title: [Chronic kidney disease in the province of Mantua and its developments over the last 40 years].
abstract: The incidence and prevalence of end-stage renal disease increased steadily for 35 years in the population of Italy's Mantua province until the end of 2007, when they started to decrease. We describe the results of providing information and raising awareness among residents of the province's capital, Mantua, and of direct teaching and short training courses in hospital wards for general practitioners over a period of 3 years. During this period there was also more consultation activity for all kidney outpatients, from the first to the last stages of chronic kidney disease. Clinical data collected by the local NHS section (ASL) showed an increase in age and comorbidities (mainly type 2 diabetes) in kidney patients. As a result of the preventive measures, there has been an effective reduction of the yearly incidence and prevalence for all kinds of treatment, with the exception of kidney transplants, which have increased progressively during the last years.
authors.affiliation: Struttura Complessa di Nefrologia e Dialisi, Dipartimento Specialita' Mediche, Azienda Ospedaliera Carlo Poma, Mantova - Italy.
authors.forename: Renzo
authors.initials: R
authors.lastname: Tarchini
authors.forename: Pierluigi
authors.initials: P
authors.lastname: Botti
authors.forename: Emanuela
authors.initials: E
authors.lastname: Bottini
authors.forename: Chiara
authors.initials: C
authors.lastname: Baraldi
authors.forename: Marisa
authors.initials: M
authors.lastname: Baruffaldi
authors.forename: Paola
authors.initials: P
authors.lastname: Brescia
authors.forename: Giorgio
authors.initials: G
authors.lastname: Ferrari
authors.forename: Domenica
authors.initials: D
authors.lastname: Lambertini
authors.forename: Cosimo Damiano
authors.initials: CD
authors.lastname: Marseglia
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Mazzola
authors.forename: Alessia
authors.initials: A
authors.lastname: Serra
authors.forename: Ernesto
authors.initials: E
authors.lastname: Talassi
authors.forename: Linda
authors.initials: L
authors.lastname: Guarda
authors.forename: Paolo
authors.initials: P
authors.lastname: Ricci
authors.forename: Maurizio
authors.initials: M
authors.lastname: Galavotti
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D006801:Humans; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D051436:Renal Insufficiency, Chronic / Q000453:epidemiology*; D013997:Time Factors; D055815:Young Adult