Studies from Peking University First Hospital Further Understanding of Chronic Kidney Disease (Association of Insurance Status With Chronic Kidney Disease Stage At Diagnosis In Children): Kidney Diseases and Conditions – Chronic Kidney Disease

2023 OCT 30 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Investigators discuss new findings in Kidney Diseases and Conditions - Chronic Kidney Disease. According to news originating from Beijing, People’s Republic of China, by NewsRx correspondents, research stated, “Whether medical insurance impacts the timely diagnosis in chronic kidney disease (CKD) children is unknown. We aim to examine the extent to which insurance is associated with access to timely diagnosis and different stages of CKD among a large population of children in China.”

Our news journalists obtained a quote from the research from Peking University First Hospital, “A retrospective, cross-sectional study based on China’s national hospitalized record database was carried out. Children aged 0-17 years diagnosed as CKD stages 1-5 between June 1, 2013, and December 31, 2018, were included. A diagnosis of advanced CKD stage (CKD stage 4 or 5) was the primary outcome. Multivariable logistic regression model adjusted for age, sex, cross-regional hospitalization, year of diagnosis, and cause of CKD was used to assess the association between insurance status and the stage of CKD when diagnosed. A total of 10,256 children (median [interquartile range, IQR] age, 12.4 [7.9, 15.4] years) were included. There were 4716 (46.0%) uninsured children in the included population. The insurance coverage was highest in children 13-17 years old (60.9%). The hospitalized charge was highest in stage 5 uninsured children (median [IQR], yen 13,000.89 [7640.63, 24,585.00]). More uninsured children are diagnosed in CKD stage 4 or 5 (48.1%) than insured children (47.5%). Uninsured children had higher odds (odds ratio [OR] 1.20, [95% CI, 1.08-1.32]) of receiving a diagnosis of CKD stage 4 or 5 compared with insured children.”

According to the news editors, the research concluded: “Lack of medical insurance was associated with a more advanced stage of CKD when diagnosed in hospitalized children.”

This research has been peer-reviewed.

For more information on this research see: Association of Insurance Status With Chronic Kidney Disease Stage At Diagnosis In Children. Pediatric Nephrology, 2022;37(11):2705-2714. Pediatric Nephrology can be contacted at: Springer, One New York Plaza, Suite 4600, New York, Ny, United States. (Springer - www.springer.com; Pediatric Nephrology - http://www.springerlink.com/content/0931-041x/)

The news correspondents report that additional information may be obtained from Jie Ding, Peking University First Hospital, Dept. of Pediatrics, Xi An Men Da Jie, Beijing 100034, People’s Republic of China. Additional authors for this research include Guohua He, Chenglong Li, Shengfeng Wang and Haibo Wang.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1007/s00467-022-05493-6. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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