Longitudinal Analysis of Participants in The KEEP Mexico's Chronic Kidney Disease Screening Program

Obrador, Gregorio T.; Villa, Antonio; Olvera, Nadia; Gutiérrez, Verónica; Contreras, Daniela; Reyes, R.

doi:10.1016/j.arcmed.2013.10.006

Cited by 9 publications

(1 citation statement)

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“…In Mexico, the Kidney Early Evaluation Program (KEEP) reported a CKD incidence of 14% in 2013, with stages 1 and 2 being more frequent [ 36 ]. Another empirical study reported a prevalence of abnormal albuminuria of 13% in two cities in Mexico in 2013 [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Health Needs Assessment: Chronic Kidney Disease Secondary to Type 2 Diabetes Mellitus in a Population without Social Security, Mexico 2016–2032

Martínez-Valverde

Zepeda-Tello

Castro-Ríos

et al. 2022

IJERPH

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Health needs assessment is a relevant tracer of planning process of healthcare programs. The objective is to assess the health needs of chronic kidney disease (CKD) secondary to type 2 diabetes mellitus (T2 DM) in a population without social security in Mexico. The study design was a statistical simulation model based on data at the national level of Mexico. A stochastic Markov model was used to simulate the progression from diabetes to CKD. The time horizon was 16 years. The results indicate that in 2022, kidney damage progression and affectation in the diabetic patient cohort will be 34.15% based on the time since T2 DM diagnosis. At the end of the 16-year period, assuming that the model of care remains unchanged, early renal involvement will affect slightly more than twice as many patients (118%) and cases with macroalbuminuria will triple (228%). The need for renal replacement therapy will more than double (169%). Meanwhile, deaths associated with cardiovascular risk will more than triple (284%). We concluded that the clinical manifestations of patients with CKD secondary to T2 DM without social security constitute a double challenge. The first refers to the fact that the greatest health need is early care of CKD, and the second is the urgent need to address cardiovascular risk in order to reduce deaths in the population at risk.

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Section: Discussionmentioning

confidence: 99%