PREVALENCE AND BURDEN OF DISEASE OF CHRONIC KIDNEY DISEASE UNDERGOING HEMODIALISIS AT THE REGIONAL GENERAL HOSPITAL dr. ZAINOEL ABIDIN

Abstract

Background:Chronic kidney failure is a decrease in kidney function as indicated by a glomerular filtration rate <60 mL/minute per 1.73 m2, or there is kidney damage, or both occur within a period of 3 months. This disease has an economic burden due to the complex and expensive nature of kidney disease treatment and has provisions that are closely related to public policy and the financial status of each country. According to the World Health Organization, chronic kidney failure is ranked the 12th highest cause of death. Objective: To find out the prevalence and burden of chronic kidney disease undergoing hemodialysis at the Dr. General Hospital. Zainoel Abidin. Research Method: Quantitative research is descriptive with a cross sectional design. The sample was 116 patients with chronic kidney disease who underwent hemodialysis and met the inclusion and exclusion criteria, the sampling technique used total sampling. Results: Prevalence of chronic kidney disease undergoing hemodialysis at RSUD dr. Zainoel Abidin is6.48 %.Routine direct costs are Rp. 8,548,040,160 per year with an average of Rp. 895,466 per patient while incidental direct costs are Rp. 300,100,000 per year with an average of Rp. 5,456,363 per patient. Routine indirect costs are Rp. 1,065,216,000 per year with an average of Rp. 303,959 per patient while incidental indirect costs are Rp. 146,013,000 with an average of Rp.2,103,058 per patient.Burden of diseasechronic kidney disease undergoing hemodialysis at RSUD dr. Zainoel Abidin is Rp. 12,626,518,024,188.75. Conclusion: The high amount of costs incurred for chronic kidney disease will have a major impact on the economic burden. The government needs to reduce the prevalence rate of chronic kidney disease because by reducing the prevalence rate of the disease it can reduce the burden of disease.