Beruflich Dokumente
Kultur Dokumente
© by Adrian Franke
Etiology
• can be found in every age
highly depending on educational, social
and hence nutritional status
• is either acquired or inherited
• occurs with higher probabilities in certain
diseases (e.g. diabetes mellitus,
arteriosclerosis, arterial hypertonia, viral
diseases)
• occurs with higher probabilities in older
people
Definition
• we speak of a chronic kidney disease, if
there is either:
1. proteinuria or microalbuminuria
2. or a kidney function of less than 60% of
normal
3. or a pathological alteration of the kidneys
4. and if this situation if present for more
than 3 months
Measurement of kidney function
• achieved by measurement of creatinin
(metabolic waste product)
concentration in the blood
(physiological: 50 – 120 µmol/L) creatinin
diabetes mellitus II 24 29 30 31 32 32 33 31 32
nephrosklerosis 14 16 16 15 17 18 20 22 23
glomerulonephritis 16 15 14 15 14 14 14 12 13
interstitial nephritis 13 11 11 10 9 9 8 8 8
unknown genesis 11 9 10 9 10 9 9 9 8
cystic kidneys 6 6 6 6 6 5 5 5 4
systemic diseases 4 4 4 4 3 4 4 4 4
various 4 4 3 4 4 4 4 4 4
diabetes mellitus I 7 6 6 5 4 4 3 3 3
congenital diseases 1 1 1 1 1 1 1 1 1
1996
7% 1%
4% 24%
4%
6%
11%
14%
13%
16%
2005
3% 1%
4%
4%
4%
32%
8%
8%
13%
23%
terminal renal insufficiency &
treatment possibilities
1. hemodialysis
2. peritoneal dialysis
3. transplantation
1. hemodialysis
2. peritoneal dialysis