Alia Valentine S, Akinpelu Toluwani, Dadzie Aaron, Arab Shuaibahmed, Sanchez Robert, Silva Aaron, Cerecedo Lopez Christian D, Albo Daniel
The University of Texas Rio Grande Valley School of Medicine, Edinburg, TX, USA.
The University of Texas Rio Grande Valley School of Medicine, Edinburg, TX, USA.
Am J Surg. 2025 Feb;240:115906. doi: 10.1016/j.amjsurg.2024.115906. Epub 2024 Aug 16.
South Texas and the Rio Grande Valley (RGV) are medically underserved-communities near the Texas-Mexico border with the highest incidence of end-stage renal disease (ESRD) in the nation, and a shortage of available full-time equivalent (FTE) specialty-physicians.
Data on the incidence/prevalence of ESRD and workforce projections on vascular-surgeons and nephrologists were collected from the United States Renal Data System and Texas Department of State Health Services. We then merged data from both datasets to identify population-specific healthcare-trends.
Texas had the highest rates of ESRD from 2016 to 2020, with its border regions leading the state. By 2032, vascular-surgery and nephrology are projected to have the 1st and 4th worst physician-shortages in the state respectively, with the percentage of these FTE specialty-physicians available to meet the need of the RGV ranging from 42.3 to 58.4 %.
The RGV is experiencing increased rates of ESRD, while having a paradoxical-decline in specialty-physicians available to provide adequate care.
南得克萨斯州和里奥格兰德河谷地区（RGV）是得克萨斯州与墨西哥边境附近医疗服务不足的社区，是美国终末期肾病（ESRD）发病率最高的地区，且全职等效（FTE）专科医生短缺。
从美国肾脏数据系统和得克萨斯州卫生服务部收集ESRD的发病率/患病率数据以及血管外科医生和肾病科医生的劳动力预测数据。然后，我们将两个数据集的数据合并，以确定特定人群的医疗保健趋势。
2016年至2020年，得克萨斯州的ESRD发病率最高，其边境地区在该州居首。到2032年，预计血管外科和肾病科在该州的医生短缺情况将分别位列第一和第四，RGV地区可满足需求的这些FTE专科医生的比例在42.3%至58.4%之间。
RGV地区的ESRD发病率在上升，而可提供充分护理的专科医生数量却出现了自相矛盾的下降。
