Study of the incidence of dialysis in São Paulo, the largest Brazilian city

Abstract

OBJECTIVES:Chronic kidney disease is a major public health problem worldwide. In Brazil, approximately 100,000 patients (January 2012) receive renal replacement therapy. Nevertheless, data on dialysis incidence in the Brazilian population are scarce. This study aims to analyze the incidence of patients starting dialysis therapy in São Paulo City, the largest Brazilian metropolis.METHOD:This cohort study analyzed data from 9,994 patients starting hemodialysis or peritoneal dialysis funded by the Brazilian Public Health System during a 5-year period (2007–2011). Patient data for this study (recorded as electronic files) were obtained from the São Paulo City's Dialysis Regulatory Bureau, which regulates the allocation of patients requiring dialytic therapy.RESULTS:The dialysis incidence rates were 178, 174, 170, 185 and 188 per million population for the years 2007, 2008, 2009, 2010 and 2011, respectively. The incidence rates increased with age. Hypertension and diabetes were the main etiologies diagnosed. Hemodialysis was the chosen dialysis modality in the majority of patients (92.6%), whereas the percentage of patients referred for peritoneal dialysis decreased from 10.1% to 5.5%.CONCLUSION:The incidence of patients starting renal replacement therapy from 2007–2011 in São Paulo was stable but higher than the projected incidence for the entire country. The authors emphasize the need for further studies of the incidence of dialysis in the Brazilian population and for the creation of a Brazilian registry of dialysis patients, which would be a valuable tool for developing healthcare policies and renal replacement therapy strategies.

Hemodialysis vascular accesses in patients on chronic hemodialysis at the Kenyatta National Hospital in Kenya

“…15,16 From India, the average age of patients on HD was 47.2 years, 17 which is comparable to ours too. This appears to be the age bracket in the developing countries, which differs from countries like Iran, 18 Japan, 19 Spain 20 and Brazil 21 where the ages of HD populations are near or more than 60 years.…”

Effect of Aromatherapy on Uremic Pruritus among Patients Undergoing Hemodialysis

“…However, there are a large number of undiagnosed CKD patients access to hemodialysis. Thus, CKD has often been described as a rising global epidemic disease [12].…”

“…The distribution domain including 15 body part item. Scoring system :( 0-5) indicates no pruritus, (6)(7)(8)(9)(10)(11)(12)(13)(14) indicates mild pruritus, (15)(16)(17)(18)(19)(20)(21)(22)(23)(24) indicates moderate pruritus and (25-35) indicates severe pruritus.…”

Perfil Clínico E Epidemiológico Dos Pacientes Com Doença Renal Crônica Submetidos a Hemodiálise Em São João Del Rei –Mg/ Clinical and Epidemiological Profile of Patients With Chronic Kidney Disease Submitted to Hemodialysis in São João Del Rei -Mg

“…Apesar da maioria dos estudos associarem um maior índice de mortalidade em pacientes com IMC mais elevado 29 , existe, também, uma associação entre o baixo IMC e mortalidade em diversas populações de pacientes, incluindo vários estudos realizados na população em geral [33][34][35] . De acordo com Lu et al 35 Em conformidade com os resultados observados por Cordeiro et al 41 (2013), a taxa de pacientes que iniciaram o tratamento substitutivo foi maior que a incidência projetada para o Brasil no mesmo período de tempo. Estes dados revelaram que no Brasil, possivelmente, ainda não há um acesso eficiente ao tratamento por uma grande parcela da população, visto que o tratamento para a DRC não acompanha densidade populacional do país 40 .…”