慢性腎臓病:世界的な課題
A Meguid El Nahas1, Aminu K Bello
1Sheffield Kidney Institute, Sheffield Teaching Hospital NHS Foundation Trust, Northern General Hospital Campus, University of Sheffield, Sheffield S5 7AU, UK. el-nahas@sheffield.ac.uk
Lancet (London, England)
|January 25, 2005
まとめ
慢性腎臓病 (CKD) は世界的に増加しており,末期腎臓病 (ESRD) の治療から積極的な予防への移行を必要としています. 早期発見と介入は,この拡大する疫病の管理に不可欠です.
科学分野:
- ネフロロジーはネフロロジーを用います.
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
背景:
- 慢性腎臓病 (CKD) の世界的な罹患率は増加しており,公衆衛生上の大きな課題となっています.
- 腎臓置換療法を必要とする末期腎疾患 (ESRD) は流行病になり,世界中の医療資源に負担をかけています.
- 現在の治療はESRDに焦点を当てていますが,一次予防と二次予防への移行は不可欠です.
研究 の 目的:
- 早期発見と予防戦略に焦点を当てて,世界的にCKDの疫学を調べる.
- リスク要因,進行マーカー,および腎臓の痕のメカニズムをレビューする.
- グローバルなCKDの予防と管理のための戦略的勧告を提供すること.
主な方法:
- 世界的なCKDデータに関する疫学分析.
- リスクファクター,進行マーカー,腎臓の傷痕の病理メカニズムのレビュー.
- 現在の介入の評価と,CKDの進行を遅らせるための証拠.
主要な成果:
- CKDの罹患率は世界的に増加しており,経済的な影響も大きい.
- 効果的な第一次および二次予防方法は実現可能であり,必要である.
- 腎臓の傷跡のメカニズムを理解することは,潜在的な介入に情報を与えます.
結論:
- CKDの予防に対して,グローバルで協調的なアプローチは,先進国と途上国の両方に不可欠です.
- 早期発見と積極的な予防に焦点を移すことは,世界的な健康災害を回避するために不可欠です.
- 将来の研究は,CKDの進行を遅らせ,経済的影響を管理するための介入を優先すべきである.
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