Practice Guideline Briefs



FREE PREVIEW Log in or buy this issue to read the full article. AAFP members and paid subscribers get free access to all articles. Subscribe now.


FREE PREVIEW Subscribe or buy this issue. AAFP members and paid subscribers get free access to all articles.

Am Fam Physician. 2007 Aug 15;76(4):587.

CDC Reports on Racial Differences in Patients with ESRD

Source: Centers for Disease Control and Prevention

Published source: Morbidity and Mortality Weekly Report, March 23, 2007

Available at: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5611a4.htm

Diabetes is the leading cause of end-stage renal disease (ESRD) in the United States, closely followed by hypertension and glomerulonephritis. During 2004, diabetes, hypertension, and glomerulonephritis accounted for nearly 80 percent of all patients with ESRD. However, the Centers for Disease Control and Prevention (CDC) found that the incidence of ESRD attributable to hypertension or diabetes decreased in Alaskan Natives, American Indians, Asians, and Pacific islanders. A decreased incidence of ESRD was not found, however, in blacks or whites.

The likelihood that diabetes was the primary diagnosis for patients with ESRD was higher among blacks, American Indians, and Alaskan Natives compared with white patients. Patients with ESRD whose primary diagnosis was hypertension were three times more likely to be black than any other race. When glomerulonephritis was the primary diagnosis, patients were more likely to be black compared with the other three racial groups.

To improve the care for patients at risk of ESRD who are in a high-risk category, the CDC notes that physicians should address blood pressure and blood glucose control, which can reduce risk factors for kidney failure.



Copyright © 2007 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact afpserv@aafp.org for copyright questions and/or permission requests.

Want to use this article elsewhere? Get Permissions


Article Tools

  • Print page
  • Share this page
  • AFP CME Quiz

Information From Industry

Navigate this Article