scholarly journals Brazilian chronic dialysis survey 2017

2019 ◽  
Vol 41 (2) ◽  
pp. 208-214 ◽  
Author(s):  
Fernando Saldanha Thomé ◽  
Ricardo Cintra Sesso ◽  
Antonio Alberto Lopes ◽  
Jocemir Ronaldo Lugon ◽  
Carmen Tzanno Martins
Keyword(s):  
Mortality Rate ◽  
Venous Catheter ◽  
Absolute Number ◽  
Incidence Rates ◽  
Chronic Dialysis ◽  
Dialysis Patients ◽  
Positive Serology ◽  
The North ◽  
Number Of Patients ◽  
National Estimates

Abstract Introduction: Having national data on chronic dialysis is essential in treatment planning. Objective: To present data of the survey from the Brazilian Society of Nephrology on patients with chronic kidney disease on dialysis in July 2017. Methods: Data was collected from dialysis units in Brazil. The data collection was done using a questionnaire completed online by the dialysis units. Results: Two hundred and ninety-one centers (38.4%) answered the questionnaire. In July 2017, the estimated total number of dialysis patients was 126,583. National estimates of prevalence and incidence rates of dialysis patients per million population (pmp) were 610 (range: 473 in the North region and 710 in the Midwest) and 194, respectively. The incidence rate of new dialysis patients with diagnosis of diabetic nephropathy was 77 pmp. The annual gross mortality rate was 19.9%. Of the prevalent patients, 93.1% were on hemodialysis and 6.9% on peritoneal dialysis, with 31,226 (24%) on the waiting list for renal transplantation. Venous catheter was used as access in 22.6% of patients on hemodialysis. The prevalence rate of positive serology for hepatitis C continued with a tendency to decrease (3.3%). Conclusion: The absolute number of patients and rates of incidence and prevalence on dialysis continued to increase; the mortality rate tended to rise. There were obvious regional and state discrepancies in these rates.

scholarly journals Brazilian Dialysis Census: analysis of data from the 2009-2018 decade

2020 ◽  
Vol 42 (2) ◽  
pp. 191-200 ◽  
Author(s):  
Precil Diego Miranda de Menezes Neves ◽  
Ricardo de Castro Cintra Sesso ◽  
Fernando Saldanha Thomé ◽  
Jocemir Ronaldo Lugon ◽  
Marcelo Mazza Nasicmento
Keyword(s):  
Hepatitis C ◽  
Absolute Number ◽  
Incidence Rates ◽  
Chronic Dialysis ◽  
Patient Treatment ◽  
Positive Serology ◽  
Online Questionnaire ◽  
Dialysis Treatment ◽  
Number Of Patients ◽  
Treatment Objective

ABSTRACT Introduction: National data on chronic dialysis treatment are essential for the development of health policies that aim to improve patient treatment. Objective: To present data from the Brazilian Society of Nephrology on patients with chronic dialysis for kidney disease in July 2018, making a comparative analysis of the past 10 years. Methods: Data collection from dialysis units, with filling in an online questionnaire for 2018. Data from 2009, 2013 and 2018 were compared. Results: 288 (36.6%) centers answered the questionnaire. In July 2018, the estimated total number of patients on dialysis was 133,464. Estimates of the prevalence and incidence rates of patients undergoing dialysis treatment per million of the population (pmp) were 640 and 204, respectively, with average annual increases of 23.5 pmp and 6 pmp for prevalence and incidence, respectively. The annual gross mortality rate was 19.5%. Of the prevalent patients, 92.3% were on hemodialysis and 7.7% on peritoneal dialysis, with 29,545 (22.1%) on the waiting list for transplantation. Median bicarbonate concentration in the hemodialysis bath was 32 mEq/L. Venous catheters were used as access in 23.6% of the hemodialysis patients. The prevalence rate of positive serology for hepatitis C showed a progressive reduction (3.2%). Conclusion: The absolute number of patients and rates of incidence and prevalence in dialysis in the country increased substantially in the period, although there are considerable differences in rates by state. There has been a persistent increase in the use of venous catheters as an access for dialysis; and reduction in the number of patients with positive serology for hepatitis C.

scholarly journals Brazilian dialysis survey 2019

2021 ◽  
Author(s):  
Precil Diego Miranda de Menezes Neves ◽  
Ricardo de Castro Cintra Sesso ◽  
Fernando Saldanha Thomé ◽  
Jocemir Ronaldo Lugon ◽  
Marcelo Mazza Nascimento
Keyword(s):  
Peritoneal Dialysis ◽  
Venous Catheter ◽  
Serum Levels ◽  
Absolute Number ◽  
Incidence Rates ◽  
Red Blood Cell Transfusion ◽  
Dialysis Access ◽  
Online Questionnaire ◽  
Dialysis Treatment ◽  
Number Of Patients

Abstract Introduction: National data on chronic dialysis treatment are essential for the development of health policies that aim to improve the treatment of patients. Objective: To present data from the Brazilian Dialysis Survey 2019, promoted by the Brazilian Society of Nephrology. Methods: Data collection from dialysis units in the country through a completed online questionnaire for 2019. Results: 314 (39%) centers responded the questionnaire. In July 2019, the estimated total number of patients on dialysis was 139,691. Estimates of the prevalence and incidence rates of patients undergoing dialysis treatment per million of the population (pmp) were 665 and 218, respectively, with mean annual increases of 25 pmp and 14 pmp for prevalence and incidence, respectively. The annual gross mortality rate was 18.2%. Of the prevalent patients, 93.2% were on hemodialysis and 6.8% on peritoneal dialysis; and 33,015 (23.6%) on the waiting list for transplantation. 55% of THE centers offered treatment with peritoneal dialysis. Venous catheters were used as access in 24.8% of THE patients on hemodialysis. 17% of the patients had K ≥ 6.0mEq/L; 2.5% required red blood cell transfusion in July 2019 and 10.8% of the patients had serum levels of 25-OH vitamin D < 20 ng/mL. Conclusion: The absolute number of patients, the incidence and prevalence rates in dialysis in the country continue to increase, as well as the percentage of patients using venous catheter as dialysis access. There was an increase in the number of patients on the list for transplantation and a tendency to reduce gross mortality.

Recent epidemiological trends in extrapulmonary TB in Galicia, Spain

2021 ◽  
Vol 25 (5) ◽  
pp. 373-381
Author(s):  
L. Ferreiro ◽  
A. Ruano-Raviña ◽  
R. Otero-Mallo ◽  
C. Pou-Álvarez ◽  
V. Riveiro-Blanco ◽  
...  
Keyword(s):  
Retrospective Cohort ◽  
Prevention And Control ◽  
Extrapulmonary Tuberculosis ◽  
Absolute Number ◽  
Incidence Rates ◽  
Age Group ◽  
Number Of Patients ◽  
Epidemiological Trends ◽  
And Control ◽  
Epidemiological Characteristics

OBJECTIVE: To describe the epidemiological trends and characteristics of extrapulmonary tuberculosis (EPTB) in Galicia, Spain, from 2000 to 2019.METHODS: This was a retrospective cohort study based on data from the Galician TB information system.RESULTS: Of the total number of TB cases (n = 15,871), 5,428 (34.2%) had EPTB. The absolute number of cases and incidence of EPTB decreased dramatically (from 480 cases and 17.8 cases/100,000 in 2000, to 172 and 6.4 cases/100,000 in 2019, respectively), with a mean annual decrease of respectively 64% and 4.7% for absolute cases and incidence rates. The risk for EPTB was higher in men than in women (RR 3.86, 95% CI 3.66–4.07). The most frequent age group was 15–44 years (2,234 patients, 41.2%); overall reductions per age group were 82% (0–14 years), 75% (15–44 years), 44% (45–64 years) and 63% (≥65 years), with statistically significant differences. The most frequently locations were the pleura (1,916 cases; 35.3%) and the lymph nodes (1,504; 27.7%).CONCLUSION: The incidence of EPTB in Galicia has decreased significantly in the last 20 years. The epidemiological characteristics have not changed, except for the number of patients with risk factors. This improvement of EPTB epidemiological trends coincides with the implementation of the programme for the prevention and control of TB, which suggests that it has been very effective in the control of the EPTB.

How Can the Mortality Rate of Chronic Dialysis Patients Be Reduced?

2007 ◽  
Vol 6 (2) ◽  
pp. 95-97 ◽  
Author(s):  
Edward E. Berger ◽  
Edmund G. Lowrie
Keyword(s):  
Mortality Rate ◽  
Chronic Dialysis ◽  
Dialysis Patients

How Can the Mortality Rate of Chronic Dialysis Patients Be Reduced?

2007 ◽  
Vol 6 (2) ◽  
pp. 97-100
Author(s):  
Patrick S. Parfrey ◽  
Robert N. Foley
Keyword(s):  
Mortality Rate ◽  
Chronic Dialysis ◽  
Dialysis Patients

The Impact of Treatment Modality on Infection-Related Hospitalization Rates in Peritoneal Dialysis and Hemodialysis Patients

2011 ◽  
Vol 31 (4) ◽  
pp. 440-449 ◽  
Author(s):  
Victoria R. Williams ◽  
Robert Quinn ◽  
Sandra Callery ◽  
Alex Kiss ◽  
Matthew J. Oliver
Keyword(s):  
Peritoneal Dialysis ◽  
Hospital Admissions ◽  
Care Center ◽  
Tertiary Care ◽  
Venous Catheter ◽  
Chronic Dialysis ◽  
Treatment Modalities ◽  
Dialysis Patients ◽  
Increased Risk ◽  
The Impact

Background and ObjectivesInfection is a major cause of morbidity and mortality in the dialysis population. This study compares the rates of infection-related hospitalization (IRH) in incident chronic dialysis patients initiating outpatient peritoneal dialysis (PD) and hemodialysis (HD).Methods and PatientsThis was a retrospective cohort study at the dialysis program of a tertiary-care center in Toronto, Canada. Incident chronic dialysis patients that were eligible for both PD and HD and started outpatient dialysis between 1 January 2004 and 31 August 2008 were included. Dialysis modality was assigned at the start of outpatient dialysis treatment. All hospital admissions were reviewed and incidence of IRH was compared between PD and HD using Poisson regression.ResultsOf 264 incident chronic dialysis patients, 168 (64%) were eligible for both treatment modalities: 71 (42%) started outpatient PD and 97 (58%) started outpatient HD. The unadjusted and adjusted incidence rate ratios (IRR) of IRH did not differ significantly between PD and HD: 1.23 [95% confidence interval (CI) 0.65 - 2.32, p = 0.37] and 1.14 (95% CI 0.58 - 2.23, p = 0.71) respectively. There was no difference between PD and HD in the risk of access loss (28% vs 35%, p = 0.73), modality change (22% vs 0%, p = 0.10), or death (17% vs 6%, p = 0.60) following hospitalization for infection. Patients starting outpatient treatment on PD versus HD were more likely to be hospitalized for peritonitis (IRR 3.20, 95% CI 1.16 - 9.09; p = 0.029) and there was a trend for fewer hospitalizations for bacteremia (IRR 0.19, 95% CI 0.028 - 1.30; p = 0.091). The risk of IRH did not differ between PD and HD in the subgroup of patients that received adequate predialysis care (IRR 1.16, 95% CI 0.59 - 2.27; p = 0.67) or when patients starting outpatient HD with a central venous catheter were excluded (IRR 1.52, 95% CI 0.53 - 4.37; p = 0.44).ConclusionsPatients that initiate outpatient peritoneal dialysis do not have a significantly increased risk of infection-related hospitalization compared to those that initiate outpatient hemodialysis.

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