Current status of chronic kidney disease in China and the challenge to laboratory medicine
10.3760/cma.j.issn.1009-9158.2012.09.001
- VernacularTitle:中国慢性肾脏病的高患病率及其对检验医学的挑战
- Author:
Luxia ZHANG
;
Haiyan WANG
- Publication Type:Journal Article
- Keywords:
Chronic disease;
Kidney diseases;
Glomerular filtration rate;
Proteinuria;
Hematuria
- From:
Chinese Journal of Laboratory Medicine
2012;35(9):769-772
- CountryChina
- Language:Chinese
-
Abstract:
Chronic kidney disease (CKD) has become a public health issue worldwide.A recent cross-sectional survey revealed that the prevalence of CKD in residents aged 18 years or older was 10.8％,indicating the challenge of CKD in China.The major indicators of kidney damage include estimated glomerular filtration rate (eGFR),proteinuria and hematuria.It is recommended that laboratory should report eGFR when reporting results of blood creatinine.Both of Chinese equation and Chronic Kidney Disease Epidemiology Collaboration equation could be used.The process of creatinine measurement should be standardized.For evaluation of proteinuria,urinary creatinine should also be measured when using spot urine sample.Considering the high false positive rate and low false negative rate of urine routine test for hematuria,it is recommended that microscopic examination on urinary sediment should be done for those with positive hematuria by urine routine test.(Chin J Lab Med,2012,35:769-772)
