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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16.	梁雪, 刘庆婧, 陈康, 等. 2型糖尿病伴慢性肾脏病患者住院费用及用药分析. 中国慢性病预防与控制杂志, 2016, 24(7): 498-501.
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19.	黎夏, 魏登军. 慢性肾病患者住院医疗费用负担分析. 公共卫生与预防医学, 2015, 26(6): 64-67.
20.	龙俊睿, 单婵娟, 王九生, 等. 上海市某三甲医院慢性肾脏病住院患者床日住院费用时间序列分析. 第二军医大学学报, 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, 刘殿阁, 陈涵枝, 等. 567 例新发脑卒中慢肾性脏病流行病学特点. 临床荟萃, 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. 刘东伟. 慢性肾脏病流行病学和危险因素变迁及其系统评价. 郑州: 郑州大学, 2015.
5. 赵红娟, 陆晨, 岳华, 等. 乌鲁木齐市天山区 35 岁以上成人慢性肾脏病流行病学调查及相关因素分析. 中华肾脏病杂志, 2010, 26(6): 409-415.
6. 迪力木拉提, 李增录, 刘健, 等. 新疆墨玉县农村维吾尔族成人慢性肾脏病流行病学调查. 中华肾脏病杂志, 2009, 25(8): 607-612.
7. 乔勤, 顾波. 我国与全球终末期肾脏病的流行现状. 中国血液净化杂志, 2014, 13(10): 729-730.
8. 梁丽芬, 徐加, 段丽珍. 108 例慢性肾衰竭患者住院费用分析. 临床医药实践, 2016, 25(1): 60-62.
9. 宋慧, 谢修强, 居益君, 等. 对应分析在慢性肾脏病患者住院费用影响因素中的应用. 中国病案, 2017, 18(2): 59-62.
10. 莎仁娜, 王梅红, 桑晓红, 等. 1514 例成年慢性肾脏病住院患者病因与相关因素分析. 中国中西医结合肾病杂志, 2014, 15(9): 811-813.
11. 郑笑, 宋雪, 陆晨. 新疆某三甲医院肾病科住院患者的疾病构成. 中国病案, 2018, 19(5): 71-74.
12. 张文欣, 储敏. 2005 年-2014 年某医院肾内科住院患者疾病构成分析. 中国病案, 2017, 17(9): 75-78.
13. 龙俊睿, 单婵娟, 杨群娣, 等. 上海市某三甲医院 2011―2016 年慢性肾脏病住院患者调查分析. 第二军医大学学报, 2018, 39(1): 13-18.
14. 王祥, 张云香, 范小丽, 等. 潍坊市肾脏疾病病理类型分布的流行病学特点及疾病谱的演变. 中国全科医学, 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, 刘庆婧, 陈康, 等. 2型糖尿病伴慢性肾脏病患者住院费用及用药分析. 中国慢性病预防与控制杂志, 2016, 24(7): 498-501.
17. 高莉, 周刚, 冯石献, 等. 河南省居民糖尿病流行特征调查. 郑州大学学报(医学版), 2014, 49(1): 123.
18. 李文, 芦文丽, 王媛, 等. 高血压患者血压控制情况及影响因素分析. 中国公共卫生, 2012, 28(2): 154.
19. 黎夏, 魏登军. 慢性肾病患者住院医疗费用负担分析. 公共卫生与预防医学, 2015, 26(6): 64-67.
20. 龙俊睿, 单婵娟, 王九生, 等. 上海市某三甲医院慢性肾脏病住院患者床日住院费用时间序列分析. 第二军医大学学报, 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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