INCREASED INCIDENCE OF END-STAGE RENAL-FAILURE SECONDARY TO DIABETES-MELLITUS IN ASIAN ETHNIC-GROUPS IN THE UNITED-KINGDOM

被引:142
作者
BURDEN, AC
MCNALLY, PG
FEEHALLY, J
WALLS, J
机构
[1] Diabetes Research, Leicester General Hospital, Leicester
[2] Department of Nephrology, Leicester General Hospital, Leicester
关键词
END-STAGE RENAL FAILURE; ETHNIC MINORITIES; DIABETIC NEPHROPATHY; INCIDENCE RATES;
D O I
10.1111/j.1464-5491.1992.tb01860.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Diabetic renal disease is more common in patients of Asian ethnic origin than White Caucasians in the United Kingdom. This study determines whether a disparity in the incidence of end-stage renal failure secondary to diabetes mellitus exists between these ethnic groups. The incidence of treated end-stage renal failure was estimated using the person-time at risk incidence rate for patients receiving renal replacement therapy secondary to diabetes mellitus in the county of Leicestershire from 1979 to 1988. The incidence rate of end-stage renal failure expressed for the estimated population of patients with diabetes mellitus in patients of Asian ethnic origin was 486.6 (95 % CI, 185.1 to 788.1) cases per million person-years per year, compared to 35.6 (17 to 54.2) in White Caucasians. All patients of Asian ethnic origin developing end-stage renal failure had non-insulin-dependent diabetes. The high incidence of end-stage renal failure secondary to diabetes mellitus in patients of Asian ethnic origin in the UK imparts significant public health implications for resource planning and allocation, and the need to initiate strategies to ameliorate renal disease in this ethnic group.
引用
收藏
页码:641 / 645
页数:5
相关论文
共 28 条
[1]  
Samanta A., Burden AC, Fent B., Comparative prevalence of non‐insulin dependent diabetes mellitus in Asian and White Caucasian adults, Diabetes Res Clin Pract, 4, pp. 1-6, (1987)
[2]  
Mather HM, Keen H., The Southall Diabetes Survey: prevalence of known diabetes in Asians and Europeans, Br Med J, 291, pp. 1081-1084, (1985)
[3]  
Samanta A., Burden AC, Jones CR, Woollands G., Clarke M., Swift PGF, Et al., Prevalence of insulin‐dependent diabetes mellitus in Asian children, Diabetic Med, 4, pp. 65-67, (1987)
[4]  
Samanta A., Burden AC, Jagger C., A comparison of the clinical features and vascular complications of diabetes between migrant Asians and Caucasians in Leicester, U.K, Diabetes Res Clin Pract, 14, pp. 205-214, (1991)
[5]  
Samanta A., Burden AC, Feehally J., Walls J., Diabetic renal disease
[6]  
differences between Asian and White Caucasians, Br Med J, 293, pp. 366-367, (1986)
[7]  
Allawi J., Rao PV, Gilbert R., Scott G., Jarrett RJ, Keen H., Et al., Microalbuminuria in non‐insulin‐dependent diabetes: its prevalence in Indian compared with Europid patients, Br Med J, 296, pp. 462-466, (1988)
[8]  
(1981)
[9]  
(1983)
[10]  
Williams B., Burton P., Feehally J., Walls J., The changing face of end stage renal disease in a U.K. renal unit, J Roy Coll Physicians Lond, 23, pp. 116-120, (1989)