Diabetic Kidney Disease
Analysis on hospitalization costs and influencing factors in patients with diabetic kidney disease
Lyu Liangjing, Chen Xiangjun, Wu Jinshan, Zhao Qinying, Zhou Yangmei, Luo Wenjin, Yang Shumin, Hu Jinbo, Li Qifu, Wang Zhihong
Published 2021-10-27
Cite as Chin J Diabetes Mellitus, 2021, 13(10): 972-977. DOI: 10.3760/cma.j.cn115791-20210530-00294
Abstract
ObjectiveTo investigate the hospitalization costs and influencing factors in patients with diabetic kidney disease (DKD).
MethodsA total of 14 851 patients who hospitalized with diabetes in the First Hospital Affiliated of Chongqing Medical University from 2005 to 2016 were enrolled retrospectively. The patients′ gender, age, primary diagnosis, second diagnosis, average daily hospitalization cost, total hospitalization cost and other information were recorded. Patients were divided into DKD group, diabetic retinopathy (DR) group and diabetic peripheral neuropathy (DPN) group according to the types of microvascular complications. Mann-Whitney U test, Kruskal-Wallis H test and χ2 test were used to compare the hospitalization costs and length of stay among different groups, and multi-linear regression analysis were used to investigate the influencing factors of the hospitalization costs of patients with DKD.
ResultsOf the 14 851 patients with diabetes, 3 435 (23.13%) patients suffered DKD. The prevalence of DKD, DR and DPN in diabetic patients differs in age, sex and statistical year (P<0.05). Compared with other diabetic microvascular diseases (DR and DPN), patients with DKD had the longest hospital stay, with an average of 12 (8, 16) days, and had the highest average daily hospitalization costs coupled with total hospitalization costs, which were RMB (966.49±438.99) Yuan and RMB (12 852.88±12 820.50) Yuan, respectively (P<0.05). The age, number of microvascular complications and severity of DKD had a statistically significant difference on the total costs of hospitalization in DKD patients (P<0.05), among which age had the greatest impact on total hospitalization costs (standardized coefficient Beta value was 0.11).
ConclusionsPatients with DKD suffered heavy financial burden. Moreover, the age, number of microvascular complications and severity of DKD had a significant effect on their hospitalization costs, among which age had the greatest impact on total hospitalization costs.
Key words:
Diabetes; Diabetic kidney disease; Hospitalized costs; Influencing factors
Contributor Information
Lyu Liangjing
Department of Endocrinology, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Chen Xiangjun
Department of Endocrinology, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Wu Jinshan
Department of Endocrinology, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Zhao Qinying
Department of Endocrinology, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Zhou Yangmei
Department of Endocrinology, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Luo Wenjin
Department of Endocrinology, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Yang Shumin
Department of Endocrinology, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Hu Jinbo
Department of Endocrinology, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Li Qifu
Department of Endocrinology, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Wang Zhihong
Department of Endocrinology, First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
