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沙特阿拉伯肾脏透析的利用情况：一项综合研究。

The utilization of renal dialysis: a comprehensive study in Saudi Arabia.

作者信息

Alghamdi Loujain S, Alonazi Wadi

机构信息

Health Administration Department, College of Business Administration, King Saud University, Riyadh, Riyadh, 13242-8424, Saudi Arabia.

出版信息

BMC Public Health. 2024 Jul 16;24(1):1914. doi: 10.1186/s12889-024-19450-5.

DOI:10.1186/s12889-024-19450-5
PMID:39014360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11253410/
Abstract

BACKGROUND

Understanding the trend of utilization of renal dialysis in Saudi Arabia (SA) is fundamental as it provides a general overview of renal care. The practice of renal dialysis assists in identifying challenges, opportunities, and potential areas for improvement in the provision of the services.

OBJECTIVES

This research investigated the utilization of renal dialysis services in SA by exploring the number of renal dialysis centers, hemodialysis machines (HD), and peritoneodialysis patients.

METHODS

The dataset for this study was derived from a collaboration between the General Authority of Statistics (GaStat) and the Ministry of Health (MoH), focusing on indicators for renal dialysis centers and patients across health sectors in 2021. Analysis was conducted using MS Excel 365 and IBM SPSS Version 29, incorporating multiple regression techniques. The health sector was treated as the dependent variable. At the same time, the number of hemodialysis (HD) machines and the counts of HD and peritoneal dialysis patients were considered independent variables.

RESULTS

Around 275 renal dialysis centers, over 8000 HD machines, 20,440 HD patients, and 1,861 peritoneal patients were tallied from two resources. The findings revealed a negative relationship between the health sector and several renal dialysis centers and peritoneodialysis patients, as demonstrated by p < 0.05 in multiple regression analysis.

CONCLUSION

The number of renal dialysis centers influences the availability of HD machines, affecting the number of HD and peritoneodialysis patients. Most national patients preferred MoH over other semi-governmental and private sectors, and vice versa for non-Saudis.

摘要

背景

了解沙特阿拉伯（SA）肾透析的使用趋势至关重要，因为它能提供肾脏护理的总体概况。肾透析实践有助于识别提供服务过程中的挑战、机遇和潜在改进领域。

目的

本研究通过探究肾透析中心数量、血液透析机（HD）数量和腹膜透析患者数量，调查了沙特阿拉伯肾透析服务的使用情况。

方法

本研究的数据集来自统计局（GaStat）和卫生部（MoH）的合作，重点关注2021年各卫生部门肾透析中心和患者的指标。使用MS Excel 365和IBM SPSS 29版进行分析，采用多元回归技术。卫生部门作为因变量。同时，血液透析（HD）机数量以及HD和腹膜透析患者数量被视为自变量。

结果

从两个来源统计出约275个肾透析中心、8000多台HD机、20440名HD患者和1861名腹膜透析患者。研究结果显示，在多元回归分析中，卫生部门与多个肾透析中心和腹膜透析患者之间存在负相关关系，p < 0.05即可证明。

结论

肾透析中心数量影响HD机的可及性，进而影响HD和腹膜透析患者数量。大多数本国患者更倾向于卫生部而非其他半政府和私营部门，非沙特人则相反。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c53/11253410/3f7b52777a0b/12889_2024_19450_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c53/11253410/3f7b52777a0b/12889_2024_19450_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c53/11253410/3f7b52777a0b/12889_2024_19450_Fig1_HTML.jpg

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Cureus. 2023 Oct 9;15(10):e46701. doi: 10.7759/cureus.46701. eCollection 2023 Oct.
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The Road Ahead and Challenges of Revenue Cycle Management in Saudi Governmental Hospitals.沙特政府医院收入周期管理的未来之路与挑战
Healthcare (Basel). 2023 Oct 12;11(20):2716. doi: 10.3390/healthcare11202716.
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Findings of Cardiovascular Workup of Kidney Transplant Candidates: A Retrospective Study of a Single-Center in Saudi Arabia.
肾移植候选者心血管检查结果：沙特阿拉伯单中心回顾性研究
Int J Nephrol. 2023 Oct 10;2023:4653069. doi: 10.1155/2023/4653069. eCollection 2023.
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Incidence of Post-laparotomy Acute Kidney Injury Among Abdominal Trauma Patients and Its Associated Risk Factors at King Abdulaziz Medical City, Riyadh.利雅得阿卜杜勒阿齐兹国王医疗城腹部创伤患者剖腹术后急性肾损伤的发生率及其相关危险因素
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Clin Hypertens. 2023 Sep 1;29(1):24. doi: 10.1186/s40885-023-00240-x.
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Factors affecting access to dialysis for patients with end-stage kidney disease in Sub-Saharan Africa: A scoping review.影响撒哈拉以南非洲终末期肾病患者透析机会的因素：范围综述。
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