Nephrol Dial Transplant (1999) 14: 2082-2084
© 1999 European Renal Association-European Dialysis and Transplant Association
Editorial Comments
Screening for renal insufficiency: is it worth while? is it feasible?
Necker Hospital, Paris, France
Correspondence and offprint requests to: P. Jungers, Hôpital Necker, 161 rue de Sèvres, F-75730 Paris Cedex 15, France.
Increasing incidence of progressive renal insufficiency is a major public health problem
The relentlessly rising incidence of end-stage renal failure (IRF) is a major problem for all public health systems in Western countries. For more than 10 years, the number of new patients accepted on renal replacement therapy (RRT) has been increasing by about 9% per year in the USA [1], and the increment in most European countries is at least about 4% per year. In consequence, the prevalence of patients on dialysis is continuously growing, inasmuch as it is not compensated for by a corresponding annual number of kidney transplantations, and constitutes a heavy burden for national health budgets.
The growing annual incidence of ESRD patients requiring RRT is chiefly due to the increasing number of patients with diabetic nephropathy and hypertensive vascular disease, because better treatment of diabetes and hypertension means that a greater proportion of affected patients live longer, and develop renal complications. Therefore, the increasing incidence
Nephrological management improves the course of renal disease
Benefits of screening for renal disease in high-risk populations
Benefits and feasability of generalized preventive intervention in renal patients
How to improve early nephrological management of renal patients?
Notes
References
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