Lugon Jocemir R
Sociedade Brasileira de Nefrologia and Nephrology Division, Department of Medicine, Universidade Federal Fluminense, Rio de Janeiro-RJ, Brazil.
Ethn Dis. 2009 Spring;19(1 Suppl 1):S1-7-9.
The world is facing an epidemic of chronic kidney disease (CKD). This report discusses the present state of chronic kidney disease care in Brazil. We report frequency of dialysis treatment and prevalence of kidney transplantation throughout Brazil. We estimated the number of CKD patients in the country through a mathematical extrapolation based on data generated by the NHANES. On January 2007, 73,605 patients were on dialysis, which corresponds to 390 patients per million of population (pmp); the majority of these patients (approximately 90%) were funded by the Brazilian Public Health System. If we aggregate patients with a functioning kidney graft, unofficially estimated by ABTO as 27,500 (approximately 150 pmp), the whole adjusted prevalence of end-stage renal disease patients in Brazil by January 2007 is approximately 540 pmp. We estimate that the number of patients with glomerular filtration rate < 60 mL/min/1.73 m2 of body surface approximates 15 million people in Brazil, many of whom are not in treatment.
世界正面临慢性肾脏病（CKD）的流行。本报告讨论了巴西慢性肾脏病护理的现状。我们报告了巴西各地透析治疗的频率和肾移植的患病率。我们根据美国国家健康和营养检查调查（NHANES）产生的数据，通过数学推断估计了该国慢性肾脏病患者的数量。2007年1月，有73,605名患者接受透析治疗，相当于每百万人口中有390名患者（pmp）；这些患者中的大多数（约90%）由巴西公共卫生系统资助。如果我们将有功能肾移植的患者汇总起来，巴西器官移植协会（ABTO）非官方估计有27,500名（约150 pmp），那么到2007年1月，巴西终末期肾病患者的整体调整患病率约为540 pmp。我们估计，巴西肾小球滤过率<60 mL/min/1.73 m²体表面积的患者数量约为1500万人，其中许多人未接受治疗。
