US Pharm. 2013;8(38):7.
The National Health Interview Survey noted that 2% of individuals
aged 18 years and older were diagnosed with kidney disease in 2011.
Kidney disease was more than three times more prevalent in poor families
than in better-off families. Among patients aged 65 years and younger,
Medicaid covered kidney disease treatment in six times more patients
than private insurance companies did. Three times more patients older
than 65 years who had both Medicaid and Medicare were covered, versus
those with private insurance or those with Medicare only (2.4 times).
Urinary tract infections (UTIs) generated 8.1 million office visits to
physicians, with 5% of visits to a primary care physician.
Hospice Care: Of all listed diagnoses for hospice care,
3.4% of patients (35,900) were diagnosed with malignant neoplasm of
urinary organs, according to the 2011 National Home and Hospice Care
Survey. Of the 14.5% of patients diagnosed with disease of the
genitourinary system at discharge from hospice, 20% had a UTI.
Ambulatory Care: The National Ambulatory Medical
Care Survey determined that in 2009, of the 22 million visits to
office-based urologists, 33% of patients were aged 45 to 64 years, 26%
were 65 to 74 years, and 24% were 75 years and older; however, the
number of annual visits was three times greater in the group aged 45 to
64 years than in the group aged 65 to 74 years. Compared with men, women
made three times more annual visits to urologists. Preventive care (5%)
was the least frequent reason for visiting a urologist in an ambulatory
care setting; the most common reasons were a chronic problem (42%), a
new problem (26%), presurgical or postsurgical visits (13%), and flareup
of a chronic problem (12%). The most common diagnoses during office
visits were malignant neoplasm, prostatic hyperplasia, incontinence,
retention, dysuria, and renal or ureteral calculi. The urologist
prescribed a medication (e.g., tamsulosin, aspirin, ciprofloxacin,
lisinopril, simvastatin) in 64% of visits.
Short-Stay Hospitalization and Home Health Care: In
2010, 55% more patients aged 45 to 64 years than those aged 15 to 44
years underwent urinary-system surgery. Compared with patients aged 45
to 64 years, 22% more patients aged 65 years and older underwent
procedures. Cystoscopy with or without biopsy was performed on 35% more
people aged 45 to 64 years than those aged 15 to 44 years, and an
additional 5% of those aged 65 years and older underwent the procedure.
Following diseases of the respiratory system, the seventh most common
ailment experienced by patients (14.7%) in home health care settings was
disease of the genitourinary system. Nearly half of these patients had
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