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慢性病的编码与英格兰CCG水平的替代疗法发生率之间的关联:一项生态研究
Christoph Heinrich Lindemann1, James Medcalf2,3, James Fv Hollinshead4
1Department II of Internal Medicine and Center for Molecular Medicine Cologne (CMMC), University of Cologne, Faculty of Medicine and University Hospital, Cologne, Germany christoph.lindemann@uk-koeln.de.
BJGP open
|February 7, 2025
概括
未诊断的慢性病 (CKD) 与英格兰更高的替代疗法 (KRT) 率有关. 这种关联在急性损伤 (AKI) 死亡率高的地区更为强烈,突出了更好的CKD编码的需要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
背景情况:
- 由于人口老龄化,慢性病 (CKD) 和置换疗法 (KRT) 的流行率不断上升.
- 现有的研究将CKD编码与改善护理和减少心力衰竭住院治疗联系起来.
研究的目的:
- 调查CKD编码与英格兰地区KRT发病率之间的关联.
- 探索与CKD诊断率相关的KRT发病率的地理差异.
主要方法:
- 在英国使用临床调试组 (CCG) 进行生态研究设计.
- 分析英国脏注册局 (UKRR) 关于KRT发病率 (2019-2021) 的数据.
- 使用的CVDPREVENT审计数据,用于未编码的CKD患者 (PUCP) 和混者的百分比;AKI死亡率的UKRR.
主要成果:
- 在PUCP和KRT发病率之间发现了一个非线性关联.
- 较低的PUCP五分位数与较低的KRT发病率相关.
- 在高AKI死亡率的地区,PUCP和KRT发病率之间的关联更为明显.
结论:
- 未诊断的CKD的更高患病率与英格兰地理层面上KRT发病率的增加有关.
- 在急性损伤死亡率高的地区,未编码的CKD与较高的KRT率之间存在更强的联系.
- 改进的CKD诊断和编码可能有助于管理KRT发生率.
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