Frequency and therapy of end-stage renal disease due to diabetic nephropathy in the German Democratic Republic.
The prevalence of diabetic nephropathy among the German Democratic Republic (GDR) population is substantial, as is true of many other countries. An epidemiologic survey performed in the county of Neubrandenburg revealed increased creatinine values in 44.9% of diabetics with diabetes duration greater than 15 years, and in 24.9% of those with the disease less than 15 years. Given these data, the prevalence of renal insufficiency due to diabetic nephropathy is estimated as 27/100,000 in diabetics with greater than 15 years, and 9/100,000 in diabetics with less than 15 years of diabetes, including only patients up to the age of 49 years; this must be substantially greater when considering all age groups. Only 13% of all patients on chronic hemodialysis are diabetics. Although we offer each of our nephropathic diabetics such kidney replacement therapies as dialysis and transplantation, a substantial number of diabetics are not treated, presumably due to advanced macrovascular complications.
Zander
E
E
Central Institute of Diabetes Gerhardt Katsch, Karlsburg, German Democratic Republic.
Schulz
B
B
Jutzi
E
E
Templin
R
R
Zenker
K
K
Schneider
H
H
D000367:Age Factors; D003710:Demography; D003920:Diabetes Mellitus / Q000453:epidemiology* / Q000401:mortality; D003928:Diabetic Nephropathies / Q000453:epidemiology* / Q000601:surgery / Q000628:therapy; D005860:Germany, West; D006085:Graft Survival; D006801:Humans; D007676:Kidney Failure, Chronic / Q000453:epidemiology* / Q000601:surgery / Q000628:therapy; D016030:Kidney Transplantation; D006435:Renal Dialysis