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End-Stage Renal Disease on the Rise in United States

However, rate of new cases declined in Native Americans and other subgroups

WEDNESDAY, March 28 (HealthDay News) -- The overall incidence of end-stage renal disease increased in the United States between 1994 and 2004, but cases have declined in some subgroups, including Native Americans/Alaskan Natives and Asians/Pacific Islanders, according to a report in the March 23 Morbidity and Mortality Weekly Report. About 44 percent of new cases are due to diabetes.

Researchers from the U.S. Centers for Disease Control and Prevention analyzed information supplied by the United States Renal Data System about primary end-stage renal disease diagnoses during the 10-year period.

The rate of end-stage renal disease increased between 1994 and 2004, from 261.3 per million to 348.6 per million of the population. However, cases in Native Americans/Alaskan Natives peaked in 1998-1999 and then declined, as did cases in Asians/Pacific Islanders. The rate of new cases due to glomerulonephritis dropped for all groups, the researchers report.

Earlier detection or better drug treatment for kidney failure risk factors may have caused the drop in some groups, the report suggests.

"Continued awareness and interventions (e.g. blood-glucose and blood-pressure control) to reduce the prevalence of these risk factors and improve care among persons with diabetes or hypertension are needed to sustain and improve trends in end-stage renal disease incidence," the authors write.

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