Public health investments and mortality risk in Brazilian peritoneal dialysis patients

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Autor(es): dc.contributorPrograma de Pós-Graduação em Ciências da Saúde da Pontifícia Universidade Católica do Paraná (PUCPR)-
Autor(es): dc.contributorPontifícia Universidade Católica do Paraná (PUCPR)-
Autor(es): dc.contributorPontifícia Universidade Católica do Rio Grande do Sul (PUCRS)-
Autor(es): dc.contributorUniversidade Estadual Paulista (Unesp)-
Autor(es): dc.creatorLoesch, Gustavo-
Autor(es): dc.creatorCruz, June A.W.-
Autor(es): dc.creatorPecoits-Filho, Roberto-
Autor(es): dc.creatorFigueiredo, Ana E.-
Autor(es): dc.creatorBarretti, Pasqual [UNESP]-
Autor(es): dc.creatorde Moraes, Thyago P.-
Data de aceite: dc.date.accessioned2022-02-22T00:53:21Z-
Data de disponibilização: dc.date.available2022-02-22T00:53:21Z-
Data de envio: dc.date.issued2021-06-25-
Data de envio: dc.date.issued2021-06-25-
Data de envio: dc.date.issued2019-12-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1093/CKJ/SFAA118-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/208409-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/208409-
Descrição: dc.descriptionBackground. End-stage kidney disease (ESKD) treatment is very costly and accounts for a significant percentage of public healthcare expenditures. Beyond direct costs, dialysis patients use other healthcare levels, but the impact of public investment on each of these levels is unclear. This study aimed to investigate the association between direct financing at different healthcare levels and overall mortality in peritoneal dialysis (PD) patients. Methods. We included all adult incident PD patients from a Brazilian prospective, nationwide PD cohort. Overall mortality was the primary outcome of interest. We used a three-level multilevel survival analysis to investigate whether mortality was associated with the investments destined to different levels of healthcare complexity: (i) primary, (ii) medium and high and (iii) professional healthcare training and community awareness. Results. We evaluated 5707 incident PD patients from 78 Brazilian cities, which were divided into four quartiles for each healthcare level (Groups I-IV). After taking the highest quartile (Group IV) as a reference, investment in the primary health level was not associated with patient survival. Otherwise, medium and high complexity levels were associated with higher mortality risk. Also, investment in healthcare manager training and community awareness had an impact on patient survival. Conclusions. Investments in different levels of the healthcare system have distinct impacts on PD patient survival. Investment in healthcare manager training and community awareness seems to be a promising strategy on which to focus, given the relatively low cost and positive impact on outcome.-
Descrição: dc.descriptionPrograma de Pós-Graduação em Ciências da Saúde da Pontifícia Universidade Católica do Paraná (PUCPR)-
Descrição: dc.descriptionPrograma de Pós-Graduação em Administração da Pontifícia Universidade Católica do Paraná (PUCPR)-
Descrição: dc.descriptionPrograma de Pós-Graduação em Medicina e Ciências da Saúde (Nefrologia) Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)-
Descrição: dc.descriptionSao Paulo State University Julio de Mesquita Filho (UNESP)-
Descrição: dc.descriptionSao Paulo State University Julio de Mesquita Filho (UNESP)-
Formato: dc.format1012-1016-
Idioma: dc.languageen-
Relação: dc.relationClinical Kidney Journal-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectBrazilian Unified Health System-
Palavras-chave: dc.subjectBRAZPD-
Palavras-chave: dc.subjectHealthcare levels-
Palavras-chave: dc.subjectMortality-
Palavras-chave: dc.subjectPeritoneal dialysis-
Palavras-chave: dc.subjectPublic investments-
Título: dc.titlePublic health investments and mortality risk in Brazilian peritoneal dialysis patients-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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