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[墨西哥慢性肾脏病的全球疾病负担]

[Global burden of disease of chronic kidney disease in Mexico].

作者信息

Torres-Toledano Marisol, Granados-García Víctor, López-Ocaña Luis Rafael

机构信息

División de Hospitales, Coordinación de Atención integral en Segundo Nivel, Instituto Mexicano del Seguro Social, Ciudad de México, México Correo electrónico:

出版信息

Rev Med Inst Mex Seguro Soc. 2017;55(Suppl 2):S118-23.

Abstract

The Global Burden of Disease (GBD) is a methodology that evaluates risks to the population risks when confronted with a disease or injury, such as the entirety of the effects of mortality and disability that these represent for health systems. The chronic kidney disease (CKD) is an entity with high mortality, high disability, and high health-intervention costs. The review of the data generated by the Institute for Health Metrics and Evaluation (IHME), the headquarters of the GBD Study Group, show that at worldwide level, CKD-associated mortality has increased 108% since 1990 to 2015. The main cause that generates death by CKD in Mexico is diabetes mellitus, whose impact on mortality has progressed, being found in 19th place for diabetic nephropathy in 1990 to the 3rd cause of death in 2015, representing a 670% increase. Ages with greatest mortality are situated between 45 and 75 years, generating a greater impact on disability-adjusted death in women. Mexico City has the greatest CKD-related mortality and a greatest number of DALY (Disability-Adjusted Life Years): 1,559.71 per 100 000 inhabitants. The Mexican state with the lower number of deaths is Baja California, and Quintana Roo is the state with the lower number of DALY (766.32 per 100 000 inhabitants).

摘要

全球疾病负担(GBD)是一种评估人群在面对疾病或损伤时所面临风险的方法,例如这些疾病或损伤对卫生系统造成的死亡和残疾等全部影响。慢性肾脏病(CKD)是一种死亡率高、致残率高且卫生干预成本高的疾病。健康指标与评估研究所(IHME)是全球疾病负担研究小组的总部,对其生成的数据进行的审查表明,在全球范围内,与CKD相关的死亡率自1990年至2015年已上升了108%。在墨西哥,导致CKD死亡的主要原因是糖尿病,其对死亡率的影响不断加剧,从1990年糖尿病肾病导致的死亡排名第19位升至2015年的第3大死因,增长了670%。死亡率最高的年龄段在45岁至75岁之间,对女性的残疾调整死亡产生了更大影响。墨西哥城的CKD相关死亡率最高,伤残调整生命年(DALY)数量也最多:每10万居民中有1559.71个。死亡人数最少的墨西哥州是下加利福尼亚州,而金塔纳罗奥州的DALY数量最少(每10万居民中有766.32个)。

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