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加拿大肾衰竭护理率上升,给肾脏捐献者的需求带来压力。

Increasing Rates of Kidney Failure Care in Canada Strains Demand for Kidney Donors.

作者信息

Terner Michael, Redding Noura, Wu Juliana

机构信息

Program lead for the CORR at CIHI. He has previously worked as a medical writer in the clinical research industry and as a researcher at several federal government agencies.

Coordinator for the CORR at CIHI. She is responsible for providing support to analytical projects and reports.

出版信息

Healthc Q. 2016;19(3):10-12. doi: 10.12927/hcq.2016.24864.

Abstract

The number of patients with kidney failure is on the rise in Canada, leading to a higher need for dialysis treatment and greater demand for kidney transplants, which have superior patient outcomes and lower healthcare system costs than dialysis treatments. This study examines the incidence and prevalence of kidney failure and renal replacement therapies between 2005 and 2014. The number of patients on dialysis has increased by 31% over this decade. The number of annual kidney transplants performed has also increased along with the waiting list for a kidney transplant, resulting in a persistent 2.5 times gap between patients on a waiting list for a kidney and the number of kidney transplants performed. New programs to increase organ donation to kidney failure patients have led to improvements, but have not been able to close this gap. Continued innovations are needed to preserve kidney function for patients with chronic kidney disease and to promote and increase donation rates in Canada to improve the quality of life and survival of thousands of patients, as well as save hundreds of millions of dollars to healthcare systems in Canada.

摘要

在加拿大,肾衰竭患者的数量正在上升,这导致对透析治疗的需求增加,对肾移植的需求也更大,因为肾移植的患者预后更好,且医疗系统成本低于透析治疗。本研究调查了2005年至2014年间肾衰竭及肾脏替代疗法的发病率和患病率。在这十年间,接受透析治疗的患者数量增加了31%。每年进行的肾移植数量也随着肾移植等待名单的增加而上升,导致等待肾移植的患者人数与实际进行的肾移植数量之间持续存在2.5倍的差距。为增加向肾衰竭患者的器官捐赠而开展的新项目已取得了一些进展,但仍未能弥合这一差距。需要持续创新,以保护慢性肾病患者的肾功能,并在加拿大促进和提高捐赠率,从而改善数千名患者的生活质量和生存率,同时为加拿大的医疗系统节省数亿美元。

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