Decreased incidence of end-stage renal disease in American Indians with diabetes: a model for other high-risk populations?
Indigenous populations in North America have very high rates of diabetes and diabetic complications, including end-stage renal disease. A promising new report demonstrates a substantial decline in the incidence of diabetic end-stage renal disease among American Indians and Alaska Natives, coinciding with a public health intervention targeting diabetes management in this population. This success may offer a model for interventions to improve kidney disease outcomes in other high-risk populations.
Department of Medicine, Division of Nephrology, Icahn School of Medicine at Mount Sinai, New York, New York, USA. Electronic address: christina.wyatt@mssm.edu.
Christina M
CM
Wyatt
D000072957:Alaska Natives; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000208:ethnology* / Q000628:therapy; D003928:Diabetic Nephropathies / Q000175:diagnosis / Q000208:ethnology* / Q000517:prevention & control; D006303:Health Services, Indigenous; D006801:Humans; D015994:Incidence; D007198:Indians, North American; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000208:ethnology* / Q000517:prevention & control; D011379:Prognosis; D011634:Public Health; D018570:Risk Assessment; D012307:Risk Factors; D013997:Time Factors; D014481:United States / Q000453:epidemiology; D016549:United States Indian Health Service