Original InvestigationPathogenesis and Treatment of Kidney DiseaseEpidemiological Features of CKD in Taiwan
Section snippets
Study Population
All contracted medical institutions must submit standard claim documents for medical expenses on a computerized form that includes dates of visit and discharge, identification number, sex, birthday, diagnostic code, prescription drugs dispensed, and so on.
In cooperation with the Bureau of NHI, the National Health Research Institute randomly sampled a representative database from the entire database by means of a systematic sampling method for use in health insurance–related studies. The size of
Results
Table 1 lists demographic characteristics of the 176,365 enrolled study group participants and the nationwide population in 1996. There are no differences in demographic characteristics between these 2 groups. Outcomes of the study population are shown in Fig 1. There were 18,779 and 599 individuals identified as CKD and ESRD cases during the 8-year study period, respectively. Of 171,769 individuals initially not diagnosed as CKD/ESRD cases in 1996, a total of 15,271 (8.89%) and 294 (0.17%)
Discussion
Most epidemiological studies of renal disease focused on ESRD, rather than the early stage of CKD. Because of the increasing burden on health care resources of ESRD and the preventable nature of CKD, it is imperative to shift the emphasis of the approach to renal disease from treatment of ESRD to early detection and prevention of CKD.
CKD prevalence has been estimated in other countries,4, 9, 10, 11, 12, 13, 14 all of which were surveys of only adults. Prospective studies focusing on the
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Originally published online as doi:10.1053/j.ajkd.2006.10.007 on November 28, 2006.
This study is based in part on data from the National Health Insurance Research Database provided by the Bureau of National Health Insurance, Department of Health, and managed by National Health Research Institute. The interpretation and conclusions contained herein do not represent those of Bureau of National Health Insurance, Department of Health, or National Health Research Institute.
Support: None. Potential conflicts of interest: None.