una estimación indirecta de las desigualdades actuales y futuras en la frecuencia de la enfermedad renal crónica terminal en méxico an indirect estimation of current and future inequalities in the frequency of end stage renal disease in mexico

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ID: 181680
2011
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Abstract
OBJETIVO. Describir las desigualdades actuales y futuras de la enfermedad renal crónica terminal (ERCT) en México, que se presentan entre grupos de entidades federativas con diferentes grados de marginación. MATERIAL Y MÉTODOS. Partiendo de una estimación indirecta de la incidencia, prevalencia, mortalidad y duración promedio que realizamos en 2009, presentamos datos agrupados de acuerdo con el grado de marginación estatal. Medimos la desigualdad con el Índice de Concentración de Salud. RESULTADOS. Encontramos desigualdades crecientes entre 2005 y 2025 en las tasas de incidencia, prevalencia y mortalidad, así como en la duración promedio de los casos. CONCLUSIÓN. Para 2025 esperamos importantes incrementos en la prevalencia de la ERCT que afectarán en mayor medida a los estados más marginados, lo que aumentará la inequidad presente en este problema de salud y representará importantes retos para el financiamiento de los servicios de salud, si no se incide sobre las causas y la progresión hacia la ERCT.
OBJECTIVE. To describe current and future health inequalities in End Stage Renal Disease in Mexico (ESRD) in Mexican states with varying degrees of marginality. MATERIAL AND METHODS. Using results, obtained by us in 2009, of an indirect estimation of incidence, prevalence, and mortality rates, and of the average case duration, we grouped these data according to the social deprivation level of the Mexican states. We measured health inequalities using the Health Concentration Index. RESULTS. We found rising inequalities, between 2005 and 2025, in ESRD incidence, prevalence and mortality rates, as well as in the average duration of cases. CONCLUSION. We project an important increase in the prevalence of ESRD for 2025 which will be greater in the Mexican states with more marginality. This will increase health inequities already present and represent important challenges for health care financing, especially if no action is taken to control the causes and progression of ESRD.
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franco-marina2011saluduna Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Francisco Franco-Marina;Laura Leticia Tirado-Gómez;Aída Venado Estrada;José Andrés Moreno-López;Reyna Lizette Pacheco-Domínguez;Luis Durán-Arenas;Malaquías López-Cervantes
Journal journal of anatomy
Year 2011
DOI
DOI not found
URL
http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342011001000015
Keywords
health inequality mexico health inequity mexicopublic aspects of medicine

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