The Economic Burden of Chronic Kidney Disease in Vietnam.
Hai-Yen Nguyen-ThiThanh-Nhan Le-PhuocNhan Tri PhatTruong Van DatThuy-Trang Le-ThiNguyen Dang Tu LeHong-Nguyen Tran-ThiLuyen Pham DinhPublished in: Health services insights (2021)
Our objective is to analyze the economic burden of chronic kidney disease (CKD) in Vietnam, particularly in District 2 Hospital at Ho Chi Minh City in 2019. This is a descriptive cross-sectional study. The data source is the medical records of the patients. Encoding the data, analyzing treatment cost, regression modeling, and verification were performed using Stata 15 software. Patients with stage 3 CKD account for the highest proportion of the CKD patient population. CKD comorbidities include hypertension, diabetes, cardiovascular disease, and anemia, which increase the treatment fees of patients. Approximately half of the patients with CKD have diabetes or cardiovascular disease. Treatment costs increase as the condition of the patient worsens (except for stage 1 and 2 CKD). The total expenses of all CKD patients in District 2 Hospital were USD 916 423 988.60. Five main factors that affect the treatment fee of a patient: CKD stage, age, gender, and the presence of diabetes, cardiovascular disease, and anemia. The regression model correctly predicts 96% of cases and can explain 64.15% of the fluctuations in costs. The cost of CKD treatment was higher than Vietnam's per capita GDP in 2019, and the primary factors affecting costs are comorbidities and dialysis.
Keyphrases
- chronic kidney disease
- end stage renal disease
- cardiovascular disease
- type diabetes
- peritoneal dialysis
- blood pressure
- emergency department
- case report
- coronary artery disease
- mental health
- combination therapy
- healthcare
- newly diagnosed
- signaling pathway
- south africa
- cross sectional
- artificial intelligence
- insulin resistance
- cardiovascular risk factors