96% of kidney disease patients are unaware of it! Doctor: 4 risk groups should be careful to prevent "renal hypertension"
Dialysis too early may reduce life expectancy in half! 96% of patients don’t know there is something wrong with their kidneys
According to the 2020 Kidney Disease Annual Report, the number of people on dialysis in Taiwan is as high as 84,615. In order to prevent kidney function from deteriorating to the point of entering dialysis, the concept of prevention and treatment of early chronic kidney disease is even more important.
Huang Shangzhi, Chairman of the Taiwan Renal Medicine Association, pointed out that the prevalence of chronic kidney disease in Taiwan is about 12%, and the proportion of patients who understand kidney disease is only 3.5%, that is, 96% of patients do not know that they have kidney problems. Among them, the three high-income groups account for More than half, how to increase Taiwanese people’s awareness of early kidney disease is a top priority.
“Without cognition, there is no action, and without action, there is no way to prevent and treat the progression of chronic kidney disease!” Dr. Huang Shangzhi said that once end-stage renal disease develops, dialysis patients not only face the risk of complications, but their expected average remaining life is shorter than that of patients without dialysis. Nearly 50%. Considering that the current average life expectancy is about 80 years, if a patient undergoes kidney dialysis in his 30s, he may die at the age of 55-60.
Dr. Huang Shangzhi pointed out that 20 years after the launch of the chronic kidney disease prevention and treatment plan, the focus has gradually shifted from the back-end to the front-end. In particular, in addition to treating the original disease, patients with three highs must also pay attention to the “fourth high”-the glomerular pressure. “Renal hypertension” prevents high filtration state from increasing the pressure on the kidneys. It is also necessary to regularly check sarcoplasmic acid, proteinuria and other values, and those with family risk should be more vigilant.
Kidney dialysis accounts for 70 billion in annual health insurance expenditures. Doctors name three major kidney-damaging landmines.
Lin Yufeng, CEO of the Kidney Disease Prevention and Treatment Foundation, said that kidney dialysis accounts for up to 70 billion in annual health insurance expenditures. As the social population ages, chronic diseases and advanced age are the main risk factors for kidney dialysis. However, only about half of kidney dialysis patients participate in individual health care. Teaching management, the number of early-stage kidney disease cases is only about 20% of the total number of chronic kidney disease cases. How to combine industry-government-academic cooperation to strengthen the prevention and treatment of kidney disease and expand the amount of care is very important.
CEO Lin Yufeng gave an example. About 40% of kidney dialysis patients have diabetes, but only about half can control their glycosylated hemoglobin below 7 to meet the target. It shows that the disease awareness and health education knowledge of chronic patients are the focus of prevention and treatment of early kidney disease, so as to reduce the risk of kidney disease and dialysis among the three high-income groups.
In addition, clinical practice has seen that many patients are inadvertently exposed to various nephrotoxic drugs, such as the abuse of non-steroidal anti-inflammatory analgesics, or herbal medicines and health foods of unknown origin, which may worsen the patient’s renal function. The risk of chronic kidney disease in patients in rural areas is also up to twice that in urban areas, showing that regional differences and education level affect disease control in kidney patients.
To improve the prevention and treatment of early kidney disease, the Society of Renal Medicine joins hands with Taiwan’s AstraZeneca
Xu Zhicheng, deputy director of the National Institutes of Health, pointed out that Taiwan has the highest incidence and prevalence of dialysis in the world, with more than 3,700 dialysis patients per million people. Kidney disease prevention and treatment must start as early as possible. Judging from epidemiological data, if kidney patients participate in care plans, it will not only reduce mortality and comorbidity rates, but also significantly reduce social medical costs.
In order to strengthen the early care of kidney disease, the Taiwan Nephrology Medical Society and Taiwan AstraZeneca signed a memorandum of cooperation, hoping to achieve early success in the three major aspects of screening rates for high-risk groups, the amount of cross-team communication and cooperation, and early kidney disease health promotion organizations. The goal of “doubling” will take Taiwan’s chronic kidney disease prevention and treatment system to a higher level.
Kidney disease prevention and treatment layout in 20 years: Four major risk groups should be careful to prevent renal hypertension
Chairman Huang Shangzhi reminded that screening for early kidney disease is the first step to prevent and treat kidney disease. The Taiwan Kidney Disease Health Promotion Agency will help patients track disease changes and provide correct health education knowledge so that patients can maintain stable kidney function, which can reduce the risk of kidney disease. Risks of worsening and entering dialysis.
Chairman Huang Shangzhi said that after 20 years of kidney disease prevention and treatment in Taiwan, early screening and care for early stage kidney disease is a very important part of the kidney disease prevention and treatment blueprint. The four high-risk groups, including those with high blood pressure, smoking, long-term use of painkillers, and obesity, are called upon to undergo regular screenings, actively pay attention to kidney health, and be careful to prevent “renal hypertension” from silently causing irreversible damage to the kidneys.
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