USA and China

		USA	China
Number of people with chronic kidney disease (% of population)		26·3 million (13·1%)	119·5 million (10·8%)
Prevalence of chronic kidney disease types (%)3, 6 and 7
	1	1·78%	5·70%
	2	3·24%	3·40%
	3 (a and b)	7·69%	1·60%
	4	0·35%	0·10%
	5	..	0·03%
	5d	0·18%	..
Underestimates or overestimates		3a is likely inflated. High skeletal muscle mass might lead to overestimate	True persistent microalbuminuria might be less prevalent
Incidence of end-stage renal disease		362·4 cases per 1 million people per year. Rate of increase slowing7	80 cases or more per 1 million people per year,8 with likely exponential acceleration
End-stage renal disease mortality rate		204·9 per 1000 patient-years7	..
Socioeconomic disparities		High rates in underserved communities	High rates in rural areas
Age and sex disparities		Increasing rates with age and in women (might be overestimated)	Increasing rates with age and in women (might be overestimated)
Ethnic origin disparities		Chronic kidney disease and end-stage renal disease are 2–4 times more common in African Americans and other minorities	Mostly unknown, different disease constellations by ethnic origin
Renal replacement therapy		Third highest prevalence of CKD-5D/T worldwide	Disproportionately rare, but frequency rapidly increasing
Cost of end-stage renal disease		US$39·46 billion per year in public and private spending7	..
Main cause		Diabetes mellitus (roughly 50%) and hypertension (roughly 25%)7	Unknown, diabetes mellitus is probably a major contributor
Number of kidney transplantations7		17?413 per year	..
Public health implications		Large financial burden. High rate of hospital admittance	Uncertain, much the same burden as USA expected
Timing of start of dialysis		Tends to be early (eGFR 10–15 mL/min per 1·73 m2). Low protein diets or keto-analogues used much less to slow chronic kidney disease progression	Tends to be late (eGFR <10 mL/min per 1·73 m2). Replacement renal therapy alternatives more likely than in USA—eg, dietary intervention or uraemic toxin modulation

 

eGFR=estimated glomerular filtration rate. CKD-5D/T=stage 5 chronic kidney disease dialysis or transplantation.

 

Full-size table

所有跟帖： 

• 謝謝。 可惜沒法看到全文。 感覺好像是中國的統計不全。 -石榴- ♀ (481 bytes) () 05/12/2016 postreply 16:45:37

• 中藥對中國慢性腎病的貢獻還不清楚，但可能是台灣腎病高的原因之一。文章發現偏遠地區慢性腎病發病率高於城市，也許與高血壓 -吃與活- ♂ (269 bytes) () 05/13/2016 postreply 11:03:09