Brazilian chronic dialysis survey 2017

Abstract

Introduction: Having national data on chronic dialysis is essential in treatment planning. Objective: To present data of the survey from the Brazilian Society of Nephrology on patients with chronic kidney disease on dialysis in July 2017. Methods: Data was collected from dialysis units in Brazil. The data collection was done using a questionnaire completed online by the dialysis units. Results: Two hundred and ninety-one centers (38.4%) answered the questionnaire. In July 2017, the estimated total number of dialysis patients was 126,583. National estimates of prevalence and incidence rates of dialysis patients per million population (pmp) were 610 (range: 473 in the North region and 710 in the Midwest) and 194, respectively. The incidence rate of new dialysis patients with diagnosis of diabetic nephropathy was 77 pmp. The annual gross mortality rate was 19.9%. Of the prevalent patients, 93.1% were on hemodialysis and 6.9% on peritoneal dialysis, with 31,226 (24%) on the waiting list for renal transplantation. Venous catheter was used as access in 22.6% of patients on hemodialysis. The prevalence rate of positive serology for hepatitis C continued with a tendency to decrease (3.3%). Conclusion: The absolute number of patients and rates of incidence and prevalence on dialysis continued to increase; the mortality rate tended to rise. There were obvious regional and state discrepancies in these rates.

Transplantes de órgãos sólidos no Brasil: estudo descritivo sobre desigualdades na distribuição e acesso no território brasileiro, 2001-2017*

“…According to the 2017 Brazilian Chronic Dialysis Survey, the annual mortality rate attributed to dialysis is 19.9%. 20,21 Such unequal distribution results in certain problems related to accessing this form of treatment in some regions of the country. It is the case, for example, of people who live in the Northern region who face difficulties in accessing diagnosis and treatment for underlying diseases or even for hemodialysis, thus favoring the worsening of their health situation.…”

Qualidade de vida de pacientes renais crônicos em tratamento hemodialítico

“…Segundo dados da SBN, referentes ao ano de 2016, em torno de 50.807 pacientes estavam em tratamento renal substitutivo, dos quais 45.716 realizavam hemodiálise, o que corresponde a mais de 90% desses pacientes. A taxa de incidência no estado de Rio Grande do Sul ultrapassou 6 mil pacientes/ano 2,3 .…”

Main causes of rejection of rim in transplanted patients / Principais causas da rejeição de rim em pacientes transplantados / Principales causas de la rejeición de rim en pacientes transplantados

“…Nos casos de a DRC ser irreversível, podem-se destacar como principais fatores de risco: doença cardiovascular, diabetes, hipertensão e obesidade. A DRC sem tratamento pode levar à Doença Renal Crônica Terminal (DRCT) (1) .…”

“…Assim, quanto aos meios terapêuticos para pacientes com DRC, tem-se a hemodiálise, diálise peritoneal e transplante renal (TXR). O TXR é empregado como tratamento eficiente da DRCT, oferecendo alto grau de reabilitação social e melhora da qualidade de vida do paciente renal crônico (1) .…”