Journal of the American Society of Nephrology
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J Am Soc Nephrol 14:S122-S126, 2003
© 2003 American Society of Nephrology


Supplement Article

A Comprehensive Public Health Approach to Address the Burden of Renal Disease in Singapore

Sylvia Paz B. Ramirez

The Center for Prevention and Research, National Kidney Foundation Singapore, Singapore and Faculty of Medicine, National University of Singapore, Singapore.

Correspondence to Dr. Sylvia Paz B. Ramirez, National Kidney Foundation Singapore, 81 Kim Keat Road, Singapore 328836. Phone: 65-6351-5443; Fax: 65-6354-9410;

ABSTRACT. With the epidemic rise of ESRD in multiple regions of the world, there is an urgent need to implement programs to address this increasing burden of kidney disease. We illustrate a public health approach using the program of the National Kidney Foundation of Singapore that incorporates stepwise primary, secondary, and tertiary strategies for prevention. Components of the program include an aggressive public education program, routine surveillance for kidney disease and associated chronic diseases, the implementation of a disease management program to improve physician practice patterns, and the provision of comprehensive services in the community through a network of Prevention Centers designed to optimize the care of patients at risk for kidney disease. Finally, an equally important aspect is the clinical and epidemiologic research component, because this will provide clear benchmarks to determine the program’s effect on ESRD as well as generate information that can be used to identify future directions for this evolving program. E-mail: paesr@nus.edu.sg




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