2007美国糖尿病并慢性肾病美国糖尿病并慢性肾病 临床指南解读临床指南解读 Primary Diagnosis for Patients Who Start DialysisDiabetes50.1%Hypertension27%Glomerulonephritis13%Other10%United States Renal Data System.Annual data report.2000.No.of patientsProjection95%CI19841988199219962000200420080100200300400500600700r2=99.8%243,524281,355520,240No.of dialysis patients(thousands)(早期糖尿病肾病)(临床糖尿病肾病)Nakao et al.Lancet 361:117-124,2003*Average number of medications 3.2 per pt,90%in all groups on dihydropyridine CCB*Hazard Ratio comparing combination with either agent alone 2005.American College of Physicians.All Rights Reserved.