Registry of Chronic Kidney Disease in Primary Health Care in Cuba, 2017

Abstract

Introduction: The basis of the National Health System in Cuba is the Primary Health Care; the family doctor registers the patients to evaluate the risks, to carry out the treatment, and follow-up them in the community. Chronic Kidney Disease affects the 10% of the adult population, that is why the active surveillance is necessary.
Objectives: To evaluate and compare all patient registries of Chronic Kidney Disease and Chronic Kidney Disease with Diabetes Mellitus (2014- 2017).
Material and Methods:The total of patients registered with Chronic Kidney Disease (glomerular filtration rate <60 mL/min/1.73 m²), and among them the diabetic patients; comparing the prevalence rate per 1 000 inhabitants, (sex, age, province). The data were obtained from the registries of the National Direction for Statistics.
Results: Dispensarization increased in 2017 vs 2014:  CKD 21,0%, and CKD with diabetes mellitus 47,21%. It increased according to age and it reached its maximum value in the group of 60-64 year-old ages for the CKD (8,99 per 1 000 inhabitants) and among them, more than 65 years old (1,35 per 1 000 inhabitants) for CKD with Diabetes Mellitus. There are differences in rates in the provinces in a frequency of CKD (6,28-1,06), and CKD with Diabetes Mellitus (0,82-0,11).  The diagnosis of CKD-DM vs the existent diabetic and dispensarized population between 1,25-0,1% also varies.
Conclusions: The dispensarization has increased for CKD and CKD with Diabetes Mellitus. The cuban state guarantees the sustainability of the universal access of the medical care in each community; the advice to patients; the diagnostic tools and the covering of essential medications.

Keywords: Chronic Kidney Disease, Primary Health Care, diabetes mellitus, dispensarization, prevalence rate.