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2016 ; 5
(5
): 389-97
Nephropedia Template TP
gab.com Text
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English Wikipedia
Latin American Dialysis and Transplant Registry: Experience and contributions to
end-stage renal disease epidemiology
#MMPMID27648403
Cusumano AM
; Rosa-Diez GJ
; Gonzalez-Bedat MC
World J Nephrol
2016[Sep]; 5
(5
): 389-97
PMID27648403
show ga
In 2015, 634387 million people (9% of the world's population) resided in Latin
America (LA), with half of those populating Brazil and Mexico. The LA Dialysis
and Transplant Registry was initiated in 1991, with the aim of collecting data on
renal replacement therapy (RRT) from the 20 LA-affiliated countries. Since then,
the Registry has revealed a trend of increasing prevalence and incidence of
end-stage kidney disease on RRT, which is ongoing and is correlated with gross
national income, life expectancy at birth, and percentage of population that is
older than 65 years. In addition, the rate of kidney transplantation has
increased yearly, with > 70% being performed from deceased donors. According to
the numbers reported for 2013, the rates of prevalence, incidence and
transplantation were (in patients per million population) 669, 149 and 19.4,
respectively. Hemodialysis was the treatment of choice (90%), and 43% of the
patients undergoing this treatment was located in Brazil; in contrast, peritoneal
dialysis prevailed in Costa Rica, El Salvador and Guatemala. To date, the
Registry remains the only source of RRT data available to healthcare authorities
in many LA countries. It not only serves to promote knowledge regarding
epidemiology of end-stage renal disease and the related RRT but also for training
of nephrologists and renal researchers, to improve understanding and clinical
application of dialysis and transplantation services. In LA, accessibility to RRT
is still limited and it remains necessary to develop effective programs that will
reduce risk factors, promote early diagnosis and treatment of chronic kidney
disease, and strengthen transplantation programs.