DEVELOPMENT OF STRATEGIES FOR PREVENTION OF CHRONIC KIDNEY DISEASE RELEVENT TO DIFFERENT REGIONS AND - PowerPoint PPT Presentation

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DEVELOPMENT OF STRATEGIES FOR PREVENTION OF CHRONIC KIDNEY DISEASE RELEVENT TO DIFFERENT REGIONS AND

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DEVELOPMENT OF STRATEGIES FOR PREVENTION OF CHRONIC KIDNEY ... 1. Haematuria 10x106/L 4.6% 2. Proteinuria 2.4% UP:UC 0.2 mg/mg. 3. Renal Impairment 11.2 ... – PowerPoint PPT presentation

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Title: DEVELOPMENT OF STRATEGIES FOR PREVENTION OF CHRONIC KIDNEY DISEASE RELEVENT TO DIFFERENT REGIONS AND


1
DEVELOPMENT OF STRATEGIES FOR PREVENTION OF
CHRONIC KIDNEY DISEASE RELEVENT TO DIFFERENT
REGIONS AND COUNTRIES
  • ROBERT C ATKINS
  • BELLAGIO, MARCH 2004

2
DIALYSIS PATIENTS WORLD-WIDE (1996)
Schena, Kidney Int (Suppl 74), 2000
3
Incidence of Diabetes in E.S.R.F Australia 1980
- 2000
Number of Diabetics
Number of New Patients

Year of Entry
4
CAUSES OF ESRD IN THE USA
140
Diabetes
120
100
80
Hypertension
Incidence rates (x million population)
60
Glomerulonephritis
40
20
Cystic kidney
0
1990
1992
1994
1996
1998
USRDS, 2000
  • Diabetes and hypertension are the main causes for
    ESRD in the USA
  • The proportion of ESRD patients with diabetic
    nephropathy is higher in the USA than in Europe.
    However, diabetic nephropathy is the most rapidly
    growing cause of ESRD in European countries

5
AUSDIAB RESULTS
  • 7.2 with diabetes
  • (3.6 known and 3.6 newly diagnosed)
  • 16.1 with impaired glucose metabolism
  • 60 overweight or obese
  • 61.3 with high cholesterol (7.3 on treatment)
  • 29 with high blood pressure (14 on treatment)

6
PREVALENCE OF RENAL ABNORMALITIES
  • 1. Haematuria gt10x106/L 4.6
    2. Proteinuria 2.4 UPUCgt0.2
    mg/mg3. Renal Impairment 11.2 calculated
    GFR lt60 mls/min No abnormality 82 At least
    one abnormality 18 Multiple abnormalities
    2

7
PREVALENCE OF TYPE 2 DIABETES IN ASIA AND PACIFIC
Age-standardised to Segis world population
35-64 years except ³40 30-59 30-69
20-64 40-69
8
THE GLOBAL BURDEN OF DIABETES (2000-2025)
38.4
37.5
30.7
18.6
24.5
57.2
16.7
25
102
22.8
47
21.8
150
9.1
39.3
140
18.2
0.4
0.7
64
116
In million subjects
World
Developed Count.
Developing Count.
2000 2025
154 m 300 m
55 m 72 m
99 m 228 m
9
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