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Chronic kidney disease with the goal of integration of the concept of prevention


, Urinary protein detection methods, prevention and control of the process of risk factors, chronic kidney disease and the integration target for treatment of issues such as content knowledge. In this regard, the work of renal hypertension is a good example. In the last century, more than twenty hospitals nationwide in collaboration diagnosis and treatment of renal hypertension survey found that the treatment of patients with renal hypertension was 78.2%, but the compliance rate was only 11.8% control, In addition to the main influencing factors of renal pathology, kidney and other diseases related factors,[link widoczny dla zalogowanych], but also to physicians and patients, and lack of awareness of hypertension drug is not reasonable and other factors. In this investigation based on the analysis, doctors at all levels of kidney disease and cardiovascular physicians work together for strength, active in a variety of continuing education activities and educational initiatives for patients, the diagnosis and treatment of renal hypertension was reached on the issue many issues. Recent national survey again preliminary data show that treatment of patients with renal hypertension rate has increased to 81.5%,[link widoczny dla zalogowanych], control compliance rate increased to 16.9%, compared with five years ago have a more substantial improvements, and a slight change of factors. The results show that the awareness level by level of education, at all levels under the guidance of physicians in the unity of thinking the purpose of medical work carried out there has a multiplier effect, should be our long-term and unremitting task. Currently, methods for assessment of renal function,[link widoczny dla zalogowanych], urine protein detection methods, the risk factors for many of the national assessment process control multi-center collaborative research is being carried out, I believe that in the near future for clinicians to implement prevention and treatment of chronic kidney disease provide a more integrated more valuable information. To achieve the integration of chronic kidney disease prevention concepts and goals, but also need to keep learning and related fields based on the latest knowledge, and actively promote prospective clinical controlled study to explore new treatment methods, combined with the characteristics of our patients, our physicians proposed diagnosis and treatment of ideas and programs. To do this, we must change the current domestic patients, Health care system in the current domestic situation is not perfect,[link widoczny dla zalogowanych], we should make full use of existing clinical advantages, mutual cooperation, the use of local health care resources according to local conditions, the establishment of viable local area were graded, hierarchical management system, in a conditions, which may be convenient to establish a shared database system, and gradually form a long-term follow-up of patients, systematic treatment system to make diagnosis and treatment of chronic kidney disease is a real and effective surveillance. In recent years, many tertiary hospitals or with lower levels among a wide range of collaboration among hospitals, the establishment of the clinical and pathological diagnosis of the collaborative relationship, many treatment programs for glomerular diseases,[link widoczny dla zalogowanych], the results of long-term follow-up studies continue to come out, and some multi-center Collaboration has joined the international clinical research projects to illustrate this work has made a good start. To achieve integrated prevention and treatment of chronic kidney disease concept and objectives, in view of the characteristics of patients with chronic kidney dialysis to explore the best opportunity of the advantages and disadvantages of different dialysis modalities and scope of continuous quality improvement is essential dialysis. In recent years, scholars began to focus on issues related to research in many areas have begun to focus on the dialysis department of assessment and improvement of the quality control. As our country's medical resources are limited, therefore, for the different stages of clinical research will reduce our consumption is not valid to maximize the benefits of patients provide an important basis. To achieve integrated prevention and treatment of chronic kidney disease concept and goals, not just rely on a unit of the kidney disease in a worker can be completed independently, and many must rely on interdisciplinary cooperation and national and even international multi-center collaboration. For example: to carry out epidemiological characteristics of chronic kidney disease and risk factors of the screening, the need for epidemiology, health statistics and to help professionals involved in the design process the data; in the process of monitoring high-risk groups in need of community general physicians or primary the active cooperation of physicians; in the establishment of chronic kidney disease need to follow the practice of system and other related disciplines, particularly cardiovascular disease collaborative workers; In addition, the study of the clinical diagnosis and treatment, we need basic disciplines and in closely with medical researchers, and actively carry out interdisciplinary research to explore the specificity of the patients in our country with Chinese characteristics, diagnosis and treatment measures. Because of a vast territory, different regions have their own characteristics, so the majority of our workers should further broaden kidney disease thought to be the integration of chronic kidney disease prevention concepts into practice in actual work to update the medical model, and constantly explore new methods, and actively carry out mutual cooperation, to improve the diagnosis and treatment of chronic kidney disease status of continuous improvement.