Disease composition and medical expenses of chronic kidney disease in People's Hospital of Xinjiang Uygur Autonomous Region from 2012 to 2017: a cross-sectional survey_Chinese Journal of Evidence-Based Medicine

Authors：

ZHENG Xiao ¹ , ZHANG Jingjing ² ,  LU Chen ³

1. Xinjiang Clinical College of Anhui Medical University, Urumqi, 830001, P.R.China;
2. Shihezi University, Shihezi, 832000, P.R.China;
3. People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, 830001, P.R.China;

Corresponding?author：

LU Chen, Email: luchen706@163.com

Keywords：

Chronic kidney disease; Inpatient; Disease composition; Medical expense

DOI：

10.7507/1672-2531.201802050

Video：

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Objectives To investigate the disease composition and medical costs of in patients with chronic kidney disease (CKD) in People's Hospital of Xinjiang Uygur Autonomous Region from 2012 to 2017. Methods To retrieve the records of patients with CKD, and to classify the main diagnosis of the first page of the medical record according to the International Classification of Diseases (ICD-10) standard. Data was analyzed using Excel 2010 and SPSS 19.0 software. Results A total of 11 650 CKD patients were included, with a sex ratio of 1.48 to 1. The patients were mainly young and middle-aged, accounting for 75.56%. The top 11 diseases of CKD patients were chronic glomerulonephritis, membranous nephropathy, diabetic nephropathy, IgA nephropathy, hypertensive nephropathy, minimally pathological nephritis, focal segmental glomerulosclerosis, lupus nephritis, Polycystic kidney disease, chronic interstitial nephritis and purpuric nephritis. The per capita hospitalization days of CKD patients was 11.23 days, and the per capita medical expenses was 1.51 million yuan. Significant differences were found in different genders, ethnic groups, age groups, disease composition and CKD staging. The medical expenses of CKD patients were mainly medicine and inspection fees, accounting for 71.35%. Conclusions Inpatients of CKD in the People's Hospital of Xinjiang Uygur Autonomous Region have a heavy disease burden and large difference in their conditions.

Citation： ZHENG Xiao, ZHANG Jingjing, LU Chen. Disease composition and medical expenses of chronic kidney disease in People's Hospital of Xinjiang Uygur Autonomous Region from 2012 to 2017: a cross-sectional survey. Chinese Journal of Evidence-Based Medicine, 2018, 18(9): 903-906. doi: 10.7507/1672-2531.201802050 Copy

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2.	丁弘, 劉殿閣, 陳涵枝, 等. 567 例新發腦卒中慢腎性臟病流行病學特點. 臨床薈萃, 2009, 24(22): 1945.
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18.	李文, 蘆文麗, 王媛, 等. 高血壓患者血壓控制情況及影響因素分析. 中國公共衛生, 2012, 28(2): 154.
19.	黎夏, 魏登軍. 慢性腎病患者住院醫療費用負擔分析. 公共衛生與預防醫學, 2015, 26(6): 64-67.
20.	龍俊睿, 單嬋娟, 王九生, 等. 上海市某三甲醫院慢性腎臟病住院患者床日住院費用時間序列分析. 第二軍醫大學學報, 2018, 39(1): 29-36.

1. National Kidney Foundation. KDOQI clinical practice guide-line for diabetes and CKD: 2012 Update. Am J Kidney Dis, 2012, 60(5): 850.
2. 丁弘, 劉殿閣, 陳涵枝, 等. 567 例新發腦卒中慢腎性臟病流行病學特點. 臨床薈萃, 2009, 24(22): 1945.
3. Zhang L, Wang F, Wang L, et al. Prevalence of chronic kidney disease in China: a cross-sectional survey. Lancet, 2012, 379(9818): 815-822.
4. 劉東偉. 慢性腎臟病流行病學和危險因素變遷及其系統評價. 鄭州: 鄭州大學, 2015.
5. 趙紅娟, 陸晨, 岳華, 等. 烏魯木齊市天山區 35 歲以上成人慢性腎臟病流行病學調查及相關因素分析. 中華腎臟病雜志, 2010, 26(6): 409-415.
6. 迪力木拉提, 李增錄, 劉健, 等. 新疆墨玉縣農村維吾爾族成人慢性腎臟病流行病學調查. 中華腎臟病雜志, 2009, 25(8): 607-612.
7. 喬勤, 顧波. 我國與全球終末期腎臟病的流行現狀. 中國血液凈化雜志, 2014, 13(10): 729-730.
8. 梁麗芬, 徐加, 段麗珍. 108 例慢性腎衰竭患者住院費用分析. 臨床醫藥實踐, 2016, 25(1): 60-62.
9. 宋慧, 謝修強, 居益君, 等. 對應分析在慢性腎臟病患者住院費用影響因素中的應用. 中國病案, 2017, 18(2): 59-62.
10. 莎仁娜, 王梅紅, 桑曉紅, 等. 1514 例成年慢性腎臟病住院患者病因與相關因素分析. 中國中西醫結合腎病雜志, 2014, 15(9): 811-813.
11. 鄭笑, 宋雪, 陸晨. 新疆某三甲醫院腎病科住院患者的疾病構成. 中國病案, 2018, 19(5): 71-74.
12. 張文欣, 儲敏. 2005 年-2014 年某醫院腎內科住院患者疾病構成分析. 中國病案, 2017, 17(9): 75-78.
13. 龍俊睿, 單嬋娟, 楊群娣, 等. 上海市某三甲醫院 2011―2016 年慢性腎臟病住院患者調查分析. 第二軍醫大學學報, 2018, 39(1): 13-18.
14. 王祥, 張云香, 范小麗, 等. 濰坊市腎臟疾病病理類型分布的流行病學特點及疾病譜的演變. 中國全科醫學, 2016, 19(B12): 307-311.
15. Collins AJ, Foley RN, Chavers B, et al. United States Renal Data System 2011 Annual Data Report: Atlas of chronic kidney disease & end-stage renal disease in the United States. Am J Kidney Dis, 2012, 59(Suppl 1): A7, e1-420.
16. 梁雪, 劉慶婧, 陳康, 等. 2型糖尿病伴慢性腎臟病患者住院費用及用藥分析. 中國慢性病預防與控制雜志, 2016, 24(7): 498-501.
17. 高莉, 周剛, 馮石獻, 等. 河南省居民糖尿病流行特征調查. 鄭州大學學報(醫學版), 2014, 49(1): 123.
18. 李文, 蘆文麗, 王媛, 等. 高血壓患者血壓控制情況及影響因素分析. 中國公共衛生, 2012, 28(2): 154.
19. 黎夏, 魏登軍. 慢性腎病患者住院醫療費用負擔分析. 公共衛生與預防醫學, 2015, 26(6): 64-67.
20. 龍俊睿, 單嬋娟, 王九生, 等. 上海市某三甲醫院慢性腎臟病住院患者床日住院費用時間序列分析. 第二軍醫大學學報, 2018, 39(1): 29-36.

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Disease composition and medical expenses of chronic kidney disease in People's Hospital of Xinjiang Uygur Autonomous Region from 2012 to 2017: a cross-sectional survey

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