Sesso Ricardo Cintra, Lopes Antonio Alberto, Thomé Fernando Saldanha, Lugon Jocemir Ronaldo, Santos Daniel Rinaldi Dos
Departamento de Medicina, Escola Paulista de Medicina, Universidade Federal de São Paulo, Brazil.
J Bras Nefrol. 2011 Dec;33(4):442-7.
National chronic dialysis data are fundamental for treatment planning.
To report data of the annual survey of the Brazilian Society of Nephrology about patients with chronic renal failure who were on dialysis in 1 July, 2010.
A national survey based on data from the country's dialysis centers. Data collection was performed by using a questionnaire filled out online by the dialysis centers.
340 (53.3%) centers answered the questionnaire. National data were estimated for the overall dialysis population. In July 2010, the estimated total number of patients on dialysis was 92,091. The estimated prevalence and incidence rates of end-stage chronic kidney disease patients on maintenance dialysis were 483 and 100/million population, respectively. The estimated number of patients starting a dialysis program in 2010 was 18,972. The annual crude mortality rate was 17.9%. Of those on maintenance dialysis, 30.7% were aged 65 years or older, 90.6% were on hemodialysis and 9.4% on peritoneal dialysis, 35,639 (38.7%) were on a kidney transplant waiting list, 28% were diabetics, 34.5% had serum phosphorus levels > 5.5 mg/dL, and 38.5% had hemoglobin levels < 11 g/dL. Vascular access was through a venous catheter in 13.6% of the hemodialysis patients.
The number of end-stage kidney disease patients on maintenance dialysis is increasing in Brazil. Data concerning the indicators of the quality of maintenance dialysis improved compared to the prior year, and they highlight the importance of the census to guide chronic dialysis therapy.
国家慢性透析数据是治疗规划的基础。
报告巴西肾脏病学会关于2010年7月1日接受透析治疗的慢性肾衰竭患者年度调查的数据。
基于该国透析中心的数据进行全国性调查。数据收集通过透析中心在线填写问卷来完成。
340个（53.3%）中心回答了问卷。对整个透析人群的全国数据进行了估算。2010年7月，估算的透析患者总数为92,091人。维持性透析的终末期慢性肾病患者的估算患病率和发病率分别为每百万人口483例和100例。2010年开始透析治疗项目的患者估算人数为18,972人。年粗死亡率为17.9%。在维持性透析患者中，30.7%的患者年龄在65岁及以上，90.6%接受血液透析，9.4%接受腹膜透析，35,639人（38.7%）在等待肾移植名单上，28%为糖尿病患者，34.5%的患者血清磷水平>5.5mg/dL，38.5%的患者血红蛋白水平<11g/dL。13.6%的血液透析患者通过静脉导管进行血管通路。
巴西维持性透析的终末期肾病患者数量在增加。与上一年相比，维持性透析质量指标的数据有所改善，这些数据凸显了普查对指导慢性透析治疗的重要性。
