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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Autores principales:	W. P. Meuwesen, J. M. du Plessis, J. R. Burger, M. S. Lubbe, M. Cockeran
Formato:	article
Lenguaje:	EN
Publicado:	AOSIS 2016
Materias:	chronic kidney disease comorbid chronic conditions risk factors south africa Medicine R
Acceso en línea:	https://doaj.org/article/18ae402811954e79a0d2bc18b75d5a93
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spelling	oai:doaj.org-article:18ae402811954e79a0d2bc18b75d5a932021-11-24T07:44:18ZInvestigation of the coexistence of CKD and non-communicable chronic diseases in a PBM company in South Africa2078-61902078-620410.4102/safp.v58i4.5442https://doaj.org/article/18ae402811954e79a0d2bc18b75d5a932016-08-01T00:00:00Zhttps://safpj.co.za/index.php/safpj/article/view/5442https://doaj.org/toc/2078-6190https://doaj.org/toc/2078-6204Background: 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.W. P. MeuwesenJ. M. du PlessisJ. R. BurgerM. S. LubbeM. CockeranAOSISarticlechronic kidney diseasecomorbid chronic conditionsrisk factorssouth africaMedicineRENSouth African Family Practice, Vol 58, Iss 4 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	chronic kidney disease comorbid chronic conditions risk factors south africa Medicine R
spellingShingle	chronic kidney disease comorbid chronic conditions risk factors south africa Medicine R 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
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
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
title	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_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_sort	investigation of the coexistence of ckd and non-communicable chronic diseases in a pbm company in south africa
publisher	AOSIS
publishDate	2016
url	https://doaj.org/article/18ae402811954e79a0d2bc18b75d5a93
work_keys_str_mv	AT wpmeuwesen investigationofthecoexistenceofckdandnoncommunicablechronicdiseasesinapbmcompanyinsouthafrica AT jmduplessis investigationofthecoexistenceofckdandnoncommunicablechronicdiseasesinapbmcompanyinsouthafrica AT jrburger investigationofthecoexistenceofckdandnoncommunicablechronicdiseasesinapbmcompanyinsouthafrica AT mslubbe investigationofthecoexistenceofckdandnoncommunicablechronicdiseasesinapbmcompanyinsouthafrica AT mcockeran investigationofthecoexistenceofckdandnoncommunicablechronicdiseasesinapbmcompanyinsouthafrica
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Investigation of the coexistence of CKD and non-communicable chronic diseases in a PBM company in South Africa

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