Document Detail

End-stage renal disease in Michigan. Incidence, underlying causes, prevalence, and modalities of treatment.
MedLine Citation:
PMID:  3887922     Owner:  NLM     Status:  MEDLINE    
In Michigan from 1974 through 1981 the average annual end-stage renal disease (ESRD) incidence was 7.76 for males and 5.55 for females per 100,000 population. Those over 35 years of age had higher incidence rates. The average incidence for black ESRD patients was 20.75, compared with 4.78 for white ESRD patients. Thus, the risk of ESRD was 4.34 times higher in the black population. In 1981, the stated causes of ESRD in the ESRD population were diabetes mellitus (24.5%), hypertension (24.2%), and glomerulonephritis (20.9%). Black ESRD patients, compared to white, had relative risks of 3.8 for diabetes mellitus, 10.9 for hypertension, and 1.7 for glomerulonephritis. The ESRD point prevalence increased from 11.58 in 1974 to 31.68 in 1981. Males predominated over females; the sex-specific ESRD prevalence in 1981 being 36.74 and 26.83, respectively. Blacks predominated over whites; the black and white ESRD prevalences in 1981 were 80.27 and 24.81, respectively. Prevalence over these years increased faster for older age groups. Hemodialysis at a center has been the major ESRD treatment modality. The percentage of all ESRD patients on home hemodialysis steadily decreased from 1974 through 1981. Similarly, on a percentage basis, fewer patients were transplanted in 1981 than in 1974. The number of ESRD patients treated by chronic ambulatory peritoneal dialysis increased more than sevenfold from 1979 through 1981.
J M Weller; S C Wu; C W Ferguson; V M Hawthorne
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of nephrology     Volume:  5     ISSN:  0250-8095     ISO Abbreviation:  Am. J. Nephrol.     Publication Date:  1985  
Date Detail:
Created Date:  1985-05-31     Completed Date:  1985-05-31     Revised Date:  2007-02-14    
Medline Journal Info:
Nlm Unique ID:  8109361     Medline TA:  Am J Nephrol     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  84-95     Citation Subset:  IM    
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MeSH Terms
African Americans
Age Factors
Cross-Sectional Studies
Hemodialysis, Home
Kidney Failure, Chronic / epidemiology*,  etiology,  therapy
Kidney Transplantation
Middle Aged
Peritoneal Dialysis, Continuous Ambulatory
Renal Dialysis
Sex Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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