High prevalence of hyperkalemia in Brazilian chronic dialysis patients and differences across geographic regions

Nerbass, Fabiana Baggio; Lima, Helbert do Nascimento; Sesso, Ricardo; Lugon, Jocemir Ronaldo

doi:10.1590/2175-8239-jbn-2022-0053en

Cited by 2 publications

(3 citation statements)

References 18 publications

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“…Other regional similarities and differences concerning demographics, laboratory parameters, and drug prescription in the BDR were recently published elsewhere. 25 Our study has some limitations, including the missing data from some of the variables analyzed and the retrospective study design, which may have introduced some selection bias. Moreover, the BDR relies on voluntary participation, with only 13% of dialysis centers taking part.…”

Section: Discussionmentioning

confidence: 95%

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Sex-specific differences in a large cohort of Brazilian incident dialysis patients over 12 years: A retrospective study

Nerbass,

Lima,

Lugon

et al. 2024

Int J Artif Organs

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Objective: Sex-specific differences in the epidemiology of chronic kidney disease, such as higher prevalence of women on pre-dialysis and men on chronic dialysis treatment, have been reported worldwide. In this regard, data from non-high-income countries are scarce. We aimed to compare the demographic, clinical, and dialysis characteristics of incident dialysis patients, both men and women, in a large cohort of Brazilian patients over a 12-year period. Methods: This was a multicentric retrospective cohort study coordinated by the Brazilian Society of Nephrology. The study included all adult incident dialysis patients in the Brazilian Dialysis Registry from January 2011 to December 2022. The variables studied encompassed age, skin color, education, CKD etiology, predialysis nephrologist care, dialysis characteristics, and geographic region. Additionally, the sample was analyzed for each of the three 4-year periods over the 12 years of data collection. Results: A total of 24,632 incident dialysis patients were included. Men were 59.1% of the dialysis population, remaining stable over the three 4-year periods. Besides other differences, women started dialysis younger (58.5 ± 16.2 years vs 59.5 ± 14.4 years; p < 0.001), had a lower educational level (less than 8 years at school: 54% vs 44%; p < 0.001), received more predialysis nephrologist care (46.2% vs 44.2%; p = 0.04), and had a higher prevalence of peritoneal dialysis (4.4% vs 3.5%; p = 0.03). Conclusion: We consistently observed a higher prevalence of men on dialysis and differences in demographic, clinical, and dialysis characteristics. The underlying reasons for these sex differences still necessitate further clarification.

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Section: Discussionmentioning

confidence: 95%

“…Other regional similarities and differences concerning demographics, laboratory parameters, and drug prescription in the BDR were recently published elsewhere. 25…”

Section: Discussionmentioning

confidence: 99%

Sex-specific differences in a large cohort of Brazilian incident dialysis patients over 12 years: A retrospective study

Nerbass,

Lima,

Lugon

et al. 2024

Int J Artif Organs

View full text Add to dashboard Cite

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“…As taxas estimadas de prevalência e incidência de pacientes por milhão da população foram 684 e 209, respectivamente. Ademais, a pandemia COVID-19 colaborou para o aumento da taxa de mortalidade geral nos últimos anos (Nerbass et al, 2022).…”

Section: Introductionunclassified

Análise do perfil nutricional de pacientes renais crônicos em hemodiálise

Benvenho

Litchteneker

Mombelli

et al. 2022

RSD

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A doença renal crônica é caracterizada como um problema de Saúde Pública no Brasil e no mundo. Compromete gradativamente a função renal, apresenta caráter progressivo, irreversível e, para a maioria dos casos a hemodiálise é uma opção de tratamento. O objetivo da pesquisa foi avaliar o perfil nutricional dos pacientes em hemodiálise em uma clínica de nefrologia na região oeste do Paraná. Trata-se de um estudo transversal, realizado com 101 pacientes. As variáveis sexo, idade, etiologia da doença renal crônica e tempo de hemodiálise foram coletadas dos prontuários e registrados em um formulário elaborado pelas pesquisadoras, com base na literatura. Foram realizadas avaliações nutricionais. Para análise estatística descritiva, utilizou-se os testes Qui-Quadrado e t de Student. A média de índice de massa corporal dos pacientes indicou sobrepeso. A hipertensão arterial sistêmica foi a causa da doença renal crônica na maioria dos pacientes. A prevalência de desnutrição energético-proteica foi de 39,60% pela circunferência muscular do braço, 33,66% pela circunferência braquial, 29,70% pela Avaliação Subjetiva Global Modificada e 25,74% pelo índice de massa corporal. O tempo de tratamento possivelmente contribuiu para a depleção da massa muscular e piora do estado nutricional desses pacientes. Logo, a avalição nutricional de pacientes em hemodiálise permanece como um importante desafio, com o intuito de conhecer melhor as alterações nutricionais e metabólicas apresentadas e atuar na manutenção ou recuperação da saúde, minimizando seus danos, assim como podem diminuir a morbidade e mortalidade iniciais.

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High prevalence of hyperkalemia in Brazilian chronic dialysis patients and differences across geographic regions

Cited by 2 publications

References 18 publications

Sex-specific differences in a large cohort of Brazilian incident dialysis patients over 12 years: A retrospective study

Sex-specific differences in a large cohort of Brazilian incident dialysis patients over 12 years: A retrospective study

Análise do perfil nutricional de pacientes renais crônicos em hemodiálise

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