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Current ESRD burden and its future trend in Beijing, China
1Department of Nephrology, Peking University People's Hospital, Beijing Blood Purification Quality Control and Improvement Center, Beijing, China.
Clinical Nephrology
|March 1, 2015
Summary
The incidence of end-stage renal disease (ESRD) requiring maintenance hemodialysis (MHD) is decreasing in Beijing, while prevalence is rising. Mortality rates among MHD patients are also declining.
Area of Science:
- Nephrology
- Public Health
- Epidemiology
Background:
- End-stage renal disease (ESRD) poses a significant public health challenge globally.
- Maintenance hemodialysis (MHD) is a critical treatment for ESRD patients.
- Understanding trends in ESRD incidence, prevalence, and mortality is vital for healthcare planning.
Purpose of the Study:
- To analyze the epidemiological trends of ESRD patients undergoing maintenance hemodialysis (MHD) in Beijing, China.
- To examine changes in incidence, prevalence, and mortality rates from 2007 to 2013.
- To identify shifts in the leading causes of ESRD.
Main Methods:
- Utilized patient-level data from Beijing hemodialysis (HD) facilities.
- Data collected by the Beijing Hemodialysis Quality Control and Improvement Center (BJHDQCIC).
- Calculated incidence, prevalence, and mortality rates per million population.
Main Results:
- ESRD incidence rate declined from 136.3 pmp (2009) to 94.4 pmp (2013).
- Diabetes mellitus became the leading cause of incident ESRD, surpassing chronic glomerulonephritis from 2010.
- Prevalence increased to 579 pmp by 2013, with chronic glomerulonephritis remaining the primary cause in prevalent MHD patients.
- Annual mortality rate decreased to 6.4% in 2013.
Conclusions:
- Beijing experienced a decreasing trend in MHD patient incidence.
- A rising prevalence of MHD patients was observed.
- Mortality rates among MHD patients in Beijing showed a downward trend.
