Department of Nursing, Joongbu University, 201 Daehak-ro, Chubu-myeon, Chungnam, Geumsan-gun 32713, Korea.
Hemodialysis Unit, Lee Hee Woo Internal Medicine Clinic, 1402 Gyebaek-ro, Seogu, Daejeon 35400, Korea.
Int J Environ Res Public Health. 2021 Dec 27;19(1):249. doi: 10.3390/ijerph19010249.
Kidney disability due to kidney failure could be considered to be the most severe of all the internal-organ disabilities. The purpose of this study was to identify the disease burden between the kidney and non-kidney disabled among the internal-organ disabled, based on the number of chronic diseases, annual out-of-pocket expenditure, and quality of life. From 2009 to 2013, 308 people (6.5%) with internal-organ disabilities were extracted out of 4732 people with disabilities in the Korea Health Panel. We compared the disease burden of 136 people with kidney disability (44.2%) and 172 people with non-kidney disability (55.8%), and confirmed the trend of disease burden over five years through panel analysis. The disease burden gap between kidney and non-kidney disabilities was, respectively, the number of chronic diseases (4.7 vs. 3.3, < 0.0001), annual out-of-pocket expenditure ($1292 vs. $847, < 0.004), and quality of life score out of 100 (49.2 vs. 60.2, < 0.0001). In addition, when looking at the five-year trend of the three disease burden indexes, the kidney disabled were consistently worse than the non-kidney disabled ( < 0.01). In conclusion, health policy planners aiming for health equity need to seek practical strategies to reduce the gap in the disease burden among people with disabilities.
由于肾衰竭导致的肾脏功能障碍，可被视为所有内部器官功能障碍中最严重的一种。本研究旨在根据慢性病数量、年度自费支出和生活质量，确定内部器官功能障碍患者中肾脏功能障碍和非肾脏功能障碍患者之间的疾病负担。2009 年至 2013 年，从 4732 名残疾患者中抽取了 308 名（6.5%）患有内部器官功能障碍的患者，参与了韩国健康面板研究。我们比较了 136 名肾脏功能障碍患者（44.2%）和 172 名非肾脏功能障碍患者（55.8%）的疾病负担，并通过面板分析确认了五年内疾病负担的趋势。肾脏和非肾脏残疾之间的疾病负担差距分别为慢性病数量（4.7 比 3.3，<0.0001）、年度自费支出（1292 美元比 847 美元，<0.004）和 100 分制的生活质量评分（49.2 比 60.2，<0.0001）。此外，当观察这三个疾病负担指标的五年趋势时，肾脏残疾患者始终比非肾脏残疾患者差（<0.01）。总之，旨在实现健康公平的卫生政策规划者需要寻求切实可行的策略，以缩小残疾人群疾病负担方面的差距。
