To determine the age-and gender-related incidence of chronic renal failure in a French urban area.
Prospective study of adult patients newly identified as having established, chronic renal failure defined by serum creatinine (Scr) =200 mumol/l, with the cooperation of all nephrology and dialysis units in the Ile de France district (10,660,000 inhabitants) during a 1-year period.
2775 patients (1780 males, 995 females) were referred with Scr =200 mumol/l between July 1991 and June 1992, an overall incidence of 260/million population. 847 had advanced renal failure (Scr = 500 mumol/l) and 541 patients (19.5%) were =75 years of age.
The age-related incidence was 92,264,523 and 619/million population in the age groups 20-39,40-59,60-74 and =75 years old, respectively.
The annual incidence was twice as high in males than in females up to 75 years and three times as high in patients =75 years (1124 vs 356/million population).
Based on the proportion of patients reaching end-stage renal failure within one year of referral, the minimal estimation of the need for supportive therapy is 81/million/year.
This epidemiological study in a large French urban area indicates an incidence of 260 patients per million population annually referred to nephrology units for chronic renal failure defined by Scr =200 mumol/l, with a marked preponderance of males and a dramatic increase of incidence with age in both genders.
Mots-clés Pascal : Insuffisance rénale, Chronique, Incidence, Milieu urbain, France, Europe, Epidémiologie, Homme, Age, Sexe, Appareil urinaire pathologie, Rein pathologie
Mots-clés Pascal anglais : Renal failure, Chronic, Incidence, Urban environment, France, Europe, Epidemiology, Human, Age, Sex, Urinary system disease, Renal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0384235
Code Inist : 002B14A05. Création : 10/04/1997.