Abstract

GONZALEZ-BEDAT, María Carlota  and  CUSUMANO, Ana María. ANALYSIS OF PREVALENCE INCREASE IN DIFFERENT METHODS OF RENAL FUNTION REPLACEMENT TREATMENT IN LATIN AMERICA. Rev. nefrol. dial. traspl. [online]. 2014, vol.34, n.4, pp.170-182. ISSN 2346-8548.

Introduction: The Latin American Dialysis and Renal Transplantation Registry (Latin American Society of Nephrology and Hypertension, SLANH) since 1991, has been collecting data on renal replacement therapy (RRT) whose prevalence increased from 335 to 576 pmp during 2000-2008 period. Objetive: To analyze the proportional increase of each treatment method, Hemodialysis (HD), Peritoneal Dialysis (DP) and Functional Renal Transplantation, and to establish the relationship among them and with the nephrologists rate pmp. Methods: Prevalence increase percentages were determined in each country and regions divided according to : a) the SLANH (geographical criteria); b) Global Burden of Disease study (GBD-WHO) (epidemiological criteria). Results: Percentage growth rate showed wide variability among the three methods, DP being the larger. DP percentage growth was inversely related to HD increase percentage in SLANH regions 1 (argentina, Chile, Paraguay and Uruguay) and 4 (México, Central America and the Caribbean) and in all GBD-WHO regions it was directly related to the total RRT prevalence and inversely to HD percentage growth . Nephrologists rate was not related to prevalence increase. Conclusions: Grouping together countries according to epidemiological criteria, DP growth correlated inversely to HD one, and directly to RRT total prevalence. RRT correlation to nephrologists rate by country, was not observed.

Keywords : Prevalence; renal replacement therapy; Latin America; hemodialysis; peritoneal dialysis; Latin America Dialysis and Transplantation Registry.

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