Epidemiological profile of morbimortality and public expenditure by Renal Insufficiency in Brazil
DOI:
https://doi.org/10.33448/rsd-v9i9.7399Keywords:
Epidemiology; Renal insufficiency; Indicators of morbidity and mortality; Health care costs; Public health.Abstract
Objective: To trace the epidemiology of morbidity and mortality and public spending due to Renal Insufficiency in Brazil between 2014 and 2019. Methodology: This is a quantitative, ecological and descriptive study, based on data collected in the Hospital Information System. The variables were selected: number of hospitalizations, gender, age group, race/color, deaths, mortality rate and costs of hospital services spent by the Renal Insufficiency in the regions of Brazil. The data were analyzed using simple descriptive statistics and presented using tables and graphs built by the Microsoft Office Excel program. Results: 649.102 cases of hospitalizations for Renal Insufficiency were reported. Comparing the years of study, 2019 had a higher number of hospitalizations and deaths due to Renal Insufficiency. It was observed that, during the period from 2014 to 2019, there was a higher prevalence in the Southeast (45,68%), male gender (56,76%), between 60-69 years (22,20%) and self-declared whites (36,20%). There were 82.948 deaths, of which 47,05% occurred in the Southeast, and mortality of 12,78%, with a higher rate in the North (13,95%.). There was a financial impact of more than R$ 1,9 billion. Conclusion: In addition to interfering with quality of life, changing family dynamics and predisposing to death, Insufficiency Renal implies high public spending. It is necessary to plan public policies aimed at prevention and health promotion, as well as strategies that allow users access to treatments.
References
Alcalde, P. R., & Kirsztajn, G. M. (2018). Gastos do Sistema Único de Saúde brasileiro com doença renal crônica. Brazilian Journal of Nephrology, 40(2), 122-129. doi: 10.1590/2175-8239-jbn-3918.
Almeida, M. I. C.; Cardoso, M. S.; Garcia, C. P. C.; Oliveira, J. R. F., & Gomes, M. L. F. (2013). Perfil dos pacientes renais crônicos de um hospital público da Bahia. Revista Enfermagem Contemporânea, 2(1), 157-68. doi: 10.17267/2317-3378rec.v2i2.290.
Barreto, S. M., Ladeira, R. M., Duncan, B. B., Schmidt, M. I., Lopes, A. A., Benseñor, I. M., Chor, D., Griep, R. H., Vidigal, P. G., Ribeiro, A. L., Lotufo, P. A., & Mill, J. G. (2016). Chronic kidney disease among adult participants of the ELSA-Brasil cohort: association with race and socioeconomic position. Journal of epidemiology and community health, 70(4), 380–389. doi: 10.1136/jech-2015-205834.
Batista, C. M. M., Moreira, R. S. L., Pessoa, J. L. E., Ferraz, A. S., & Roza, B. A. (2017). Perfil epidemiológico dos pacientes em lista de espera para o transplante renal. Acta Paulista de Enfermagem, 30(3), 280-286. doi: 10.1590/1982-0194201700042.
Benichel, C. R., & Meneguin, S. (2020). Fatores de risco para lesão renal aguda em pacientes clínicos intensivos. Acta Paulista de Enfermagem, 33, e-APE20190064. doi: 10.37689/acta-ape/2020ao0064.
Bikbov, B., Perico, N., Remuzzi, G., & On behalf of the GBD Genitourinary Diseases Expert Group. (2018). Disparities in Chronic Kidney Disease Prevalence among Males and Females in 195 Countries: Analysis of the Global Burden of Disease 2016 Study. Nephron, 139(4), 313–318. doi: 10.1159/000489897.
Bolignano, D., Mattace-Raso, F., Sijbrands, E. J., & Zoccali, C. (2014). The aging kidney revisited: a systematic review. Ageing research reviews, 14, 65-80. doi: 10.1016/j.arr.2014.02.003.
Brasil. (2020). Ministério da Saúde. Saúde alerta para prevenção e diagnóstico precoce da Doença Renal Crônica. Recuperado de https://www.saude.gov.br/noticias/agencia-saude/45291-ministerio-da-saude-alerta-para-prevencao-e-diagnostico-precoce-da-doenca-%20renal-cronica.
Crews, D. C., Bello, A. K., & Saadi, G. (2019). Editorial do Dia Mundial do Rim 2019 - impacto, acesso e disparidades na doença renal. Jornal Brasileiro de Nefrologia, 41(1), 1-9. doi: 10.1590/2175-8239-jbn-2018-0224.
Cruz, C. F., Cunha, G. O. D., & Souza, S. R. P. (2014). Custo do tratamento dos pacientes com insuficiência renal crônica em estágio terminal no município de São Paulo, no período de 2008 a 2012. Science in Health, 5(1), 6-11. Recuperado de http://arquivos.cruzeirodosuleducacional.edu.br/principal/new/revista_scienceinhealth/13_jan_abr_2014/Science_05_01_6-11.pdf.
Cullis, B., Abdelraheem, M., Abrahams, G., Balbi, A., Cruz, D. N., Frishberg, Y., Koch, V., McCulloch, M., Numanoglu, A., Nourse, P., Pecoits -Filho, R., Ponce, D., Warady, B., Yeates, K., & Finkelstein, F. O. (2014). Peritoneal dialysis for acute kidney injury. Peritoneal Dialysis International, 34(5), 494-517. doi: 10.3747/pdi.2013.00222.
Dutra, M. C., Uliano, E. J. M., Machado, D. F. G. P., Martins, T., Schuelter-Trevisol, F., & Trevisol, D. J. (2014). Avaliação da função renal em idosos: um estudo de base populacional. Brazilian Journal of Nephrology, 36(3), 297-303. doi: 10.5935/0101-2800.20140043.
Fernandes, N. M. S., Chaoubah, A., Bastos, K., Lopes, A. A., Divino-Filho, J. C., Pecoits-Filho, R., & Bastos, M. G. (2010). Geografia da diálise peritoneal no Brasil: análise de uma coorte de 5.819 pacientes (BRAZPD). Brazilian Journal of Nephrology, 32(3), 268-274. doi: 10.1590/S0101-28002010000300008.
França, A. K. T. C., Santos, A. M., Calado, I. L., Santos, A. M., Cabral, P. C., Salgado, J. V. L., Goldraich, N. P., & Salgado Filho, N. (2010). Glomerular filtration and associated factors in hypertensive individuals treated at primary care level. Arquivos brasileiros de cardiologia, 94(6), 779-87. doi: 10.1590/s0066-782x2010005000021.
Hill, N. R., Fatoba, S. T., Oke, J. L., Hirst, J. A., O'Callaghan, C. A., Lasserson, D. S., & Hobbs, F. D. (2016). Global Prevalence of Chronic Kidney Disease - A Systematic Review and Meta-Analysis. PloS one, 11(7), e0158765. doi: 10.1371/journal.pone.0158765.
James, M. T, Hemmelgarn, B. R, & Tonelli, M. (2010). Early recognition and prevention of chronic kidney disease. Lancet, 375, 1296-309. doi: 10.1016/S0140-6736(09)62004-3.
Júnior, E. V. S, Cunha, C. V., Nunes, G. A., Souza, A. R., Cruz, J. S., Barros, V. S., Trindade, L. E. S, Lapa, P. S. (2019). Morbidity and public hospital costs due to chronic kidney failure. Journal of Nursing UFPE online, 13, e241296, doi: 10.5205/19818963.2019.241296.
Karam, Z., & Tuazon, J. (2013). Anatomic and physiologic changes of the aging kidney. Clinics in geriatric medicine, 29(3), 555-64. doi: 10.1016/j.cger.2013.05.006.
Machado, G. R. G., & Pinhati, F. R. (2014) Tratamento de diálise em pacientes com insuficiência renal crônica. CADERNOS UniFOA, 9(26), 137-148. Recuperado de http://revistas.unifoa.edu.br/index.php/cadernos/article/view/193.
Malta, D. C., Machado, Í. E., Pereira, C. A., Figueiredo, A. W., Aguiar, L. K., Almeida, W. S., Souza, M. F. M., Rosenfeld, L. G., & Szwarcwald, C. L. (2019). Avaliação da função renal na população adulta brasileira, segundo critérios laboratoriais da Pesquisa Nacional de Saúde. Revista Brasileira de Epidemiologia, 22(Suppl.2), E190010.SUPL.2. doi: 10.1590/1980-549720190010.supl.2.
Moura, L., Andrade, S. S. C. A., Malta, D. C., Pereira, C. A., & Passos, J. E. F. (2015). Prevalência de autorrelato de diagnóstico médico de doença renal crônica no Brasil: Pesquisa Nacional de Saúde, 2013. Revista Brasileira de Epidemiologia, 18(Supl. 2), 181-191. doi: 10.1590/1980-5497201500060016.
Neves, P. D. M. M., Sesso, R. C. C., Thomé, F. S., Lugon, J. R., & Nasicmento, M. M. (2020). Censo Brasileiro de Diálise: análise de dados da década 2009-2018. Brazilian Journal of Nephrology, 42(2), 191-200. doi: 2175-8239-JBN-2019-0234.
Oliveira Júnior, H. M., Formiga, F. F. C., & Alexandre, C. S. (2014). Perfil clínico-epidemiológico dos pacientes em programa crônico de hemodiálise em João Pessoa - PB. Brazilian Journal of Nephrology, 36(3), 367-374. doi: 10.5935/0101-2800.20140052.
Panzetti, T. M. N., Rosa, J. M. da, Santo, A. L. C. do E., Silva, J. M. L. da, Vasconcelos, L. A. de, Maia, C. C., & Castilho, F. de N. F. de. (2020). Qualidade de vida de pacientes submetidos à terapia hemodialítica: Revisão integrativa. Research, Society and Development, 9(6), e185963581. doi: 10.33448/rsd-v9i6.3581.
Pereira A.S. et al. (2018). Metodologia da pesquisa científica. [e-book]. Santa Maria. Ed. UAB/NTE/UFSM. Recuperado de https://repositorio.ufsm.br/bitstream/handle/1/ 15824/Lic_ Computacao_ Metodologia-Pesquisa-Cientifica.pdf?sequence=1.
Peres, L. A. B., Biela, R., Herrmann, M., Matsuo, T., Ann, H. K., Camargo, M. T. A., Rohde, N. R. S, & Uscocovich, V. S. M. (2010). Estudo epidemiológico da doença renal crônica terminal no oeste do Paraná: uma experiência de 878 casos atendidos em 25 anos. Brazilian Journal of Nephrology, 32(1), 51-56. doi: 10.1590/S0101-28002010000100010.
Pinho, N. A., Silva, G. V., & Pierin, A. M. G. (2015). Prevalência e fatores associados à doença renal crônica em pacientes internados em um hospital universitário na cidade de São Paulo, SP, Brasil. Brazilian Journal of Nephrology, 37(1), 91-97. doi: 10.5935/0101-2800.20150013.
Rodrigues, K. A., Silva, E. M. da, & Barbosa, L. D. da C. e S. (2020). Repercussões biopsicossociais em pacientes submetidos a tratamento hemodialítico. Research, Society and Development, 9(7), e814974931. doi: 10.33448/rsd-v9i7.4931.
Saran, R., Robinson, B., Abbott, K. C., Agodoa, L. Y., Albertus, P., Ayanian, J., Balkrishnan, R., Bragg-Gresham, J., Cao, J., Chen, J. L., Cope, E., Dharmarajan, S., Dietrich, X., Eckard, A., Eggers, P. W., Gaber, C., Gillen, D., Gipson, D., Gu, H., Hailpern, S. M. et al. (2017). US Renal Data System 2016 Annual Data Report: Epidemiology of Kidney Disease in the United States. American journal of kidney diseases: the official journal of the National Kidney Foundation, 69(5), 7-12. doi: 10.1053/j.ajkd.2017.03.001.
Sociedade Brasileira de Nefrologia. (2020). Insuficiência Renal. Recuperado de https://www.sbn.org.br/orientacoes-e-tratamentos/doencas-comuns/insuficiencia-renal/.
Souza Júnior, E. V., Costa, E. L., Matos, R. A., Cruz, J. S., Maia, T. F., Nunes, G. A., Boery, R. N. S. O. et al. (2019). Morbidity-mortality epidemiology and public costs of kidney failure. Journal of Nursing UFPE on line, 13(3), 647-54. doi: 10.5205/1981-8963-v13i03a236395p647-654-2019.
Tonelli, M., &Riella, M. (2014). Chronic kidney disease and the aging population. Brazilian Journal of Nephrology, 36(1), 1-5. doi: 10.5935/0101-2800.20140001.
Zhang, L., Wang, F., Wang, L., Wang, W., Liu, B., Liu, J., Chen, M., He, Q., Liao, Y., Yu, X., Chen, N., Zhang, J. E., Hu, Z., Liu, F., Hong, D., Ma, L., Liu, H., Zhou, X., Chen, J., Pan, L. et al. (2012). Prevalence of chronic kidney disease in China: a cross-sectional survey. Lancet, 379, 815-22. doi: 10.1016/S0140-6736(12)60033-6.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2020 Andrea Carla Soares Vieira Souza; Kallianny Caetano Alencar; Naira Lorena Monte Paes Landim; Paloma Maria de Souza Oliveira; Carla Maria de Carvalho Leite
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
