Sesso Ricardo de Castro Cintra, Lopes Antonio Alberto, Thomé Fernando Saldanha, Lugon Jocemir Ronaldo, Burdmann Emmanuel de Almeida
Department of Medicine of the Escola Paulista de Medicina of Universidade Federal de São Paulo – Unifesp, EPM.
J Bras Nefrol. 2010 Dec;32(4):374-8.
National dialysis data are fundamental for treatment planning.
To report data of the annual survey of the Brazilian Society of Nephrology about chronic renal failure patients on dialysis in January 2009.
A survey based on data of dialysis units from the whole country. The data collection was performed by using a questionnaire filled out by the dialysis units in Brazil.
427 (69.8%) of the dialysis units in the country answered the questionnaire. National data were estimated for the overall dialysis population. In January 2009, the total estimated number of patients on dialysis was 77,589. The estimated prevalence and incidence rates of chronic renal failure on maintenance dialysis were 405 and 144 patients per million population, respectively. The estimated number of new patients starting dialysis program in 2009 was 27,612. The annual gross mortality rate was 17.1%. For prevalent patients, 39.9% were aged 60 years or older, 89.6% were on hemodialysis and 10.4% on peritoneal dialysis, 30,419 (39.2%) were on a waiting list of renal transplant, 27% were diabetics, 37.9% had serum phosphorus > 5.5 mg/dL and 42.8% hemoglobin < 11 g/dL. A venous catheter was the vascular access for 12.4% of the hemodialysis patients.
The prevalence of chronic renal failure on maintenance dialysis is increasing in Brazil, although in 2009 the estimate is lower than in 2008. The data call attention to indicators of the quality of maintenance dialysis that need to be improved and highlight the importance of the census to guide chronic dialysis therapy.
国家透析数据对于治疗规划至关重要。
报告巴西肾脏病学会2009年1月关于慢性肾衰竭透析患者年度调查的数据。
基于全国透析单位的数据进行调查。数据收集通过巴西透析单位填写问卷来完成。
该国427家（69.8%）透析单位回答了问卷。对总体透析人群进行了全国数据估算。2009年1月，估计透析患者总数为77,589人。维持性透析慢性肾衰竭的估计患病率和发病率分别为每百万人口405人和144人。2009年开始透析项目的新患者估计人数为27,612人。年总死亡率为17.1%。对于现患患者，39.9%年龄在60岁及以上，89.6%接受血液透析，10.4%接受腹膜透析，30,419人（39.2%）在肾移植等待名单上，27%为糖尿病患者，37.9%血清磷>5.5mg/dL，42.8%血红蛋白<11g/dL。静脉导管是12.4%血液透析患者的血管通路。
巴西维持性透析慢性肾衰竭的患病率在上升，尽管2009年的估计低于2008年。这些数据提请关注需要改善的维持性透析质量指标，并突出了普查对指导慢性透析治疗的重要性。
