Lessons in ethnonephrology


Autoria(s): Hoy, W.
Contribuinte(s)

Q. Al-Awqati

Data(s)

01/01/2006

Resumo

Only recently has the nephrology community moved beyond a fairly singular focus on terminal kidney failure to embrace population-based studies of earlier stages of disease, its markers and risk factors, and of interventions. Observations in developing countries, and in minority, migrant, and disadvantaged groups in westernized countries, have promoted these developments. We are only beginning to interpret renal disease in the context of public health history, social and health transitions, changing population demography, and competing mortality. Its intimate relationships to other health issues are being progressively exposed. Perspectives on the multideterminant etiology of most disease and the pedestrian nature of most risk factors are maturing. We are challenged to reconcile epidemiologic patterns with morphology in diseased renal tissue, and to consider structural markers, such as nephron number and glomerular size, as determinants of disease susceptibility. New work force models are mandated for population-based studies and intervention programs. Intervention programs need to be integrated with other chronic disease initiatives and nested in a matrix of systematic primary care, and although flexible to changing needs, must be sustained over the long term. Cross-disciplinary collaboration is essential in designing those programs, and in promoting them to health-care funders. Substantial expansion and restructuring of the discipline is needed for the nephrology community to participate effectively in those processes.

Identificador

http://espace.library.uq.edu.au/view/UQ:79288

Idioma(s)

eng

Publicador

Nature Publishing Group

Palavras-Chave #Urology & Nephrology #Kidney Disease #Chronic (non-communicable) Disease #Epidemiology #Global Nephrology #High-risk Populations #Ethnic Groups #Stage Renal-disease #Chronic Kidney-disease #Australian Aboriginal Population #Coronary-heart-disease #Body-mass Index #Glomerular Number #Birth-weight #Risk-factors #Indigenous Australians #Myocardial-infarction #C1 #321200 Public Health and Health Services #730213 Preventive medicine
Tipo

Journal Article