Censo Brasileiro de Diálise, 2009

Abstract

Introduction: National dialysis data are fundamental for treatment planning. Objective: To report data of the annual survey of the Brazilian Society of Nephrology about chronic renal failure patients on dialysis in January 2009. Methods: A survey based on data of dialysis units from the whole country. The data collection was performed by using a questionnaire filled out by the dialysis units in Brazil. Results: 427 (69.8%) of the dialysis units in the country answered the questionnaire. National data were estimated for the overall dialysis population. In January 2009, the total estimated number of patients on dialysis was 77,589. The estimated prevalence and incidence rates of chronic renal failure on maintenance dialysis were 405 and 144 patients per million population, respectively. The estimated number of new patients starting dialysis program in 2009 was 27,612. The annual gross mortality rate was 17.1%. For prevalent patients, 39.9% were aged 65 years or older, 89.6% were on hemodialysis and 10.4% on peritoneal dialysis, 30,419 (39.2%) were on a waiting list of renal transplant, 27% were diabetics, 37.9% had serum phosphorus > 5.5 mg/dL and 42.8% hemoglobin < 11 g/dL. A venous catheter was the vascular access for 12.4% of the hemodialysis patients. Conclusions: The prevalence of chronic renal failure on maintenance dialysis is increasing in Brazil, although in 2009 the estimate is lower than in 2008. The data call attention to indicators of the quality of maintenance dialysis that need to be improved and highlight the importance of the census to guide chronic dialysis therapy.

Factors Associated With the Quality of Life of Patients Undergoing Hemodialysis

“…Its incidence rate in 2013 was 170 patients/1,000,000 inhabitants, while most of these patients are concentrated in the southeast. 3 The difficulty in handling the disease arises from the fact it is asymptomatic at onset, which hinders early diagnosis, and because of the complexity of changes that occur due to the progressive decrease in the glomerular filtration rate that occurs, which leads to comorbidities, complications, kidney functional failure, and increased early mortality. 4 A conservative or dialysis treatment must be implemented as soon as CKD is diagnosed; otherwise, complications may lead to death.…”

Terapia dialítica em mulheres do estado do Paraná, município de Maringá e região metropolitana

“…A DRC vem crescendo no Brasil e tem se tornado um importante problema de saúde pública (LUGON, 2009). Mulheres em diálise apresentam dificuldades sociais, psicológicas e fisiológicas devido a DRC (TERRA et al, 2010).…”

“…A doença renal crônica (DRC) é um importante problema de saúde pública (LUGON, 2009). Verificase a cada ano um significante aumento na incidência e prevalência da população em programa dialítico.…”

Qualidade de vida de pacientes em tratamento hemodialítico: intervenção da Terapia Ocupacional

“…O paciente que necessita de terapêutica hemodialítica, em geral, lida com um grande desafio que envolve mudanças em sua rotina e hábitos de vida, relacionados à alimentação, atividades físicas, medicações continuas e a dependência de pessoas e aparelhos³. Efeitos colaterais como náuseas e cefaléia também afetam a capacidade física necessária para o engajamento em seus papéis ocupacionais e melhoria da qualidade de vida 4 . Neste sentido o Terapeuta Ocupacional (TO) pode contribuir com a melhoria da qualidade de vida, ao promover o aumento da funcionalidade, independência e autonomia nas atividades cotidianas, bem como buscar desenvolver mecanismos positivos para enfrentamento do adoecimento e do tratamento 2,5 .…”