Ann Urol Res | Volume 1, Issue 2 | Research Article | Open Access
Ying-Ping Chen**, Yin-Wen Lu** and Chih-Ching Yang*
Department of Planning, Ministry of Health and Welfare, Taiwan **These authors with equal contribution to this work
*Correspondance to: Chih-Ching Yang
Fulltext PDFof patients with End-Stage Renal Disease (ESRD) are estimated to exceed 1 trillion USD over the world. In Taiwan, CKD is very prevalent and ESRD was still one of the diseases with the highest single payment among 20 leading outpatient diseases in 2010-2011. In order to decrease the incidence rate of dialysis, we try by all action measures in the “five-year-plan for chronic kidney disease prevention and enhancing the quality of care, 2012-2016”. In the present study, we analyze with the data from the report of the United States Renal Data System (USRDS) before and after implementation of this program to clarify whether there is any effect of this program on CKD prevention. Three years after this plan has been introduced (2012-2014), the prevalence rate of ESRD increased 11.71% compared with that of 2009-2011, which was three years before implementation of this plan. However, the prevalence rate of 6 years before implementation of this plan was increased 21.53% compared with that of 3 years before implementation. That means the increase of prevalence rate was greatly slowed down after implementation of this plan as well as compared with other developed countries such as the US or Japan. Through substantial focus on the early identification and proactive management of CKD in the last few years, we have identified significant evidence to suggest that the care of people with CKD could be improved and strategies to improve the management of people with CKD have the potential to offer an efficient use of health service resources and well-control the growth of expenditure of outpatient dialysis.
Chen Y-P, Lu Y-W, Yang C-C. Outcome of the Five-Year-Plan for Chronic Kidney Disease Prevention in Taiwan. Ann Urol Res. 2017; 1(2): 1007.