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识别慢性病第三阶段与疾病负担过重的慢性病
Austin Campbell1, Lihao Chu, Stanley Crittenden
1Evergreen Nephrology, 210 Athens Way, Ste 200, Nashville, TN 37228.
患有3期慢性病 (CKD) 和特定并发症的患者表现出更高的成本和疾病进展. 这些患者可能受益于早期转诊科医生,挑战目前的CKD第四阶段转诊指南.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 慢性病 (CKD) 是一种流行病,进展变化不定.
- 目前的指导方针建议对CKD第四阶段进行科转诊.
- 早期转诊科医生可能会改善患者的治疗结果.
研究的目的:
- 为了确定是否有伴随性疾病的CKD第3阶段患者的一个子集需要更早的脏病学转诊.
- 分析慢性结核病第三期患者的疾病进展,成本和利用模式.
- 评估早期干预对有风险的CKD第三阶段患者的潜在益处.
主要方法:
- 对患有CKD 3-5期和末期脏疾病的医疗保险受益人的回顾性研究.
- 确定了与渐进性CKD相关的7种关键并发症.
- 根据共发病现象和对比结果对CKD第三阶段的受益者进行细分.
主要成果:
- 35.4%的CKD 3期患者至少有一种选择性并发症 (CKD 3期以上).
- 结核病阶段3+队列的成本和利用模式与结核病阶段4和5相似.
- 这些发现表明,这个子组的风险和资源使用增加了.
结论:
- 基于索赔的算法可以识别高成本,高风险的CKD第三阶段患者.
- 这种CKD第3期患者的子组可能会从早期的脏病干预中受益.
- 这些发现支持重新评估目前的科转诊指南.
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