在墨西哥社会保险局 (IMSS) 推接受脏置换治疗的患者的发病率,人口统计和服务利用率米乔阿坎:回顾性分析
Christian Diaz de Leon Castañeda1,2, Venice Chávez Valencia3, Cleto Álvarez Aguilar4
1Researchers for Mexico (Investigadoras e Investigadores por México) Program, Secretaría de Ciencia, Humanidades, Tecnología e Innovación (SECIHTI), Mexico City, MEX.
Cureus
|April 14, 2025
概括
在墨西哥,慢性病 (CKD) 的转诊病例正在增加. 特定地区出现更高的发病率和更年轻的患者需要脏替代疗法 (RRT),突出需要改善透析服务.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 慢性病 (CKD) 对墨西哥的患者,医疗保健系统和社会构成重大挑战.
- 置换疗法 (RRT) 对于管理末期病至关重要.
研究的目的:
- 分析患者的发病率,人口统计和服务利用情况,这些患者在墨西哥米乔阿坎的IMSS设施中转诊进行RRT (腹腔透析或血液透析).
- 为了确定在CKD患者转诊和RRT启动方面的区域差异.
主要方法:
- 对IMSS Michoacán数据库的分析,涵盖2007年1月至2023年9月的时间.
- 检查患者转诊发病率,透析开始时的平均年龄和服务提供比例.
- 特别分析的重点是特定的分授权和明确的米乔阿肯州内感兴趣的地区.
主要成果:
- 观察到RRT转诊的增加趋势,2021年该州的发病率为每10万人口中的28.42例.
- 齐塔库阿罗的分授权和感兴趣的地区显示出明显更高的发病率和更年轻的患者开始透析.
- 血液透析 (HD) 服务的比例随着时间的推移而越来越高,在获取方面存在明显的不平等.
结论:
- IMSS Michoacán正在经历RRT推的上升趋势.
- 一个特定的分授权和感兴趣的地区表现出较大的RRT转诊负担和较年轻的透析开始年龄.
- 加强HD服务基础设施至关重要,以提高Michoacán全境的保险患者的可访问性.
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