早期慢性病和相关的医疗保健支出
Naomi Sakoi1,2, Yuichiro Mori2, Yusuke Tsugawa3,4
1Department of Epidemiology, Infectious Disease Control and Prevention, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
JAMA network open
|January 12, 2024
概括
早期慢性病 (CKD) 显著增加医疗保健支出. 随着疾病的进展,这种关联变得更加明显,突出显示了CKD管理的经济影响.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 慢性病 (CKD) 是一个重大的全球健康挑战,对医疗保健资源利用有重大影响.
- 了解早期CKD的经济负担对于有效的医疗保健规划和资源分配至关重要.
研究的目的:
- 调查早期慢性病 (CKD) 与医疗保健支出之间的关联.
- 分析这种关联如何随着时间的推移在一般人群中发生变化.
主要方法:
- 一项队列研究,利用来自日本的全国健康检查和医疗索赔数据.
- 纳入标准:年龄在30-70岁之间,在2014年基线查时估计的膜过率 (eGFR) ≥30mL/min/1.73m2的个体.
- 基于eGFR和蛋白尿的CKD分期;主要结果是5年 (2014-2019) 的过度医疗保健支出.
主要成果:
- 患有蛋白尿和/或降低EGFR (30-59毫升/分钟/1.73米2) 的参与者在基线显著增加了过度医疗保健支出.
- 蛋白尿的存在与调整后178美元的支出差异有关.
- 30-59毫升/分钟/1.73米2的eGFR,特别是蛋白尿,导致医疗保健支出过剩大幅增加 (608美元至1254美元).
- 在随后的五年中,人们观察到持续的医疗保健支出过剩.
结论:
- 早期的CKD与五年内医疗保健支出增加有关.
- 与CKD相关的经济负担随着疾病的进展而升级.
- 这些发现强调了早期发现和治疗CKD的重要性,以减轻医疗保健成本.
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