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  首頁 > 美迪醫訊 > 報告:慢性腎臟疾病在美國  

報告:慢性腎臟疾病在美國

【?2008-10-10 發布?】 美迪醫訊
美迪網領先的醫療器械電子商務平臺


在一個文件報告提示在過去的十年中慢性腎臟疾病發病率增長了30%,估計有2千7百萬美國身邊患者,消耗了24%的醫療保險成本。
運用從各方面收集的數據,美國腎臟數據系統建立了一個新的信息手冊,它可以用于研究者,政府官員,醫療保險計劃以及其他滿足想進行項目研究,評估公共健康,建立優先程序,和告知決策者和公眾等需求。

公眾健康中心一個重要的發現是那些慢性腎臟疾病患者更傾向于因心臟血管疾病死亡而非因為晚期腎臟疾病。這個結果建議那些從慢性腎臟疾病到晚期腎臟疾病的轉變過程值得引起注意,并指出在這項研究的開始的這個月,慢性到晚期腎臟疾病這個轉變期間范圍醫療保險病人需要支付14,500美元,商業醫療保險計劃病人需要支付29,000美元,這個問題非常值得思考。
這個報告顯示大量的腎臟及病晚期病人人數和成本都在增加。這個慢性腎病的影響的范圍在2006年是100,000以上或是每1百萬人中有360個腎病患者,這個數字比2005年增長了3.4%。五十萬以上晚期腎臟疾病的病人,在2006年70% 的患者接受了透析治療。
根據這項報告,醫療保險為每位接受透析治療的病人支付了大約70,000美元,。腎臟疾病晚期的患者以1%以上的醫療保險人群占用了7%以上醫療保險成本。對于晚期腎病患者總成本是33.6百萬美元。這個數字包括了醫療保險和商業醫療計劃參加者。
2006年進行了18,000以上腎病移植手術,比2005年增加了3.5%。使用死后捐贈的腎臟在2003-2006年間增加了6至7個百分點。使用活體捐贈降低了3個百分點在這期間。但是實際使用非活體的捐贈的數量相對于總的活體捐贈的比率持續增加,并且新的紀錄顯示45%的活體捐贈腎臟最終得到了移植。

 

Report: Chronic Kidney Disease in the US
A 30 percent increase in chronic kidney disease over the past decade has prompted a report documenting the disease. It affects an estimated 27 million Americans and accounts for more than 24 percent of Medicare costs.
 
Using data from multiple sources, the U.S. Renal Data System (USRDS) has created a new handbook of information that can be used by researchers, government officials, health programme planners, and others to develop research goals, assess public health needs, set programme priorities, and inform policymakers and the public.

One of the major findings central to public health is that those with chronic kidney disease are more likely to die from cardiovascular disease than to reach end-stage kidney disease. However, cardiovascular risk factors can be detected and treated. This suggests that those transitioning from chronic to end-stage kidney disease merit more attention. Expenditures during the transition from chronic to end-stage kidney disease are considerable, ranging from 14,500 U.S. dollars for Medicare patients to 29,000 U.S. dollars for those covered by employer group health plans in the month of dialysis initiation.

The report shows that the number of people with end-stage kidney disease is increasing in size and cost. The incidence of chronic kidney disease in 2006 was more than 100,000, or 360 per one million people, an increase of 3.4 percent over the 2005 incidence rate. There were more than half a million patients with end-stage kidney disease in 2006. Of these, 70 percent were on dialysis.

Medicare paid about 70,000 U.S. dollars per dialysis patient, so the report. Patients with end-stage kidney disease accounted for a little more than one percent of the Medicare population and more than seven percent of Medicare costs. Total cost for end-stage kidney disease was 33.6 billion U.S dollars. This number includes Medicare spending and all expenditures by other payers, such as employer group health plans.

In addition, more than 18,000 kidney transplants were performed in 2006, an increase of 3.5 percent over 2005. Use of deceased donor kidneys increased between 2003 and 2006 at a rate of about six percent to seven percent. Use of living donors fell three percent during that period, but the use of living unrelated donors continues to increase relative to the total number of living donations, and now accounts for 45 percent of all living donor transplantations.
 
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