The retrospective cohort study comprised 97 Balkan endemic nephropathy (BEN
) and BEN-suspected patients discovered in 1971 in the field examination in
the village of Sopic, one of the regions most frequently affected by the d
isease, Our aim was to determine the outcome of the disease in patients and
to compare the survival of BEN-suspected and BEN-manifested patients and t
he survival of their kidneys. The mean survival time was 16.4 years for all
patients (95% CI 14.51-18.21) and 23.1 years for suspected and 13.3 years
for manifested patients (log-rank = 19.46; d.f. = 1; p < 0.001), According
to our results, it can be concluded that BEN is characterized by slow cours
e and prolonged evolution and that the prognosis was consistently better fo
r BEN-suspected than for BEN-manifested patients. Copyright (C) 2000 S. Kar
ger AG, Basel.