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Volume 351:1934-1936 November 4, 2004 Number 19
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Treating Diabetic Nephropathy — Are There Only Economic Issues?
William E. Mitch, M.D.

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Economic issues sometimes seem to be the primary considerations in discussions of treatment for nephropathy in patients with type 2 diabetes. But in the end, the economics of treatment are driven by clinical issues, many of which have yet to be resolved. For example, in the United States, type 2 diabetes is the leading cause of end-stage renal disease; it accounted for approximately 40 percent of cases in patients who began dialysis between 1994 and 1999. Worse yet, the worldwide incidence of end-stage renal disease among patients with type 2 diabetes is expected to double by 2010. These depressing data . . . [Full Text of this Article]


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From the Renal Division, University of Texas Medical Branch, Galveston.


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