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[末期病的患病率和治疗方式的分布]
Belkacem Issad1, Roula Galland2, Véronique Merle3
1Représentant du registre de dialyse péritonéale de langue française (RDPLF) au CS REIN, Service de Néphrologie groupe hospitalier Pitié /Salpêtrière Paris Sorbonne université
Nephrologie & therapeutique
|August 28, 2023
概括
法国ESKD注册表显示,慢性病主要影响的是老年人. 尽管移植活动增加,但透析和移植患者之间的差距仍然很大.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 法国脏流行病学和信息网络 (REIN) 已经收集了20年关于末期脏疾病 (ESKD) 的数据.
- 了解ESKD患病率和治疗趋势对于公共卫生规划至关重要.
研究的目的:
- 总结法国国家ESKD注册表的贡献.
- 分析ESKD患病率,治疗方式和患者人口统计的关键趋势.
主要方法:
- 分析来自法国国家ESKD注册表 (REIN) 的数据.
- 检查患者人口统计数据,重点关注透析和移植群体的年龄分布.
- 评估不同透析方式 (中心内,中心外,自我护理,家庭) 和移植活动的趋势.
主要成果:
- ESKD主要影响老年人群,透析患者的平均年龄为71.1岁,移植患者的平均年龄为58.7岁.
- 虽然移植活动和移植存活率有所改善,但透析和移植患者数量之间的差异仍然存在.
- 观察到中心内血液透析的适度下降,归因于医疗外中心单位的使用增加和自我护理血液透析的减少.
- 尽管有支持性政策和建议,但家庭透析护理仍然稳定.
结论:
- 法国ESKD注册提供了有关疾病负担和治疗模式的宝贵见解.
- 高龄是ESKD患病率的一个重要因素.
- 透析方式的转变和移植的持续差距凸显了病管理的持续挑战.
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