Abstract
The high incidence of chronic kidney disease worldwide is the most pressing medical and social problem due to progressive growth with the transition to chronic renal failure. Currently, in the general structure of chronic renal failure, up to 40% is due to terminal chronic renal failure requiring replacement renal therapy, particularly hemodialysis, peritoneal dialysis, and kidney transplantation. At the same time, the general structure of dialysis therapy is sharply dominated by hemodialysis (93%). Therefore, the problem of health systems in various countries is the availability of specialized medical care in connection with the development of the latest high-tech scientific and innovative technologies, the increase in the age of patients, as well as the restriction of state financial resources. The Republican Clinical Urological Hospital named after Academician M. D. Javad-zade revealed in dynamics a significant increase in attendance in 2017 by 13.0%, 2018 by 9.9% and 2016 by 5.5%. The trend of increasing hospital hospitalizations was observed in 2017 and 2019 by 42.6% and 16.8%, respectively. Among the hospitalized renal disease in dynamics had a trend of increase, from 2016 to 2019 by 17.3%, 11.7% and 34.7%, respectively. A sharp jump in the incidence of chronic inflammatory kidney diseases was observed in 2016 by 112.5%, bladder and prostate diseases in 2017 by 23.9% and 2018 by 14.0%. The trend of increase of patients receiving dialysis was observed in 2016, 2017 and 2019 by 10.9%, 11.0% and 3.3%, respectively. The increase in the availability of dialysis devices by year was noted by 15.4%, 10.0%, 6.0% and 1.4%, respectively, the frequency of dialysis sessions in 2018 and 2019 by 8.1% and 0.6%. Prevention, early detection, as well as timely treatment of kidney and urinary tract diseases will reduce the number of neglected forms of diseases, delay the dialysis period of treatment of these patients and thus reduce not only the percentage of temporary disability and disability of the population, but also the financial costs of treatment of patients in the future by means of replacement renal therapy.
Highlights
Введение В настоящее время одной из глобальных проблем современного здравоохранения во всем мире, имеющей не только медицинское, но и огромное социально-экономическое значение является пандемия хронических неинфекционных болезней, которая ежегодно уносит миллионы жизней, приводит к тяжелым осложнениям, связанным с потерей трудоспособности и необходимостью высоких затрат на лечение
Вычислялись показатели динамических рядов
Во все исследуемые годы по республике наблюдалась тенденция, как увеличения больных, получающих гемодиализ, так и обеспеченности диализными аппаратами
Summary
Введение В настоящее время одной из глобальных проблем современного здравоохранения во всем мире, имеющей не только медицинское, но и огромное социально-экономическое значение является пандемия хронических неинфекционных болезней, которая ежегодно уносит миллионы жизней, приводит к тяжелым осложнениям, связанным с потерей трудоспособности и необходимостью высоких затрат на лечение. Д. Джавад-заде за период с 2015 по 2019 годы выявлена тенденция положительного прироста (Таблица 1). Значительное увеличение наблюдалось в 2017 г на +13,0%, темп роста посещаемости составил — 113,1% и на 1% прироста приходилось 0,4 посещений. В 2018 г отмечался прирост посещаемости на +9,9% при темпе роста — 109,9% и 0,4 посещений больных приходилось на 1% прироста.
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