Efficiency criteria of laboratory support for clinical diagnosis in evaluation of individual life quality and public health elements

Author:

Ivanov I. V.1ORCID,Skibo I. I.2ORCID,Averyanova E. V.1ORCID,Bug D. S.3ORCID,Emanuel V. L.3ORCID

Affiliation:

1. National Institute for Quality

2. First Saint Petersburg State Medical University n.a. I.P. Pavlov; Helix Co.

3. First Saint Petersburg State Medical University n.a. I.P. Pavlov

Abstract

The analysis of the informativeness of traditional laboratory markers was performed by verification of individuals with the laboratory features of chronic kidney disease (blood creatinine level exceeding the reference range upper limit) among 142,494 people, who underwent laboratory tests during dispenserization and medical examination during 2015–2019. A stable growth of population groups characterized by preclinical hypercreatininaemia was observed, suggesting the increase of chronic kidney disease rate. Meanwhile the frequency of this population group, corresponding to the obtained values, is considered to be a cardiovascular cohort (primarily affected by chronic cardiac failure) in ‘Chronic kidney disease’ clinical recommendation (2019). Our results clearly demonstrate the cardiorenal continuum. Obtained data can be used in the resource support of the health care system calculation.

Publisher

Alfmed LLC

Subject

Materials Chemistry,Economics and Econometrics,Media Technology,Forestry

Reference9 articles.

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3. Smirnov A.V. A systematic approach to the analysis of cardiorenal relationships as the first step towards nephrology of the P4 format. Nephrology. 2011. V. 15. No. 2. P. 11–19.

4. Order of the Ministry of Health of the Russian Federation of March 13, 2019 No. 124n “On approval of the procedure for conducting a preventive medical examination and clinical examination of certain groups of the adult population”.

5. Order of the Ministry of Health of the Russian Federation of April 12, 2011 No. 302 “On the approval of lists of harmful and (or) hazardous production factors and work, during which mandatory preliminary and periodic medical examinations (examinations) are carried out, and the procedure for conducting mandatory preliminary and periodic medical examinations (surveys) of workers engaged in heavy work and work with harmful and (or) dangerous working conditions”.

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