Sesso Ricardo Cintra, Lopes Antonio Alberto, Thomé Fernando Saldanha, Lugon Jocemir Ronaldo, Martins Carmen Tzanno
Universidade Federal de São Paulo.
Universidade Federal da Bahia.
J Bras Nefrol. 2017 Jul-Sep;39(3):261-266. doi: 10.5935/0101-2800.20170049.
National chronic dialysis data are important for the treatment planning.
To report data of the annual survey of the Brazilian Society of Nephrology about chronic kidney disease patients on dialysis in July 2016.
A survey based on data of dialysis centers from the whole country. The data collection was performed by using a questionnaire filled out on-line by the dialysis centers.
309 (41%) of the dialysis units in the country answered the questionnaire. In July 2016, the total estimated number of patients on dialysis was 122,825. The estimated prevalence and incidence rates of chronic maintenance dialysis were 596 (range: 344 in the North region and 700 in the Southeast) and 193 patients per million of population (pmp), respectively. The annual incidence rate of patients with diabetic nephropathy was 79 pmp. The annual gross mortality rate was 18.2%. For prevalent patients, 92% were on hemodialysis and 8% on peritoneal dialysis, and 29,268 (24%) were on a waiting list of renal transplant. A venous catheter was the vascular access for 20.5% of the hemodialysis patients. The prevalence rates of positive serology for hepatitis B and C showed a tendency to reduce from 2013 (1.4% and 4.2%, respectively) to 2016 (0.7% and 3.7%, respectively).
The absolute number and the prevalence and incidence rates of patients on dialysis continue to rise steadily; the gross mortality rate remained stable. Regional inequities are evident in these rates.
国家慢性透析数据对治疗规划很重要。
报告巴西肾脏病学会2016年7月关于慢性肾病透析患者年度调查的数据。
基于全国透析中心的数据进行调查。数据收集通过透析中心在线填写问卷来完成。
该国309个（41%）透析单位回答了问卷。2016年7月，透析患者的总估计人数为122,825人。慢性维持性透析的估计患病率和发病率分别为每百万人口596人（范围：北部地区为344人，东南部为700人）和193人。糖尿病肾病患者的年发病率为每百万人口79人。年总死亡率为18.2%。对于现患患者，92%接受血液透析，8%接受腹膜透析，29,268人（24%）在肾移植等待名单上。静脉导管是20.5%血液透析患者的血管通路。乙肝和丙肝血清学阳性率呈从2013年（分别为1.4%和4.2%）到2016年（分别为0.7%和3.7%）下降的趋势。
透析患者的绝对数量、患病率和发病率持续稳步上升；总死亡率保持稳定。这些比率存在明显的地区不平等。
