Regional Variations in the Middle-Aged and Elderly Population with Late-Stage Chronic Kidney Disease: A Community-Based Population Survey in Chiayi County, Taiwan

區域差異在預測台灣省嘉義縣中老年人口晚期腎臟病的角色：以社區為基礎的研究調查

雷振宙(Chen-Chou Lei) ； 楊雪芳(Hsueh-fang Yang) ； 盧龍泉(Long-chuan Lu) ； 張弘育(Hung-Yu Chang) ； 李佩賢(Pei-Hsien Lee) ； 徐永建(Yung-Chien Hsu) ； 董淳武(Chun-Wu Tung) ； 張洵浩(Rsun-Hao Chang) ； 鍾明昌(Ming-Chung Jong) ； 陳秋月(Chiu-Yueh Chen) ； 方貴英(Kuei-Ying Pang) ； 趙玉秀(Yu-Shiu Chao) ； 施雅雪(Ya-Hsueh Shih) ； 林俊

《Acta Nephrologica》 23卷2期 (2009/06) Pp. 103-109

並列摘要

This study aimed to investigate the regional variations in the prevalence of late-stage chronic kidney diseases (CKD) in middle-aged and elderly population among the 18 townships in Chiayi County. We identified participants using the results of a community-based medical screening survey obtained from the computerized database of the Public Health Bureau, Chiayi County over a 4-year period. A total of 32331 subjects aged ≥40 y were enrolled in this study. The estimated glomerular filtration rate (eGFR) was calculated using the simplified Modification of Diet in Renal Disease (MDRD) equation, and the CKD stage was classified according to the National Kidney Foundation s Kidney Disease Outcomes Quality initiative (NKF-KIDOQI) guidelines. The percentage of participants with late-stage CKD in Chiayi County was 19.5%. Our study clearly demonstrates the regional dependence of the prevalence of late-stage CKD among the surveyed participants after adjustment for age in both male and female populations. The risk of developing late-stage CKD in the middle-aged and elderly population among the 18 townships in Chiayi County was found to exhibit regional and geographical variations, especially in the townships near the mountainside.

並列關鍵字

chronic kidney disease ； regional differences ； end-stage renal disease