Around 850 million people currently are affected by different types of kidney disorders.1 Up to 1 in 10 adults worldwide has chronic kidney disease (CKD), which is invariably irreversible and mostly progressive. The global burden of CKD is increasing, and CKD is projected to become the fifth most common cause of years of life lost globally by 2040.2 If CKD remains uncontrolled and if the affected person survives the ravages of cardiovascular and other complications of the disease, CKD progresses to end-stage kidney disease, where life cannot be sustained without dialysis therapy or kidney transplantation.
Archivi categoria: chronic care model
Kidney health for everyone everywhere—from prevention to detection and equitable access to care – Kidney International
Healthy lifestyle and life expectancy free of cancer, cardiovascular disease, and type 2 diabetes: prospective cohort study | The BMJ
Objective To examine how a healthy lifestyle is related to life expectancy that is free from major chronic diseases. Design Prospective cohort study. Setting and participants The Nurses’ Health Study (1980-2014; n=73 196) and the Health Professionals Follow-Up Study (1986-2014; n=38 366). Main exposures Five low risk lifestyle factors: never smoking, body mass index 18.5-24.9, moderate to vigorous physical activity (≥30 minutes/day), moderate alcohol intake (women: 5-15 g/day; men 5-30 g/day), and a higher diet quality score (upper 40%). Main outcome Life expectancy free of diabetes, cardiovascular diseases, and cancer. Results The life expectancy free of diabetes, cardiovascular diseases, and cancer at age 50 was 23.7 years (95% confidence interval 22.6 to 24.7) for women who adopted no low risk lifestyle factors, in contrast to 34.4 years (33.1 to 35.5) for women who adopted four or five low risk factors. At age 50, the life expectancy free of any of these chronic diseases was 23.5 (22.3 to 24.7) years among men who adopted no low risk lifestyle factors and 31.1 (29.5 to 32.5) years in men who adopted four or five low risk lifestyle factors. For current male smokers who smok
A Prescription for Longevity in the 21st Century: Renewing Purpose, Building and Sustaining Social Engagement, and Embracing a Positive Lifestyle | Geriatrics | JAMA | JAMA Network
This Viewpoint considers how physicians can help patients align health span with life span given trends toward increased longevity and emphasizes the importance of a sense of purpose, social engagement, and lifestyle choices to improve outcomes of morbidity, mortality, and quality of life.
I dati del rapporto annuale Osservasalute. Vita media 83,4 anni. Allarme per i 24 milioni di affetti da patologie permanenti e per le morti ospedaliere dovute a sepsi e resistenza agli antibiotici
Osservatorio Nazionale sulla salute nelle regioni italiane
It’s time to recognise self care as an integral component of health systems | The BMJChronic care model
Empowering and supporting people to manage their own health benefits everyone The space given to self care in health policies and national healthcare does not acknowledge how people take care of their health or the potential self care has for improving health and wellbeing. Although so much of public health messaging is about self care, the benign neglect in healthcare policies stems, at least in part, from an evidence base that is patchy at best. However, in recent years, interest has been growing in the production of evidence reviews and guidelines for self care. A single definition of self care is not straightforward given the range of health problems, diagnoses, and treatments that it covers and the varying degrees of complexity involved that require different skills, understanding, and health literacy. Most self care happens outside the formal health system and should not be medicalised. However, when self care and healthcare intersect there is potential to amplify their benefits for the health of individuals and populations. For example, HIV self testing could increase coverage and self management of abortion could improve maternal health outcomes. Although it is tempting
Association of a Bundled Hospital-at-Home and 30-Day Postacute Transitional Care Program With Clinical Outcomes and Patient Experiences | Nursing | JAMA Internal Medicine | JAMA Network
This case-control study compares the patient outcomes and ratings of care between patients who received hospital-at-home care bundled with a 30-day postacute transitional care period vs traditional inpatient care.
In un momento di riduzione della disponibilità finanziaria per la sanità dobbiamo rispondere a domande del tipo: trattare gli ipertesi con PA < 160/100 quanti ictus evita e a quale costo?
Psicologia della salute: come affrontare la malattia cronica e il senso di impotenza del malato – Psychondesk
Venire a conoscenza di essere affetti da malattia cronica costituisce un vero e proprio terremoto nella vita di un paziente. Affrontare il senso di impotenza e
Realising there were so many other people who were battling with this condition provided me with motivation. “What do you need to make things better?” | The BMJ
In a 20 minute conversation, I had learnt more about my condition than I had in the previous 15 years
Lo psicologo può essere una figura di sostegno per i pazienti sottoposti a emodialisi nella regolazione delle emozioni e nell’accettazione della malattia
Cronicità. Rivoluzione in Lombardia: i pazienti saranno presi in carico direttamente dalle strutture socio sanitarie pubbliche e accreditate in base alla complessità della malattia. Ecco la delibera che sarà presto discussa in Giunta – Quotidiano Sanità
Il progetto, in linea con la riforma sanitaria del 2015, disegna un nuovo modello di assistenza per i pazienti cronici. La novità principale è la loro classificazione per livello di complessità. Ad ogni livello corrisponderà un percorso assistenziale diverso con una forte integrazione tra ospedale e territorio. Ma i medici di famiglia, che da sei anni sperimentano i CReG e che sono stati finora i “gestori” di riferimento delle cronicità, non ci stanno. LA BOZZA DI DELIBERA
Sorgente: Cronicità. Rivoluzione in Lombardia: i pazienti saranno presi in carico direttamente dalle strutture socio sanitarie pubbliche e accreditate in base alla complessità della malattia. Ecco la delibera che sarà presto discussa in Giunta – Quotidiano Sanità