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  1. The first clinical and epidemiological programme on renal disease in Bolivia : a model for prevention and early diagnosis of renal diseases in the developing countries.

    Article - En anglais

    Background

    The prevalence and incidence of renal diseases in developing countries are not known.

    This lack of knowledge is an obstacle to the adoption of preventive measures which may be of great value in a social and economic environment where treatment options for end-stage renal failure are simply not available to the vast majority of the population.

    Urinalysis, a simple and inexpensive test, remains a cornerstone in the evaluation of the kidney and may also be easily employed in mass screening for renal abnormalities in a developing country.

    Methods

    An educational campaign on renal diseases was conducted in three selected areas of Bolivia.

    Urine samples were collected and sent to one of 21 participating clinical centers.

    Fresh urine specimens were screened using a dipstick for chemical analysis and by microscopic urinalysis after centrifugation.

    In those patients in whom urinary abnormalities were found, further investigations were carried out in order to define the diagnosis ; these patients were enrolled in a 3-year follow-up program.

    Results

    Apparently healthy subjects (n=14 082) were referred to the First Clinical and Epidemiological Program of Renal Diseases from rural and metropolitan areas in Bolivia.

    Urinary abnormalities were detected in 4261 subjects at first screening.

    The most common form of urinary abnormality was hematuria, which was found in 2010 (47% of positively screened subjects). (...)

    Mots-clés Pascal : Rein pathologie, Incidence, Pays en développement, Diagnostic, Précoce, Asymptomatique, Organisation santé, Epidémiologie, Homme, Bolivie, Amérique du Sud, Amérique, Appareil urinaire pathologie

    Mots-clés Pascal anglais : Kidney disease, Incidence, Developing countries, Diagnosis, Early, Asymptomatic, Public health organization, Epidemiology, Human, Bolivia, South America, America, Urinary system disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0023033

    Code Inist : 002B30A01A2. Création : 31/05/1999.