TY - JOUR
T1 - Mortalidad por enfermedad renal crónica en el Perú
T2 - Tendencias nacionales 2003-2015
AU - Carrillo-Larco, Rodrigo M.
AU - Bernabé-Ortiz, Antonio
N1 - Publisher Copyright:
© 2018, Instituto Nacional de Salud. All rights reserved.
PY - 2018/7/1
Y1 - 2018/7/1
N2 - Objectives. To describe the mortality trend due to chronic kidney disease (CKD) in Peru in the period 2003-2015. Materials and Methods. Analysis of secondary data and ecological design. National mortality registries based on death certificates were analyzed. ERC was defined as CIE code 10: N18 in the basic cause. Absolute and relative frequencies of death by ERC are described. To estimate the proportion of deaths by CKD in each region of Peru, a generalized mixed linear model was used. The outcome variable was the proportion of deaths, the independent variables were each region of the country and the year. Results. The analysis included 1,086,778 deaths, of which 25,091 (2.0 % age- and sex-adjusted) were by CKD. During the study period, the average age at death increased by 2.6 years (p<0.001); in addition, the proportion of age- and sex-adjusted CKD deaths was always higher in women. In the observation period, the region with the highest mortality from CKD was Puno (4.1%), and with the lowest mortality was Amazonas (1.1%). Those regions that showed a significantly greater increase than the others were Tacna, La Libertad, Tumbes, Apurímac, Cusco, Ica, Moquegua, Ayacucho, Huancavelica and Puno. Conclusions. In the 2003-2015 period, mortality from CKD in Peru has increased; this trend is observed in several regions of the country. Preventive measures, early identification, and access to treatment must be implemented to control this trend.
AB - Objectives. To describe the mortality trend due to chronic kidney disease (CKD) in Peru in the period 2003-2015. Materials and Methods. Analysis of secondary data and ecological design. National mortality registries based on death certificates were analyzed. ERC was defined as CIE code 10: N18 in the basic cause. Absolute and relative frequencies of death by ERC are described. To estimate the proportion of deaths by CKD in each region of Peru, a generalized mixed linear model was used. The outcome variable was the proportion of deaths, the independent variables were each region of the country and the year. Results. The analysis included 1,086,778 deaths, of which 25,091 (2.0 % age- and sex-adjusted) were by CKD. During the study period, the average age at death increased by 2.6 years (p<0.001); in addition, the proportion of age- and sex-adjusted CKD deaths was always higher in women. In the observation period, the region with the highest mortality from CKD was Puno (4.1%), and with the lowest mortality was Amazonas (1.1%). Those regions that showed a significantly greater increase than the others were Tacna, La Libertad, Tumbes, Apurímac, Cusco, Ica, Moquegua, Ayacucho, Huancavelica and Puno. Conclusions. In the 2003-2015 period, mortality from CKD in Peru has increased; this trend is observed in several regions of the country. Preventive measures, early identification, and access to treatment must be implemented to control this trend.
KW - Chronic kidney disease
KW - Mortality
KW - Perú (source: DeCS BIREME)
UR - http://www.scopus.com/inward/record.url?scp=85062656974&partnerID=8YFLogxK
U2 - 10.17843/rpmesp.2018.353.3633
DO - 10.17843/rpmesp.2018.353.3633
M3 - Artículo
C2 - 30517500
AN - SCOPUS:85062656974
SN - 1726-4634
VL - 35
SP - 409
EP - 415
JO - Revista Peruana de Medicina Experimental y Salud Publica
JF - Revista Peruana de Medicina Experimental y Salud Publica
IS - 3
ER -