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Brazilian Chronic Dialysis Census 2014
Ricardo Cintra Sesso1, Antonio Alberto Lopes2, Fernando Saldanha Thomé3
1Universidade Federal de São Paulo, Brazil.
Insights
Brazil
Area of Science:
- Nephrology
- Public Health
- Epidemiology
Background:
- National chronic dialysis data are crucial for effective treatment planning.
- The Brazilian Society of Nephrology conducts annual surveys to monitor kidney disease patients.
- Understanding dialysis patient demographics and trends is vital for healthcare management.
Purpose of the Study:
- To present the 2014 findings from the Brazilian Society of Nephrology's annual survey on chronic kidney disease patients undergoing dialysis.
- To provide updated statistics on dialysis prevalence, incidence, and patient characteristics in Brazil.
Main Methods:
- A nationwide online survey distributed to dialysis units across Brazil.
- Data collection involved a comprehensive questionnaire completed by participating dialysis facilities.
Main Results:
- In July 2014, an estimated 112,004 patients were on dialysis in Brazil.
- Prevalence and incidence rates were 552 and 180 patients per million population (pmp), respectively.
- Diabetes was the primary cause of kidney disease in 42% of new dialysis patients in 2014, with a 19% gross mortality rate.
Conclusions:
- Dialysis patient prevalence and incidence in Brazil showed an increasing trend between 2011 and 2014.
- The overall mortality rate among dialysis patients remained stable during this period.
- Diabetes is a significant and growing contributor to end-stage renal disease requiring dialysis in Brazil.
Introduction:
National chronic dialysis data have had impact in the treatment planning.
Objective:
To report data of the annual survey of the Brazilian Society of Nephrology about chronic kidney disease patients on dialysis in July 2014.
Methods:
A survey based on data of dialysis units from the whole country. The data collection was performed by using a questionnaire filled out on-line by the dialysis units.
Results:
Three hundred twelve (44%) of the dialysis units in the country answered the questionnaire. In July 2014, the total estimated number of patients on dialysis was 112,004. The estimated prevalence and incidence rates of chronic maintenance dialysis were 552 (range: 364 in the North region and 672 in the Southeast) and 180 patients per million population (pmp), respectively. The annual incidence rate of patients with diabetic nephropathy was 77 pmp. The annual gross mortality rate was 19%. For prevalent patients, 91% were on hemodialysis and 9% on peritoneal dialysis, 32,499 (29%) were on a waiting list of renal transplant, 37% were overweight/obese, 29% were diabetics, 16% had PTH levels > 600 pg/ml and 26% hemoglobin < 10 g/dl. A venous catheter was the vascular access for 17% of the hemodialysis patients.
Conclusion:
During 2011-2014 the prevalence and incidence rates of patients on dialysis tended to increase, while the gross mortality rate remained stable. In 2014, diabetes was the primary renal disease in 42% of the new dialysis patients.
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