慢性腎臟病危險因子的探討

Risk Factors for Chronic Kidney Disease

10.6200/TCMJ.2007.4.9.12

楊芝青(Chih-Ching Yang)

慢性腎臟病 ； 末期腎臟病 ； 流行病學研究 ； 致病危險因子 ； 醫療照護品質 ； chronic kidney disease ； end stage renal disease ； risk factors ； public health approach ； health care system

北市醫學雜誌

4卷9_S期（2007 / 12 / 01）

880 - 889

繁體中文

根據美國腎臟資料庫(USRDS)指出，公元2006年台灣的末期腎臟病發生率及盛行率分居世界第一及第二，而2005年只佔0.2%健保總投保人口的末期腎臟病患者，其單就腎臟病醫療便消耗了7.3%的健保資源。有鑑於慢性腎臟病對國民健康的危害與對健保造成的龐大負擔，且因透析造成的勞動力損失，與所帶給家庭與社會的照顧負擔，更是難以估計，故本之以流行病學研究之實證資料探討慢性腎臟病的致病危險因子，進而提供減緩末期腎臟病之發生率及作為研擬慢性腎臟病早期預防方法之基礎，長期而言應可盡逐年降低慢性腎臟病之盛行率與發生率、提升醫療照護品質、減低健保負擔之事功。

The burden of chronic kidney disease (CKD) is growing. The incidence of end stage renal disease (ESRD) was 384 per million population in 2003 in Taiwan, which was the greatest incidence in the world. Moreover, a recent study found that the prevalence of persons with decreased glomerular filtration rate (GFR; 60 mL/min/1.73 m2[1.0 mL/s/1.73 m2]) was 6.9% in Taiwan. Fortunately, the large burden of CKD does not appear to be inevitable; there are many reasons to believe it can be reduced substantially. A key will be the early identification of individuals who are at risk. The very high prevalence of CKD and incidence of ESRD in Taiwan makes the study of risk factors for CKD a high priority issue in Taiwan's health care system. Using a broad and coordinated public health approach will be necessary to meet the burgeoning health, economic, and societal challenges of chronic kidney disease. There is evidence that earlier stages of CKD can be detected and treated and that adverse outcomes of CKD can be prevented or delayed.