Excessive burden of end-state renal disease among Canadian Indians: a national survey

Analysis of data from the Canadian National Renal Failure Register indicates that Canadian Natives are at much higher risk for end-stage renal disease (ESRD) than the Canadian population in general. Using two population estimates for the total Native population, the age-standardized incidence rate o...

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Bibliographic Details
Published in:American journal of public health (1971) 1989-06, Vol.79 (6), p.756-758
Main Authors: Young, T K, Kaufert, J M, McKenzie, J K, Hawkins, A, O'Neil, J
Format: Article
Language:English
Subjects:
Biological and medical sciences
Canada
Cohort Studies
Demographics
Disease
Female
Humans
Indians, North American
Kidney diseases
Kidney Failure, Chronic - epidemiology
Kidney Failure, Chronic - ethnology
Kidneys
Male
Medical sciences
Native North Americans
Nephrology. Urinary tract diseases
Population
Public health
Registries
Risk Factors
Urinary system involvement in other diseases. Miscellaneous
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Description
Summary:Analysis of data from the Canadian National Renal Failure Register indicates that Canadian Natives are at much higher risk for end-stage renal disease (ESRD) than the Canadian population in general. Using two population estimates for the total Native population, the age-standardized incidence rate of newly registered ESRD cases between 1981 and 1986 among Natives was at least 2.5 times (and may be as high as four times) the national rate. Natives were particularly at higher risk for ESRD to diabetes, glomerulonephritis, and pyelonephritis, whereas for the other causes the risk was no different from that of other Canadians. As technologically sophisticated treatment facilities are only available in major urban centers, Native ESRD patients and their families living in remote areas of Canada are faced with major psychosocial disruptions of relocation.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.79.6.756