Chronic kidney disease and the aging population

Riella, Miguel C.

doi:10.5935/0101-2800.20140001

Cited by 21 publications

(5 citation statements)

References 16 publications

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“…The complexity of this disease and its medical management predispose individuals to further complications of the cardiovascular and renal systems [3,4]. Underrecognition of impaired kidney functioning [5][6][7][8][9], presence of multiple comorbid conditions [3,5,10], and polypharmacy associated with management of comorbidities [6] often culminate in frequent hospital admissions. In a population of pre-dialysis patients with CKD in the Safe Kidney Care (SKC) Cohort Study, Ginsberg et al [4] reported that 70 % experienced at least one adverse safety incident or actionable safety finding, while over one-third had two or more.…”

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Improving hospital safety for patients with chronic kidney disease: a mixed methods study

et al. 2021

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Background People living with chronic kidney disease (CKD) require complex medical management and may be frequently hospitalized. Patient safety incidents during hospitalization can result in serious complications which may negatively affect health outcomes. There has been limited examination of how these patients perceive their own safety. Objectives This study compared the safety perceptions of patients hospitalized with CKD using two approaches: (a) the Patient Measure of Safety (PMOS) questionnaire and (b) qualitative interviews. The study objectives were to: (1) assess concordance between qualitative and quantitative data on safety perceptions and (2) better understand safety as perceived by study participants. Methods A cross-sectional convergent mixed methods design was used. Integration at the reporting level occurred by weaving together patient narratives and survey domains through the use of a joint display. Interview data were merged with results of the PMOS on a case-by-case basis for analysis to assess for concordance or discordance between these approaches to safety data collection. Results Of the 30 inpatients with CKD, almost one quarter (23.3 %) of participants reported low levels of perceived safety in hospitals. Four major themes emerged from the interviews: receiving safe care; expecting to be taken care of; expecting to be cared for; and reporting safety concerns. Suboptimal communication, delays in care and concerns about technical aspects of care were common to both forms of data collection. Concordance was noted between qualitative and quantitative data with respect to communication/teamwork, respect and dignity, staff roles, and ward type/lay-out. While interviews allowed for participants to share specific concerns related to safety about quality of interpersonal interactions, use of the questionnaire alone did not capture this concern. Conclusions Safety issues are a concern for in-patients with CKD. Both quantitative and qualitative approaches provided important and complementary insights into these issues. Narratives were mostly concordant with questionnaire scores. Findings from this mixed methods study suggest that communication, interpersonal interactions, and delays in care were more concerning for participants than technical aspects of care. Eliciting the concerns of people with CKD in a systematic fashion, either through interviews or a survey, ensures that hospital safety improvement efforts focus on issues important to patients.

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Improving hospital safety for patients with chronic kidney disease: a mixed methods study

et al. 2021

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“…Decreased kidney function to 60 cc/minute is still classified as a normal process because there is a mechanism of the aging process (17). The decreased estimated glomerular filtration rate (eGFR) in parallel with age has been known for decades (18). The previous study by Hare et al (2007) reported that a major effect modifier among patients with an eGFR of <60 ml/min per 1.73 m 2 is age.…”

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Metabolic Disease and Chronic Kidney Disease among Women in Indonesia: A Cross-Sectional Population-Based Survey

Wahyuni¹,

Lianawati²,

Harianto³

et al. 2020

Electron J Gen Med

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These study aims were to determine the prevalence and the associated factors of chronic kidney disease among women in Indonesia. Methodology: This cross-sectional study used the data from the Indonesia Family Life Survey wave 5 (IFLS-5) during year 2014 to 2015. This cross-sectional national population survey used a multistage stratified random sampling to select the respondents to response to a structured questionnaire interview, laboratory test and anthropometric measurements. 14,141 women passed the inclusion criteria for the analysis. Multivariable logistic regression was used to determine the association. The average age of the respondents involved in this research was 37.40 years old. Results: Only a small percentage of 1.07 percent of respondents noticed the prevalence of chronic kidney disease. There were 151 out of 14,141 respondents reported the presence of CKD. The final model of a multiple logistic regression indicated that cardiovascular and cholesterol were significantly associated with the Chronic Kidney Disease (CKD) among women in Indonesia. Other significant covariate factors were age (above 50 years old), overweight or obesity and smoking. Conclusion: Metabolic factors include cardiovascular and cholesterol as well as age, body mass index (BMI), and smoking were associated with CKD among women in Indonesia.

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“…A literatura afirma que há o aumento da proporção de casos prevalentes de DRC com baixa TFG em idades mais avançadas (James, Hemmelgarn, & Tonelli, 2010), esperando-se que muitos idosos com DRC possam ter maiores perdas da função renal. No entanto, de acordo com Tonelli & Riella (2014), estes dados disponíveis são inconclusivos e o conhecimento atual não permite aos médicos distinguirem de forma confiável entre aqueles que a DRC vai progredir e aqueles em que isso não acontecerá.…”

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Perfil epidemiológico da morbimortalidade e gastos públicos por Insuficiência Renal no Brasil

SOUZA

Alencar

LANDIM

et al. 2020

RSD

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Objetivo: Traçar a epidemiologia da morbimortalidade e dos gastos públicos pela Insuficiência Renal no Brasil entre 2014 e 2019. Metodologia: Trata-se de um estudo quantitativo, ecológico e descritivo, com base nos dados coletados no Sistema de Informações Hospitalares. Selecionaram-se as variáveis: número de internações, gênero, faixa etária, raça/cor, óbitos, taxa de mortalidade e custos dos serviços hospitalares gastos pela Insuficiência Renal nas regiões do Brasil. Os dados foram analisados por meio de estatística descritiva simples e apresentados por meio de tabelas e gráficos construídos pelo programa Microsoft Office Excel. Resultados: Foram notificados 649.102 casos de internações por Insuficiência Renal. Comparando os anos de estudo, 2019 teve maior número de internações e de óbitos por Insuficiência Renal. Observou-se que, durante o período de 2014 a 2019, houve maior prevalência na região Sudeste (45,68%), no gênero masculino (56,76%), entre 60-69 anos (22,20%) e autodeclarados brancos (36,20%). Registraram-se 82.948 óbitos, dos quais 47,05% ocorreram na região Sudeste, e a mortalidade de 12,78% com maior taxa na região Norte (13,95%). Houve impacto financeiro superior a 1,9 bilhões de reais. Conclusão: Além de interferir na qualidade de vida, alterar a dinâmica familiar e predispor ao óbito, a Insuficiência Renal implica em elevados gastos públicos. É necessário o planejamento de políticas públicas voltadas à prevenção e à promoção em saúde, bem como estratégias que permitam aos usuários acessibilidade aos tratamentos.

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Chronic kidney disease and the aging population

Cited by 21 publications

References 16 publications

Improving hospital safety for patients with chronic kidney disease: a mixed methods study

Improving hospital safety for patients with chronic kidney disease: a mixed methods study

Metabolic Disease and Chronic Kidney Disease among Women in Indonesia: A Cross-Sectional Population-Based Survey

Perfil epidemiológico da morbimortalidade e gastos públicos por Insuficiência Renal no Brasil

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