Investigation of the coexistence of CKD and non-communicable chronic diseases in a PBM company in South Africa
Background: Chronic kidney disease (CKD) is a public health problem, with increasing global prevalence. Several factors could influence the prognosis of CKD, including comorbid chronic conditions. This study investigated the coexistence of CKD and noncommunicable chronic diseases in the private heal...
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| Format: | Article |
| Language: | English |
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AOSIS
2016-08-01
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| Series: | South African Family Practice |
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| Online Access: | https://safpj.co.za/index.php/safpj/article/view/5442 |
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| author | W. P. Meuwesen J. M. du Plessis J. R. Burger M. S. Lubbe M. Cockeran |
| author_facet | W. P. Meuwesen J. M. du Plessis J. R. Burger M. S. Lubbe M. Cockeran |
| author_sort | W. P. Meuwesen |
| collection | DOAJ |
| description | Background: Chronic kidney disease (CKD) is a public health problem, with increasing global prevalence. Several factors could influence the prognosis of CKD, including comorbid chronic conditions. This study investigated the coexistence of CKD and noncommunicable chronic diseases in the private health sector of South Africa.
Methods: Retrospective medicine claims data from a pharmaceutical benefit management (PBM) company was used to perform this descriptive, quantitative study. The study population consisted of all patients identified with an ICD-10 code for CKD (N18) during the study period of January 1, 2009 to December 31, 2013.
Results: CKD patients represented 0.10% to 0.14% of the total patients on the database from 2009 to 2013. The mean age of the CKD patients over the study period varied between 58 and 61 years. Prevalence was higher in males (male-to-female ratio 1:0.8) and in patients aged 35–64 years (p = 0.014; Cramer’s V = 0.039). The occurrence of chronic conditions in the CKD population was prevalent, with hypertension occurring in more than half the CKD patients.
Conclusion: Several chronic conditions, especially those regarding atherosclerotic risk factors, frequently co-occurred with CKD. Lifestyle management and frequent screening tests of these patients are of the utmost importance to improve the outcome of CKD. |
| format | Article |
| id | doaj-art-18ae402811954e79a0d2bc18b75d5a93 |
| institution | Kabale University |
| issn | 2078-6190 2078-6204 |
| language | English |
| publishDate | 2016-08-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Family Practice |
| spelling | doaj-art-18ae402811954e79a0d2bc18b75d5a932025-08-20T04:03:12ZengAOSISSouth African Family Practice2078-61902078-62042016-08-0158410.4102/safp.v58i4.54424180Investigation of the coexistence of CKD and non-communicable chronic diseases in a PBM company in South AfricaW. P. Meuwesen0J. M. du Plessis1J. R. Burger2M. S. Lubbe3M. Cockeran4Medicine Usage in South Africa (MUSA), North-West University, PotchefstroomMedicine Usage in South Africa (MUSA), North-West University, PotchefstroomMedicine Usage in South Africa (MUSA), North-West University, PotchefstroomMedicine Usage in South Africa (MUSA), North-West University, PotchefstroomMedicine Usage in South Africa (MUSA), North-West University, PotchefstroomBackground: Chronic kidney disease (CKD) is a public health problem, with increasing global prevalence. Several factors could influence the prognosis of CKD, including comorbid chronic conditions. This study investigated the coexistence of CKD and noncommunicable chronic diseases in the private health sector of South Africa. Methods: Retrospective medicine claims data from a pharmaceutical benefit management (PBM) company was used to perform this descriptive, quantitative study. The study population consisted of all patients identified with an ICD-10 code for CKD (N18) during the study period of January 1, 2009 to December 31, 2013. Results: CKD patients represented 0.10% to 0.14% of the total patients on the database from 2009 to 2013. The mean age of the CKD patients over the study period varied between 58 and 61 years. Prevalence was higher in males (male-to-female ratio 1:0.8) and in patients aged 35–64 years (p = 0.014; Cramer’s V = 0.039). The occurrence of chronic conditions in the CKD population was prevalent, with hypertension occurring in more than half the CKD patients. Conclusion: Several chronic conditions, especially those regarding atherosclerotic risk factors, frequently co-occurred with CKD. Lifestyle management and frequent screening tests of these patients are of the utmost importance to improve the outcome of CKD.https://safpj.co.za/index.php/safpj/article/view/5442chronic kidney diseasecomorbid chronic conditionsrisk factorssouth africa |
| spellingShingle | W. P. Meuwesen J. M. du Plessis J. R. Burger M. S. Lubbe M. Cockeran Investigation of the coexistence of CKD and non-communicable chronic diseases in a PBM company in South Africa South African Family Practice chronic kidney disease comorbid chronic conditions risk factors south africa |
| title | Investigation of the coexistence of CKD and non-communicable chronic diseases in a PBM company in South Africa |
| title_full | Investigation of the coexistence of CKD and non-communicable chronic diseases in a PBM company in South Africa |
| title_fullStr | Investigation of the coexistence of CKD and non-communicable chronic diseases in a PBM company in South Africa |
| title_full_unstemmed | Investigation of the coexistence of CKD and non-communicable chronic diseases in a PBM company in South Africa |
| title_short | Investigation of the coexistence of CKD and non-communicable chronic diseases in a PBM company in South Africa |
| title_sort | investigation of the coexistence of ckd and non communicable chronic diseases in a pbm company in south africa |
| topic | chronic kidney disease comorbid chronic conditions risk factors south africa |
| url | https://safpj.co.za/index.php/safpj/article/view/5442 |
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