Prevalence of chronic kidney disease in the Lazio region, Italy: a classification algorithm based on health information systems.
Background: Estimating CKD prevalence is difficult. Information on CKD prevalence is rather scanty in Italy and available figures come from surveys in selected geographical areas. Administrative data have been already demonstrated to be an effective tool in estimating the epidemiological burden of d...
| Published in: | BMC Nephrology Vol. 21; no. 1; pp. 1 - 11 |
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| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Published: |
BioMed Central
1/28/2020
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141431928&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141431928 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14712369 1CI6 jtl: BMC Nephrology issn: 14712369 maglogo: N pubinfo: dt: 1/28/2020 vid: 21 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 141431928 141431928 NLM31992222 10.1186/s12882-020-1689-z NLM31992222 141431928 ppf: 1 ppct: 10 formats: tig: atl: Prevalence of chronic kidney disease in the Lazio region, Italy: a classification algorithm based on health information systems. aug: au: Marino, Claudia Ferraro, Pietro Manuel Bargagli, Matteo Cascini, Silvia Agabiti, Nera Gambaro, Giovanni Davoli, Marina affil: Department of Epidemiology Lazio Regional Health Service, Via Cristoforo Colombo, 112, 00147, Roma, Italy sug: subj: Resource Databases Algorithms Renal Insufficiency, Chronic Epidemiology Adolescence Middle Age Medical Record Linkage Young Adult Prevalence Aged, 80 and Over Child, Preschool Adult Female Infant, Newborn Health Information Systems Child Aged Infant Male Italy Adolescent: 13-18 years Middle Aged: 45-64 years Aged, 80 & over Child, Preschool: 2-5 years Adult: 19-44 years Infant, Newborn: birth-1 month Child: 6-12 years Aged: 65+ years Infant: 1-23 months Female Male ab: Background: Estimating CKD prevalence is difficult. Information on CKD prevalence is rather scanty in Italy and available figures come from surveys in selected geographical areas. Administrative data have been already demonstrated to be an effective tool in estimating the epidemiological burden of diseases, however there is limited experience in literature as far as CKD is concerned.Methods: The aim of this study is to develop an algorithm based on regional Health Administrative Databases to identify individuals with CKD and provide estimates of disease prevalence in Lazio Region (Italy); about 5.500.000 inhabitants in 2017. A population-level analysis based on a record-linkage strategy using data from Health Administrative Databases has been applied in Lazio Region. CKD cases were identified between January 1, 2012 and December 31, 2017 using Outpatient Specialist Service Information System, Hospital Discharge Registry, Ticket Exemption Registry and Drug Dispensing Registry. Age-specific and standardized prevalence rates were calculated by gender. CKD cases were classified as higher and lower severity.Results: The algorithm identified 99,457 individuals with CKD (mean age 71 years, 55.8% males). The exclusive contributions of each regional source used were: 35,047 (35.2%) from Outpatient Specialist Service Information System, 27,778 (27.9%) from Hospital Discharge Registry, 4143 (4.2%) from Ticket Exemption Registry and 463 (0.5%) from Drug Dispensing Registry; 5.1% of cases were found in all databases. The standardized prevalence rate at December 31, 2017 was 1.76, 2.06% for males and 1.50% for females. The prevalence increased with age, rising from 0.33% (age 0-18) up to 14.18% (age 85+) among males and from 0.25% up to 8.18% among females. The proportion of CKD individuals with lower severity disease was 78.7% in both genders.Conclusions: The proposed algorithm represents a novel tool to monitor the burden of CKD disease, that can be used by the regional government to guide the development and implementation of evidence-based pathways of care for CKD patients. The high prevalence of people with CKD of lower severity should be carefully considered in order to promote diagnosis and optimal management at early stages. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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