End-stage renal disease and its treatment in Latin America in the twenty-first century

The Latin American Society of Nephrology and Arterial Hypertension's Dialysis and Transplant Registry was chartered in 1991. It collects information on ESRD and its treatment in 20 countries of the region. The prevalence of patients on renal replacement therapy (RRT) increased from 129 pmp in 1...

Full description

Saved in:

Bibliographic Details
Published in:	Renal failure Vol. 28; no. 8; p. 631
Main Authors:	Cusumano, Ana, Garcia-Garcia, Guillermo, Di Gioia, Cristina, Hermida, Osvaldo, Lavorato, Carlos, Carreño, Cesar Agost, Torrico, Maria Placida Garron, Batista, Paulo Benigno Pena, Romão, João Egídio, Badal, Hugo Poblete, Miranda, Susana Elgueta, Gomez, Rafael, Calderon, Manuel Cerdas, Sanchez, Sergio Herra, Lopez, Miguel Almaguer, Moscoso, Julio, Merino, Ricardo Leiva, Polo, Jose Vicente Sánchez, Lopez, Alirio, Romero, Norman Jiron, Garcia, Ramiro, Acosta, Blanca V Franco, Lopez, Augusto Saavedra, Delpin, Eduardo Santiago, Mena, Emilio, González, Carlota, Milanés, Carmen Luisa, Acchiardo, Sergio
Format:	Journal Article
Language:	English
Published:	England 01-01-2006
Subjects:	Aged Caribbean Region - epidemiology Central America - epidemiology Health Services Accessibility Hemodialysis Units, Hospital Humans Incidence Kidney Failure, Chronic - epidemiology Kidney Failure, Chronic - mortality Kidney Failure, Chronic - surgery Kidney Failure, Chronic - therapy Kidney Transplantation - trends Latin America - epidemiology Mexico - epidemiology Middle Aged Peritoneal Dialysis - trends Prevalence Registries Renal Dialysis - trends Renal Replacement Therapy - trends South America - epidemiology Surveys and Questionnaires Treatment Outcome South America Central America Mexico Caribbean Region Latin America
Online Access:	Get more information
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	The Latin American Society of Nephrology and Arterial Hypertension's Dialysis and Transplant Registry was chartered in 1991. It collects information on ESRD and its treatment in 20 countries of the region. The prevalence of patients on renal replacement therapy (RRT) increased from 129 pmp in 1992 to 447 pmp in 2004; in 2004, 56% of the patients were on hemodialysis, 23% on peritoneal dialysis, and 21% had a functioning kidney graft. The highest rates of prevalence were reported in Puerto Rico (1027 pmp), Chile (686 pmp), and Uruguay (683 pmp). Hemodialysis was widely used, except in El Salvador, Mexico, Guatemala, Nicaragua, and the Dominican Republic, where peritoneal dialysis predominated. Incidence rate increased from 27.8 pmp to 147 pmp in the same period of observation; the lowest rate was reported in Guatemala (11.4 pmp) and the highest in Puerto Rico (337.4 pmp). Diabetes mellitus was the leading cause of renal failure in incident patients; the highest rates were reported in Puerto Rico (62.2%) and Mexico (60%). Forty-four percent of the incident population were older than 65 years. Access to renal replacement therapy was universal in Argentina, Brazil, Chile, Cuba, Puerto Rico, Uruguay, and Venezuela, while was restricted in other countries. Main causes of death in dialysis were cardiovascular (44%) and infectious disease (26%). The rate of renal transplantation increased from 3.7 pmp in 1987 to 14.5 in 2004; fifty-three percent of the organs came from cadavers. Overall, donation rate was 5.9 pmp. In conclusion, the prevalence and incidence rates have increased over the years, and diabetes mellitus has emerged as the leading cause of kidney disease in the region. Although the rate of kidney transplantation has increased, the number remains insufficient to match the growing demand. The implementation of renal health programs in the region is urgently needed.
ISSN:	0886-022X
DOI:	10.1080/08860220600925693