Inquérito Brasileiro de Diálise Crônica 2017
| Autor: | Ricardo Sesso, Fernando Saldanha Thomé, Antonio Alberto Lopes, Jocemir Ronaldo Lugon, Carmen Tzanno Branco Martins |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Nephrology
Male Epidemiology medicine.medical_treatment 02 engineering and technology lcsh:RC870-923 Surveys and Questionnaires Prevalence Diabetic Nephropathies Child education.field_of_study Mortality rate Incidence General Medicine Middle Aged 021001 nanoscience & nanotechnology Child Preschool Female Hemodialysis 0210 nano-technology Peritoneal Dialysis Brazil Adult medicine.medical_specialty Adolescent 0206 medical engineering Population Diálise Renal Peritoneal dialysis Census Data Young Adult Dados Censitários Renal Dialysis Internal medicine medicine Humans Mortality Renal Insufficiency Chronic education Epidemiologia Dialysis Aged business.industry Infant Original Articles medicine.disease lcsh:Diseases of the genitourinary system. Urology 020601 biomedical engineering Kidney Transplantation Transplantation Falência Renal Crônica Kidney Failure Chronic business Kidney disease |
| Zdroj: | Brazilian Journal of Nephrology, Volume: 41, Issue: 2, Pages: 208-214, Published: 28 MAR 2019 Brazilian Journal of Nephrology, Iss 0 (2019) Jornal Brasileiro de Nefrologia Brazilian Journal of Nephrology v.41 n.2 2019 Sociedade Brasileira de Nefrologia (SBN) instacron:SBN Brazilian Journal of Nephrology, Issue: ahead, Published: 28 MAR 2019 |
| Popis: | 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. Resumo Introdução: Dados nacionais sobre diálise crônica são fundamentais no planejamento do tratamento. Objetivo: Apresentar dados do inquérito da Sociedade Brasileira de Nefrologia sobre os pacientes com doença renal crônica em tratamento dialítico em julho de 2017. Métodos: Levantamento de dados de unidades de diálise do país. A coleta de dados foi feita utilizando questionário preenchido on-line pelas unidades de diálise. Resultados: 291 (38,4%) centros responderam ao questionário. Em julho de 2017, o número total estimado de pacientes em diálise foi de 126.583. As estimativas nacionais das taxas de prevalência e de incidência de pacientes em tratamento dialítico por milhão da população (pmp) foram 610 (variação: 473 na região Norte e 710 no Centro-Oeste) e 194, respectivamente. A taxa de incidência de novos pacientes em diálise com diagnóstico de nefropatia diabética foi de 77 pmp. A taxa anual de mortalidade bruta foi de 19,9%. Dos pacientes prevalentes, 93,1% estavam em hemodiálise e 6,9% em diálise peritoneal, com 31.226 (24%) em fila de espera para transplante. Cateter venoso era usado como acesso em 22,6% dos pacientes em hemodiálise. A taxa de prevalência de sorologia positiva para hepatite C continua a mostrar tendência para redução (3,3%). Conclusão: O número absoluto de pacientes e as taxas de incidência e prevalência em diálise continuam a aumentar; a taxa de mortalidade tendeu a elevar-se. Há discrepâncias regionais e estaduais evidentes nessas taxas. |
| Databáze: | OpenAIRE |
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