By Meguid El Nahas, Rashad Barsoum, John H. Dirks, Giuseppe Remuzzi
Compiled by way of a world group of nephrologists, this reference covers a wide selection of medical, local, and study matters on the topic of the epidemiology, analysis, and therapy of kidney disorder in ethnic populations-exploring present prevention suggestions, remedy results, and schooling and coaching practices in Africa, South the United States, Asia, in addition to China, India, Pakistan, and Russia. This reference additionally addresses particular concerns pertinent to the renal healthcare of ethnic minorities within the usa, Europe, and Australia.
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Additional resources for Kidney Diseases in the Developing World and Ethnic Minorities
Survey vs. center data) conﬁrm it. , schistosomiasis in the active young farmer), or some other unmeasured factor. Second, comparing different time periods can be misleading. The dialysis population has been aging over time such that age data from 1984 will not likely reﬂect the age of ESRF patients in 2004 (49). The same effect is noted with increasing incidence of diabetic renal disease (50). Consider the experience from Eastern Europe 28 Lacson et al. 7% within a few years (10). Third, the crude mortality rates may also vary over time.
Ren Fail 2004; 26:201–208. 6. Keshaviah P. Resource limitations and strategies for the treatment of uremia: a dialysis unit in the Himalayan foothills. Blood Purif 2001; 19:44–52. 7. Li L. End stage renal disease in China. Kidney Int 1996; 49:287–301. 8. Lin S. Nephrology in China: a great mission and momentous challenge. Kidney Int 2003; 63(suppl 83):S108–S110. 9. Berthoux F, Jones E, Gellert R, Mendel S, Saker L, Briggs D. Epidemiological data of treated end-stage renal failure in the European Union (EU) during the year 1995: report of the European Renal Association Registry and the National Registries.
It is doubtful that a comparison of clinical outcomes or even therapeutic options between India and the USA or countries of the EU will be sensible, let alone fair. However, it may be possible to predict the potential for growth in the ESRF population for a country like India based on experiences from welldeveloped programs, if the prevailing situation were to change and each and every person were given equal access to care. The world may be heading in that direction as the combined pattern of growth of ESRF patients treated in Asia, Latin America, Middle East, Africa now averages 10% per year over the past few years.