Using spatial analysis to explore the factors related to End-stage renal disease incidence rate in Taiwan

Abstract

Previous foreign studies showed that many risk factors may cause kidney injury such as gender aging medications and disease Besides these common cause environmental factors socioeconomic factors and race are also possible factors We conducted a cross-sectional study using the Taiwan’s National Health Insurance Research Database (NHIRD) from 2002-2004 involving patients over 20 years old who were diagnosed with ESRD Comorbidities and co-medications were observed within 1 year before first ESRD diagnosis Study outcomes were to confirm the incidence rate of ESRD in each region and to evaluate which factor would influence ESRD incidence rate Local Indicators of Spatial Association (LISA) was applied to detect the spatial clusters of ESRD incidence rate and then we used spatial regression model to identify the factors related to ESRD incidence There were totally 73995 patients in our study with a mean age of 63 77 years and 50 9% males LISA analysis showed that high ESRD incidence rate was clustered in southern Taiwan In social factors results from spatial regression model found elderly population aboriginal proportion medical resources and unemployment rate had positive correlation with ESRD incidence (P

Date of Award	2019
Original language	English
Supervisor	Ching-Lan Cheng (Supervisor)