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Burden and Quality of Care Index of Chronic Kidney Disease: Global Burden of Disease Analysis for 1990-2019 Publisher Pubmed



Rashidi MM1 ; Moghaddam SS1, 2 ; Azadnajafabad S1 ; Heidariforoozan M1, 3 ; Haddadi M1 ; Tehrani YS1 ; Keykhaei M4 ; Ghasemi E1 ; Mohammadi E1 ; Ahmadi N1 ; Malekpour MR1 ; Fateh SM1 ; Rezaei N1 ; Mehrazma M5 Show All Authors
Authors
  1. Rashidi MM1
  2. Moghaddam SS1, 2
  3. Azadnajafabad S1
  4. Heidariforoozan M1, 3
  5. Haddadi M1
  6. Tehrani YS1
  7. Keykhaei M4
  8. Ghasemi E1
  9. Mohammadi E1
  10. Ahmadi N1
  11. Malekpour MR1
  12. Fateh SM1
  13. Rezaei N1
  14. Mehrazma M5
  15. Larijani B6
  16. Farzadfar F1, 6
Show Affiliations
Authors Affiliations
  1. 1. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Kiel Institute for the World Economy, Kiel, Germany
  3. 3. Student Research Center Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  4. 4. Feinberg Cardiovascular Research Institute, Northwestern University, Chicago, IL, United States
  5. 5. Oncopathology Research Center, Iran University of Medical Sciences, Tehran, Iran
  6. 6. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran

Source: Nephrology Dialysis Transplantation Published:2024


Abstract

Background. Chronic kidney disease (CKD) imposes a heavy obscure burden on individuals and health systems. Besides its burden, the quality of care of CKD is less well investigated. In this study, we aimed to explore the global, regional and national trends of CKD burden and quality of care. Methods. The Global Burden of Disease Study 2019 data were used. Trends of incidence, prevalence, deaths and disability-adjusted life years were studied for the 1990-2019 period in the global aspect. By generating four secondary indices to assess different aspects of quality of care the quality of care index (QCI) was developed to explore the care provided for CKD. Inequities and disparities between various geographic, socio-demographic and age stratifications, and sex were studied using the QCI values. Results. In 2019, there were 18 986 903 (95% uncertainty interval 17 556 535 to 20 518 156) incident cases of CKD, globally. The overall global QCI score had increased slightly from 78.4 in 1990 to 81.6 in 2019, and it was marginally better in males (QCI score 83.5) than in females (80.3). The highest QCI score was observed in the European region with a score of 92.5, while the African region displayed the lowest QCI with 61.7. Among the age groups, the highest QCI was for children aged between 5 and 9 years old (92.0), and the lowest was in the age group of 20-24 year olds (65.5). Conclusions. This study revealed that significant disparities remain regarding the quality of care of CKD, and to reach better care for CKD, attention to and care of minorities should be reconsidered. The evidence presented in this study would benefit health poli- cymakers toward better and more efficient control of CKD burden alongside improving the care of this condition. © The Author(s) 2023.
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