Characteristics of mortality with Chronic Kidney Disease in Cuba. Trend and forecast. 2011-2020

Abstract

Mortality due to Chronic Kidney Disease (CKD) has shown a significant increase globally and in Cuba over the past decade. This study analyzes the characteristics of mortality due to CKD in Cuba between 2011 and 2020, aiming to illustrate and determine the trend and prognosis. A longitudinal descriptive study was conducted, using data from 35,031 deaths registered by the Ministry of Public Health of Cuba. The variables analyzed include the year of death, age, sex, province of residence, and cause of death, using the International Classification of Diseases. Mortality rates were calculated and age-adjusted using standard statistical methods and the SPSS version 20.0 program.During the study period, mortality with CKD in Cuba increased from 2,764 cases in 2011 to 4,325 in 2020, an increase of 56.47%. Age-adjusted mortality rates showed a higher increase in men (39.83%) than in women (20.71%). The average age at death was 70.38 years. Potential years of life lost (PYLL) amounted to 263,090.5, with the most affected age groups being 50-59 years. The provinces with the highest age-adjusted mortality rates were Cienfuegos and Sancti Spíritus.Renal diseases represent a growing cause of mortality in Cuba, aligning with trends observed in the Americas region. The implementation of CKD prevention and control programs in primary health care is crucial to mitigate this trend