Healthcare resource utilisation for chronic kidney disease and other major non-communicable chronic diseases in China: a cross-sectional study

Abstract

ObjectiveTo evaluate the healthcare resource utilisation for chronic kidney disease (CKD) and other major non-communicable chronic diseases (NCDs) in China.DesignA cross-sectional study.SettingA national inpatient database of tertiary hospitals in China.ParticipantsThe study included a total of 19.5 million hospitalisations of adult patients from July 2013 to June 2014. Information on CKD and other major NCDs, including coronary heart disease (CHD), stroke, hypertension, diabetes, chronic obstructive pulmonary disease (COPD) and cancer, was extracted from the unified discharge summary form.Outcome measuresCost, length of hospital stay and in-hospital mortality.ResultsThe percentages of hospitalisations with CKD, CHD, stroke, hypertension, diabetes, COPD and cancer were 4.5%, 9.2%, 8.2%, 18.8%, 7.9%, 2.3% and 19.4%, respectively. For each major NCD, the presence of CKD was independently associated with longer hospital stay, with increased percentages ranging from 7.69% (95% CI 7.11% to 8.28%) for stroke to 21.60% (95% CI 21.09% to 22.10%) for CHD. Hospital mortality for other NCDs was also higher in the presence of CKD, with fully adjusted relative risk ranging from 1.91 (95% CI 1.82 to 1.99) for stroke to 2.65 (95% CI 2.55 to 2.75) for cancer. Compared with other NCDs, CKD was associated with the longest hospital stay (22.1% increase) and resulted in the second highest in-hospital mortality, only lower than that of cancer (relative risk, 2.23 vs 2.87, respectively).ConclusionsThe presence of diagnosed CKD alongside each major NCD was associated with an additional burden on the healthcare system. Healthcare resource utilisation and prognosis of CKD were comparable with those of other major NCDs, which highlights the importance of CKD as a major public health burden.

Determinants of Dietary Pattern & Non Communicable Diseases among Adult Population of Districts Kohat & Nowshera KP

“…In our study, 65.45% like salt in food as was found in study of Clermont et al, 2022; which showed 87% prevalence 5 . Moreover, our study findings were consistent with Ghimire et al, 2021; by not preferring salt in food 15 24,2,22,11 . Furthermore, in study of Ghimire et al, 2021; showed 13-16%, 15-19%, 19-27%, 22-34% and 24% among Bangladesh, Pakistan, Sri Lanka, Nepal and Bhutan respectively 15 ; as shown in Table 3.…”

“…In 24,2,11 , while in our study it was 13.25%. Moreover, in studies conducted internationally showed 6.07%; and 0.2% prevalence of blindness, cataract, glaucoma and low vision whereas in our study about 7.01% had eye problems 16 .…”

“…Globally, non-communicable diseases are the leading causes of disease burden, and according to WHO statement, are responsible for 71% deaths globally 1 . The biggest threat to public health in the twenty-first century has continued to be non-communicable, and a systematic review among Eastern Mediterranean countries showed that the prevalence of multimorbidity too is increasing 2 . Moreover, NCDs results in ill health, mortality, and disability as well as economic loss, loss of life, declining living standards, and poor social development 3 .…”

Comparison of attitudes toward the medical student-led community health education service to support chronic disease self-management among students, faculty and patients

“…So far, a multi-tiered healthcare system including tertiary hospitals, secondary hospitals, and primary care facilities with an emphasis on the role of primary care facilities (e.g. community health centers) has been globally accepted as a cost-effective and sustainable way for managing chronic diseases [ 2 , 3 , 5 , 8 , 9 ]. In China, community-based primary care is currently the first level of contact for chronic disease patients into the health system, and often acts as the principal avenue for chronic disease management through the provision of community-focused, affordable, comprehensive, family-oriented, long-term and continuous care closer to home [ 3 , 5 ].…”

“…So far, the global burden of non-communicable chronic diseases represented by hypertension, coronary heart disease, stroke and diabetes, etc. has been a significant public health concern as a result from accelerated ageing of the population around the world [1][2][3]. Uncontrolled chronic diseases are closely associated with diverse severe co-morbidities and adverse outcomes.…”