Registry of diabetic kidney disease in the primary health care. Cuba 2014
<strong>Introduction:</strong> The basis of Cuban National Health System lies in the Family Doctors who register, evaluate the risks, treat, and follow-up patients with chronic diseases. <em>Diabetes Mellitus</em>(DM) is the main cause of advanced chronic kidney disease (CKD)...
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| Format: | Article |
| Language: | English |
| Published: |
Universidad de Ciencias Médicas de La Habana
2017-09-01
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| Series: | Revista Habanera de Ciencias Médicas |
| Online Access: | http://www.revhabanera.sld.cu/index.php/rhab/article/view/2119 |
| _version_ | 1818174774976708608 |
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| author | Jorge Francisco Pérez-Oliva Díaz Miguel Almaguer López Raúl Herrera Valdés Maitte Martínez Machín Maricela Martínez Morales |
| author_facet | Jorge Francisco Pérez-Oliva Díaz Miguel Almaguer López Raúl Herrera Valdés Maitte Martínez Machín Maricela Martínez Morales |
| author_sort | Jorge Francisco Pérez-Oliva Díaz |
| collection | DOAJ |
| description | <strong>Introduction:</strong> The basis of Cuban National Health System lies in the Family Doctors who register, evaluate the risks, treat, and follow-up patients with chronic diseases. <em>Diabetes Mellitus</em>(DM) is the main cause of advanced chronic kidney disease (CKD), and these patients are also identified and treated all over the country. <br /><p style="margin-bottom: .0001pt; text-align: justify; line-height: 150%;"><span style="color: #000000; font-family: verdana; font-size: small;"><strong> Objectives:</strong> To characterize the CKD and the CKD + DM according to their registries in the Primary Health Care Centers. <strong><br /> Material and methods:</strong> Patients with CKD caused by diabetes (glomerular filtration rate <60 mL/min/1,73 m<sup>2</sup>) who were registered in Cuba in the year 2015; with reported prevalence per 1 000 inhabitants; and also characterized according to sex, age, province, and nation. The primary data were taken from the Registries of the National Direction of Statistics. <strong><br /> Results:</strong> The national prevalence of CKD was 2,16 per 1 000 inhabitants (increase of 17,7 <em>vs</em> 2014), and the prevalence of CKD + DM was 0,48 per 1 000 inhabitants (increase of 25,9 <em>vs</em> 2014). There was an increase at older age, and reached a maximum value in the group of ages from 60-64 years, both for the CKD (11,4 x 1 000) and the CKD + DM (2,92 x 1 000). Out of the total of patients with CKD, the diabetic ones represented the 12,7% in 2014, and the 13,6% in 2015, with a higher frequency in the female sex in both years (2014=12,7%, and 2015=14,4%). The prevalence in patients with CKD, and the proportion of patients with CKD + DM was lower than the one reported by the Third National Survey on Risk Factors. <strong><br /> Conclusions:</strong> CKD is underdiagnosed in the country, and the same thing happens with CKD + DM, but even in a higher degree. The implementation of effective actions is required for the early diagnosis of the patients in the Primary Health Care.</span></p><p style="text-align: justify; line-height: 150%;"><span style="color: #000000; font-family: Verdana; font-size: small;"><strong>Keywords:</strong> prevalence,chronic renal insufficiency, Advanced Chronic Renal Disease, Primary Health Care Centers</span></p> |
| first_indexed | 2024-12-11T19:49:45Z |
| format | Article |
| id | doaj.art-c053fca315654b18beaf274236c804a1 |
| institution | Directory Open Access Journal |
| issn | 1729-519X |
| language | English |
| last_indexed | 2024-12-11T19:49:45Z |
| publishDate | 2017-09-01 |
| publisher | Universidad de Ciencias Médicas de La Habana |
| record_format | Article |
| series | Revista Habanera de Ciencias Médicas |
| spelling | doaj.art-c053fca315654b18beaf274236c804a12022-12-22T00:52:48ZengUniversidad de Ciencias Médicas de La HabanaRevista Habanera de Ciencias Médicas1729-519X2017-09-011646666791274Registry of diabetic kidney disease in the primary health care. Cuba 2014Jorge Francisco Pérez-Oliva Díaz0Miguel Almaguer López1Raúl Herrera Valdés2Maitte Martínez Machín3Maricela Martínez Morales4Instituto Nacional de Nefrología "Dr. Abelardo Buch López". La Habana, Cuba.Instituto Nacional de Nefrología "Dr. Abelardo Buch López". La Habana, Cuba.Instituto Nacional de Nefrología "Dr. Abelardo Buch López". La Habana, Cuba.Ministerio de Salud Pública. La Habana, Cuba.Ministerio de Salud Pública. Dirección de Registros Médicos y Estadísticas de Salud. La Habana, Cuba.<strong>Introduction:</strong> The basis of Cuban National Health System lies in the Family Doctors who register, evaluate the risks, treat, and follow-up patients with chronic diseases. <em>Diabetes Mellitus</em>(DM) is the main cause of advanced chronic kidney disease (CKD), and these patients are also identified and treated all over the country. <br /><p style="margin-bottom: .0001pt; text-align: justify; line-height: 150%;"><span style="color: #000000; font-family: verdana; font-size: small;"><strong> Objectives:</strong> To characterize the CKD and the CKD + DM according to their registries in the Primary Health Care Centers. <strong><br /> Material and methods:</strong> Patients with CKD caused by diabetes (glomerular filtration rate <60 mL/min/1,73 m<sup>2</sup>) who were registered in Cuba in the year 2015; with reported prevalence per 1 000 inhabitants; and also characterized according to sex, age, province, and nation. The primary data were taken from the Registries of the National Direction of Statistics. <strong><br /> Results:</strong> The national prevalence of CKD was 2,16 per 1 000 inhabitants (increase of 17,7 <em>vs</em> 2014), and the prevalence of CKD + DM was 0,48 per 1 000 inhabitants (increase of 25,9 <em>vs</em> 2014). There was an increase at older age, and reached a maximum value in the group of ages from 60-64 years, both for the CKD (11,4 x 1 000) and the CKD + DM (2,92 x 1 000). Out of the total of patients with CKD, the diabetic ones represented the 12,7% in 2014, and the 13,6% in 2015, with a higher frequency in the female sex in both years (2014=12,7%, and 2015=14,4%). The prevalence in patients with CKD, and the proportion of patients with CKD + DM was lower than the one reported by the Third National Survey on Risk Factors. <strong><br /> Conclusions:</strong> CKD is underdiagnosed in the country, and the same thing happens with CKD + DM, but even in a higher degree. The implementation of effective actions is required for the early diagnosis of the patients in the Primary Health Care.</span></p><p style="text-align: justify; line-height: 150%;"><span style="color: #000000; font-family: Verdana; font-size: small;"><strong>Keywords:</strong> prevalence,chronic renal insufficiency, Advanced Chronic Renal Disease, Primary Health Care Centers</span></p>http://www.revhabanera.sld.cu/index.php/rhab/article/view/2119 |
| spellingShingle | Jorge Francisco Pérez-Oliva Díaz Miguel Almaguer López Raúl Herrera Valdés Maitte Martínez Machín Maricela Martínez Morales Registry of diabetic kidney disease in the primary health care. Cuba 2014 Revista Habanera de Ciencias Médicas |
| title | Registry of diabetic kidney disease in the primary health care. Cuba 2014 |
| title_full | Registry of diabetic kidney disease in the primary health care. Cuba 2014 |
| title_fullStr | Registry of diabetic kidney disease in the primary health care. Cuba 2014 |
| title_full_unstemmed | Registry of diabetic kidney disease in the primary health care. Cuba 2014 |
| title_short | Registry of diabetic kidney disease in the primary health care. Cuba 2014 |
| title_sort | registry of diabetic kidney disease in the primary health care cuba 2014 |
| url | http://www.revhabanera.sld.cu/index.php/rhab/article/view/2119 |
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