[Global burden of disease of chronic kidney disease in Mexico]

Rev Med Inst Mex Seguro Soc. 2017;55(Suppl 2):S118-23.
[Article in Spanish]

Abstract

The Global Burden of Disease (GBD) is a methodology that evaluates risks to the population risks when confronted with a disease or injury, such as the entirety of the effects of mortality and disability that these represent for health systems. The chronic kidney disease (CKD) is an entity with high mortality, high disability, and high health-intervention costs. The review of the data generated by the Institute for Health Metrics and Evaluation (IHME), the headquarters of the GBD Study Group, show that at worldwide level, CKD-associated mortality has increased 108% since 1990 to 2015. The main cause that generates death by CKD in Mexico is diabetes mellitus, whose impact on mortality has progressed, being found in 19th place for diabetic nephropathy in 1990 to the 3rd cause of death in 2015, representing a 670% increase. Ages with greatest mortality are situated between 45 and 75 years, generating a greater impact on disability-adjusted death in women. Mexico City has the greatest CKD-related mortality and a greatest number of DALY (Disability-Adjusted Life Years): 1,559.71 per 100 000 inhabitants. The Mexican state with the lower number of deaths is Baja California, and Quintana Roo is the state with the lower number of DALY (766.32 per 100 000 inhabitants).

La carga global de la enfermedad (CGE) es una metodología que evalúa los riesgos poblacionales ante una enfermedad o lesión como el conjunto de los efectos de mortalidad y discapacidad que estos representan para los sistemas de salud. La enfermedad renal crónica (ERC) es una enfermedad con alta mortalidad, discapacidad y altos costos para los sistemas de salud. La revisión de los datos generados por el Instituto para la Medición y Evaluación de la Salud, sede del grupo de estudio de la CGE, muestran que, a nivel global, la mortalidad por ERC se ha incrementado en 108% de 1990 a 2015. La principal causa que genera la muerte por ERC en México es la diabetes mellitus, cuyo impacto en mortalidad ha progresado de encontrarse en el lugar 19 por nefropatía diabética en 1990, a ser la tercera causa de muerte en 2015, representando un incremento de 670%. Las edades con más mortalidad se sitúan entre los 45 a 75 años. La Ciudad de México cuenta con mayor mortalidad por ERC y mayor número de DALYs (Disability-adjusted life years), con 1559.71 por 100 mil habitantes. El estado con menor número de muertes es Baja California, y Quintana Roo es el estado con menor número de DALYs (766.32 por cada 100 000 habitantes).

Keywords: Cost of Illness; Renal Insufficiency, Chronic; Mexico.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Cost of Illness
  • Diabetes Complications / mortality
  • Female
  • Global Burden of Disease*
  • Health Care Costs
  • Humans
  • Male
  • Mexico / epidemiology
  • Middle Aged
  • Renal Insufficiency, Chronic / complications
  • Renal Insufficiency, Chronic / diagnosis
  • Renal Insufficiency, Chronic / economics
  • Renal Insufficiency, Chronic / mortality*