Disease Burden of the Kidney Disabled in Korea, 2009-2013: The Gap with That of the Non-Kidney Disabled Continues.

Publisher: MDPI Country of Publication: Switzerland NLM ID: 101238455 Publication Model: Electronic Cited Medium: Internet ISSN: 1660-4601 (Electronic) Linking ISSN: 16604601 NLM ISO Abbreviation: Int J Environ Res Public Health Subsets: MEDLINE

Original Publication: Basel : MDPI, c2004-

Disabled Persons* ; Quality of Life*; Cost of Illness ; Humans ; Kidney ; Republic of Korea/epidemiology

Kidney disability due to kidney failure could be considered to be the most severe of all the internal-organ disabilities. The purpose of this study was to identify the disease burden between the kidney and non-kidney disabled among the internal-organ disabled, based on the number of chronic diseases, annual out-of-pocket expenditure, and quality of life. From 2009 to 2013, 308 people (6.5%) with internal-organ disabilities were extracted out of 4732 people with disabilities in the Korea Health Panel. We compared the disease burden of 136 people with kidney disability (44.2%) and 172 people with non-kidney disability (55.8%), and confirmed the trend of disease burden over five years through panel analysis. The disease burden gap between kidney and non-kidney disabilities was, respectively, the number of chronic diseases (4.7 vs. 3.3, p < 0.0001), annual out-of-pocket expenditure ($1292 vs. $847, p < 0.004), and quality of life score out of 100 (49.2 vs. 60.2, p < 0.0001). In addition, when looking at the five-year trend of the three disease burden indexes, the kidney disabled were consistently worse than the non-kidney disabled ( p < 0.01). In conclusion, health policy planners aiming for health equity need to seek practical strategies to reduce the gap in the disease burden among people with disabilities.

Kidney Int Suppl. 2003 Nov;(87):S24-31. (PMID: 14531770)
BMC Nephrol. 2021 Aug 16;22(1):280. (PMID: 34399714)
Perm J. 2016 Winter;20(1):27-32. (PMID: 26562307)
Am J Kidney Dis. 2016 Nov;68(5S1):S33-S42. (PMID: 27772641)
MMWR Morb Mortal Wkly Rep. 2016 Jul 29;65(29):735-8. (PMID: 27467707)
Patient Prefer Adherence. 2019 Dec 11;13:2061-2070. (PMID: 31849455)
Adv Exp Med Biol. 2017;956:307-325. (PMID: 27873228)
PLoS One. 2015 May 20;10(5):e0125915. (PMID: 25993307)
J Am Soc Nephrol. 2006 Sep;17(9):2546-53. (PMID: 16855016)
Disabil Rehabil. 1993 Oct-Dec;15(4):161-78. (PMID: 8219245)
PLoS One. 2016 Jan 26;11(1):e0147329. (PMID: 26812415)
Clin J Am Soc Nephrol. 2021 May 8;16(5):815-817. (PMID: 33441464)
Am J Kidney Dis. 2003 Jan;41(1):149-61. (PMID: 12500232)
J Nephrol. 2004 Jul-Aug;17(4):544-51. (PMID: 15372417)
Br Med Bull. 2010;96:5-21. (PMID: 21037243)
Milbank Q. 2002;80(2):261-301. (PMID: 12101873)
Qual Life Res. 2001;10(4):371-8. (PMID: 11763249)
Am J Kidney Dis. 2013 Nov;62(5):953-73. (PMID: 23725972)
Ethn Dis. 2017 Jan 19;27(1):39-44. (PMID: 28115820)
Am J Kidney Dis. 2002 Jul;40(1):82-9. (PMID: 12087565)
Kidney Int Suppl (2011). 2015 Jun;5(1):8-11. (PMID: 26097779)
J Mol Med (Berl). 2018 May;96(5):373-381. (PMID: 29574544)
Am J Med. 2000 Jun 1;108(8):609-13. (PMID: 10856407)
Clin Transplant. 2012 May-Jun;26(3):377-81. (PMID: 22376214)

Keywords: disease burden; kidney failure; out-of-pocket expenditure; quality of life; the kidney disabled; the number of chronic diseases

Date Created: 20220111 Date Completed: 20220124 Latest Revision: 20240405

20240405

PMC8751061

10.3390/ijerph19010249

35010517