■在美国,糖尿病肾病(DKD)影响约三分之一的2型糖尿病患者,对医疗保健系统造成重大经济负担,并影响患者的生活质量。
■本研究的目的是量化DKD不同阶段患者的护理负担,并监测这些阶段医疗费用的变化。
■这项研究使用了退伍军人事务国家数据库中的数据,重点关注2016年1月至2022年3月期间诊断为DKD的美国退伍军人。使用描述性统计汇总每月的所有原因的医疗保健费用。我们使用广义线性模型根据阶段计算DKD专利护理的成本,透析阶段,和肾脏替代疗法.
■685,288例DKD患者以男性为主(96.51%),白色(74.42%),非西班牙裔(93.54%)。每位患者每月的平均费用(SD)为1,597美元(3,178美元),$1,772($4,269),$2,857($13,072),3722美元(12134美元),$5,505($14,639),和6,999美元(16,901美元)用于阶段1、2、3a,3b,分别为4和5。接受长期透析的患者的平均每月支出为$12,299。在肾脏替代疗法的第一个月,费用急剧达到峰值,为38,359美元,但随后在1年后下降至6,636美元。
■DKD的经济影响是深远的,强调需要有效的早期检测和疾病管理策略。防止患者发展到DKD晚期阶段将最大程度地减少DKD的经济影响,并将有助于医疗保健系统优化资源分配。
糖尿病肾病(DKD)给美国的医疗保健系统带来了沉重负担。我们努力缩小疾病负担方面的知识差距,对美国退伍军人进行了DKD患者的护理成本分析.随着阶段进展,每位患者每月的总体护理费用从1,597美元(第1阶段)大幅增加至6,999美元(第5阶段).退伍军人开始接受长期透析后,每月费用超过10,000美元。定量摘要将有助于卫生保健系统在各个疾病部门有效分配资源。
UNASSIGNED: In the United States, diabetic kidney disease (DKD) affects about one-third of individuals with type 2 diabetes, causing significant economic burdens on the health care system and affecting patients\' quality of life.
UNASSIGNED: The aim of the study was to quantify the burden of care in patients at different stages of DKD and to monitor shifts in healthcare costs throughout these stages.
UNASSIGNED: This study used data from the Veterans Affairs National database, focusing on US veterans diagnosed with DKD between January 2016 and March 2022. Aggregated all-cause health care costs per month were summarized using descriptive statistics. We used a generalized linear model to calculate the cost of DKD patent care based on the stages, dialysis phase, and kidney replacement therapy.
UNASSIGNED: The cohort of 685,288 patients with DKD was predominantly male (96.51%), White (74.42%), and non-Hispanic (93.54%). The mean (SD) per-patient per-month costs were $1,597 ($3,178), $1,772 ($4,269), $2,857 ($13,072), $3,722 ($12,134), $5,505 ($14,639), and $6,999 ($16,901) for stages 1, 2, 3a, 3b, 4 and 5 respectively. The average monthly expenditure for patients receiving long-term dialysis was $12,299. Costs peaked sharply during the first month of kidney replacement therapy at $38,359 but subsequently decreased to $6,636 after 1 year.
UNASSIGNED: The economic implications of DKD are profound, emphasizing the need for efficient early detection and disease management strategies. Preventing patients from progressing to advanced DKD stage will minimize the economic repercussions of DKD and will assist health care systems in optimizing resource allocation.
Diabetic kidney disease (DKD) places a substantial burden on health care systems in the United States. In part of our effort to close the knowledge gap around the disease burden, care cost analysis for the patients with DKD was performed for US veterans. Along with stage progression, overall care costs per-patient per-month drastically increases from $1,597 (stage 1) to $6,999 (stage 5). Monthly costs exceeded $10,000 once veterans started to receive long-term dialysis. The quantitative summary will help health care systems efficiently allocate resources across various disease sectors.