Limits...
Study of the incidence of dialysis in São Paulo, the largest Brazilian city.

Cordeiro AC, Carrero JJ, Qureshi AR, Cunha RF, Lindholm B, Castro Id, Noronha IL - Clinics (Sao Paulo) (2013)

Bottom Line: Hemodialysis was the chosen dialysis modality in the majority of patients (92.6%), whereas the percentage of patients referred for peritoneal dialysis decreased from 10.1% to 5.5%.The incidence of patients starting renal replacement therapy from 2007-2011 in São Paulo was stable but higher than the projected incidence for the entire country.The authors emphasize the need for further studies of the incidence of dialysis in the Brazilian population and for the creation of a Brazilian registry of dialysis patients, which would be a valuable tool for developing healthcare policies and renal replacement therapy strategies.

View Article: PubMed Central - PubMed

Affiliation: Dante Pazzanese Institute of Cardiology, Department of Hypertension and Nephrology, São Paulo/SP, Brazil. accordeirojr@uol.com.br

ABSTRACT

Objectives: Chronic kidney disease is a major public health problem worldwide. In Brazil, approximately 100,000 patients (January 2012) receive renal replacement therapy. Nevertheless, data on dialysis incidence in the Brazilian population are scarce. This study aims to analyze the incidence of patients starting dialysis therapy in São Paulo City, the largest Brazilian metropolis.

Method: This cohort study analyzed data from 9,994 patients starting hemodialysis or peritoneal dialysis funded by the Brazilian Public Health System during a 5-year period (2007-2011). Patient data for this study (recorded as electronic files) were obtained from the São Paulo City's Dialysis Regulatory Bureau, which regulates the allocation of patients requiring dialytic therapy.

Results: The dialysis incidence rates were 178, 174, 170, 185 and 188 per million population for the years 2007, 2008, 2009, 2010 and 2011, respectively. The incidence rates increased with age. Hypertension and diabetes were the main etiologies diagnosed. Hemodialysis was the chosen dialysis modality in the majority of patients (92.6%), whereas the percentage of patients referred for peritoneal dialysis decreased from 10.1% to 5.5%.

Conclusion: The incidence of patients starting renal replacement therapy from 2007-2011 in São Paulo was stable but higher than the projected incidence for the entire country. The authors emphasize the need for further studies of the incidence of dialysis in the Brazilian population and for the creation of a Brazilian registry of dialysis patients, which would be a valuable tool for developing healthcare policies and renal replacement therapy strategies.

Show MeSH

Related in: MedlinePlus

Age- and gender-standardized incidence rates ratios (versus 2007 incidence) for the 2008–2011 period.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3675216&req=5

f1-cln_68p760: Age- and gender-standardized incidence rates ratios (versus 2007 incidence) for the 2008–2011 period.

Mentions: The dialysis incidence rates in the city of São Paulo from 2007 to 2011 are shown in Table 1. A total of 1,956 new ESRD patients started dialysis therapy in 2007, with an adjusted incidence rate of 178 pmp. Incidence rates in 2008, 2009, 2010 and 2011 were 174, 170, 185 and 188 pmp, respectively. Using 2007 as a reference, the age- and gender-standardized incidence rates from 2008, 2009, 2010 and 2011 were, 0.98, 0.96, 1.04 and 1.06, respectively, as shown in Figure 1.


Study of the incidence of dialysis in São Paulo, the largest Brazilian city.

Cordeiro AC, Carrero JJ, Qureshi AR, Cunha RF, Lindholm B, Castro Id, Noronha IL - Clinics (Sao Paulo) (2013)

Age- and gender-standardized incidence rates ratios (versus 2007 incidence) for the 2008–2011 period.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3675216&req=5

f1-cln_68p760: Age- and gender-standardized incidence rates ratios (versus 2007 incidence) for the 2008–2011 period.
Mentions: The dialysis incidence rates in the city of São Paulo from 2007 to 2011 are shown in Table 1. A total of 1,956 new ESRD patients started dialysis therapy in 2007, with an adjusted incidence rate of 178 pmp. Incidence rates in 2008, 2009, 2010 and 2011 were 174, 170, 185 and 188 pmp, respectively. Using 2007 as a reference, the age- and gender-standardized incidence rates from 2008, 2009, 2010 and 2011 were, 0.98, 0.96, 1.04 and 1.06, respectively, as shown in Figure 1.

Bottom Line: Hemodialysis was the chosen dialysis modality in the majority of patients (92.6%), whereas the percentage of patients referred for peritoneal dialysis decreased from 10.1% to 5.5%.The incidence of patients starting renal replacement therapy from 2007-2011 in São Paulo was stable but higher than the projected incidence for the entire country.The authors emphasize the need for further studies of the incidence of dialysis in the Brazilian population and for the creation of a Brazilian registry of dialysis patients, which would be a valuable tool for developing healthcare policies and renal replacement therapy strategies.

View Article: PubMed Central - PubMed

Affiliation: Dante Pazzanese Institute of Cardiology, Department of Hypertension and Nephrology, São Paulo/SP, Brazil. accordeirojr@uol.com.br

ABSTRACT

Objectives: Chronic kidney disease is a major public health problem worldwide. In Brazil, approximately 100,000 patients (January 2012) receive renal replacement therapy. Nevertheless, data on dialysis incidence in the Brazilian population are scarce. This study aims to analyze the incidence of patients starting dialysis therapy in São Paulo City, the largest Brazilian metropolis.

Method: This cohort study analyzed data from 9,994 patients starting hemodialysis or peritoneal dialysis funded by the Brazilian Public Health System during a 5-year period (2007-2011). Patient data for this study (recorded as electronic files) were obtained from the São Paulo City's Dialysis Regulatory Bureau, which regulates the allocation of patients requiring dialytic therapy.

Results: The dialysis incidence rates were 178, 174, 170, 185 and 188 per million population for the years 2007, 2008, 2009, 2010 and 2011, respectively. The incidence rates increased with age. Hypertension and diabetes were the main etiologies diagnosed. Hemodialysis was the chosen dialysis modality in the majority of patients (92.6%), whereas the percentage of patients referred for peritoneal dialysis decreased from 10.1% to 5.5%.

Conclusion: The incidence of patients starting renal replacement therapy from 2007-2011 in São Paulo was stable but higher than the projected incidence for the entire country. The authors emphasize the need for further studies of the incidence of dialysis in the Brazilian population and for the creation of a Brazilian registry of dialysis patients, which would be a valuable tool for developing healthcare policies and renal replacement therapy strategies.

Show MeSH
Related in: MedlinePlus