增加接入,持续的差异:腹膜透析 (PD) 使用差异趋势,2009-2019年
Christopher D Knapp1, Shuling Li1, Chuanyu Kou1
1Chronic Disease Research Group , Hennepin Healthcare Research Institute, Minneapolis, Minnesota.
概括
腹腔透析 (PD) 的使用在2009-2019年间升了203%,在所有患者群体中都有所增加. 这种扩张减少了老年人和西班牙裔人的差异,尽管社会经济差距扩大了.
科学领域:
- 腎病學和腎病醫學.
- 公共卫生和流行病学
- 健康差距 研究 研究 研究 研究
背景情况:
- 自2009年以来,腹膜透析 (PD) 的使用在美国不断增长.
- 这种增长对PD利用率差异的影响尚不清楚.
- 了解PD在人口和社会经济因素的使用趋势对于公平的病护理至关重要.
研究的目的:
- 分析2009年至2019年美国腹膜透析 (PD) 使用趋势.
- 检查PD使用率越来越高的几率在不同的人口亚组中是如何变化的.
- 评估PD扩张对不同患者群体使用差异的影响.
主要方法:
- 利用美国脏数据系统 (USRDS) 的数据,用于2009年至2019年间发生的透析患者.
- 采用后勤回归模型来评估PD使用几率的变化.
- 分析了PD利用趋势,按年龄,种族/种族,地理位置 (城市/非城市) 和社会经济地位 (社会贫困指数) 分层.
主要成果:
- 从2009年到2019年,事件PD人口增加了203%,PD使用率在所有子组中都在上升.
- 与年轻人和白人相比,PD使用在老年人 (≥75岁) 和西班牙裔个人中不成比例地增加.
- 虽然PD使用在所有社会经济层面都增长,但在社会经济上最贫困和最贫困地区之间的差距差距扩大.
结论:
- 腹腔透析 (PD) 使用的扩大成功地减少了老年人和西班牙裔患者群体的差异.
- 尽管总体上升,PD利用率仍然不均地分布在社会经济梯度上,这表明持续存在的差异.
- 持续监测和有针对性的干预措施是必要的,以确保在所有患者的人口统计和社会经济状况中平等地获得PD.
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