Sesso Ricardo Cintra, Lopes Antonio Alberto, Thomé Fernando Saldanha, Lugon Jocemir Ronaldo, Watanabe Yoshimi, dos Santos Daniel Rinaldi
Universidade Federal de Sao Paulo.
Universidade Federal da Bahia.
J Bras Nefrol. 2014 Jan-Mar;36(1):48-53. doi: 10.5935/0101-2800.20140009.
National chronic dialysis data are fundamental for treatment planning.
To report data of the annual survey of the Brazilian Society of Nephrology about chronic kidney disease patients on dialysis in July 2012.
A survey based on data of dialysis units from the whole country. The data collection was performed by using a questionnaire filled out on-line by the dialysis units in Brazil.
255 (31.9%) of the dialysis units in the country answered the questionnaire. In July 2012, the total estimated number of patients on dialysis in the country was 97,586. The estimated prevalence and incidence rates of chronic kidney disease on maintenance dialysis were 503 and 177 patients per million population, respectively. The estimated number of new patients starting dialysis in 2012 was 34,366. The annual gross mortality rate was 18.8%. For prevalent patients, 31.9% were aged 65 years or older, 91.6% were on hemodialysis and 8.4% on peritoneal dialysis, 30,447 (31.2%) were on a waiting list of renal transplant, 28.5% were diabetics, 36.6% had serum phosphorus > 5.5 mg/dl and 34.4% hemoglobin < 11 g/dl. A venous catheter was the vascular access for 14.5% of the hemodialysis patients.
The prevalence and incidence rates of chronic kidney disease patients on dialysis increased, while the mortality rate tended to decrease compared with 2011. The indicators of the quality of maintenance dialysis remained stable with a trend towards decrease in levels of anemia. The data 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2012年7月关于慢性肾脏病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在线填写问卷来完成。
全国255家（31.9%）透析单位回答了问卷。2012年7月，全国透析患者的估计总数为97586人。维持性透析的慢性肾脏病估计患病率和发病率分别为每百万人口503例和177例。2012年开始透析的新患者估计人数为34366人。年总死亡率为18.8%。对于现患患者，31.9%年龄在65岁及以上，91.6%接受血液透析，8.4%接受腹膜透析，30447例（31.2%）在肾移植等待名单上，28.5%为糖尿病患者，36.6%血清磷>5.5mg/dl，34.4%血红蛋白<11g/dl。静脉导管是14.5%血液透析患者的血管通路。
与2011年相比，透析慢性肾脏病患者的患病率和发病率有所上升，而死亡率呈下降趋势。维持性透析质量指标保持稳定，贫血水平有下降趋势。这些数据凸显了普查对指导慢性透析治疗的重要性。
