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The epidemiology of renal replacement therapy in two different parts of the world: the Latin American Dialysis and Transplant Registry versus the European Renal Association-European Dialysis and Transplant Association Registry.
Luxardo, Rosario; Kramer, Anneke; González-Bedat, Maria Carlota; Massy, Ziad A; Jager, Kitty J; Rosa-Diez, Guillermo; Noordzij, Marlies.
Afiliação
  • Luxardo R; Executive Board of the Latin American Dialysis and Transplant Registry (RLADTR), and Latin American Dialysis and Transplant Society (SLANH), Panama City, Panama.
  • Kramer A; European Renal Association-European Dialysis and Transplant Association Registry, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
  • González-Bedat MC; Executive Board of the Latin American Dialysis and Transplant Registry (RLADTR), and Latin American Dialysis and Transplant Society (SLANH), Panama City, Panama.
  • Massy ZA; Division of Nephrology, Ambroise Paré University Hospital, Boulogne-Billancourt, France.
  • Jager KJ; European Renal Association-European Dialysis and Transplant Association Registry, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
  • Rosa-Diez G; Executive Board of the Latin American Dialysis and Transplant Registry (RLADTR), and Latin American Dialysis and Transplant Society (SLANH), Panama City, Panama.
  • Noordzij M; European Renal Association-European Dialysis and Transplant Association Registry, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, the Netherlands.
Rev Panam Salud Publica ; 42: e87, 2018.
Article em En | MEDLINE | ID: mdl-31093115
ABSTRACT

OBJECTIVE:

To compare the epidemiology of renal replacement therapy (RRT) for end-stage renal disease (ESRD) in Latin America and Europe, as well as to study differences in macroeconomic indicators, demographic and clinical patient characteristics, mortality rates, and causes of death between these two populations.

METHODS:

We used data from 20 Latin American and 49 European national and subnational renal registries that had provided data to the Latin American Dialysis and Renal Transplant Registry (RLADTR) and the European Renal Association-European Dialysis and Transplant Association (ERA-EDTA) Registry, respectively. The incidence and prevalence of RRT in 2013 were calculated per million population (pmp), overall and by subcategories of age, sex, primary renal disease, and treatment modality. The correlation between gross domestic product and the prevalence of RRT was analyzed using linear regression. Trends in the prevalence of RRT between 2004 and 2013 were assessed using Joinpoint regression analysis.

RESULTS:

In 2013, the overall incidence at day 91 after the onset of RRT was 181 pmp for Latin American countries and 130 pmp for European countries. The overall prevalence was 660 pmp for Latin America and 782 pmp for Europe. In the Latin American countries, the annual increase in the prevalence averaged 4.0% (95% confidence interval (CI) 2.5%-5.6%) from 2004 to 2013, while the European countries showed an average annual increase of 2.2% (95% CI 2.0%-2.4%) for the same time period. The crude mortality rate was higher in Latin America than in Europe (112 versus 100 deaths per 1 000 patient-years), and cardiovascular disease was the main cause of death in both of those regions.

CONCLUSIONS:

There are considerable differences between Latin America and Europe in the epidemiology of RRT for ESRD. Further research is needed to explore the reasons for these differences.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies / Screening_studies Idioma: En Revista: Rev Panam Salud Publica Assunto da revista: SAUDE PUBLICA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Panamá

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Risk_factors_studies / Screening_studies Idioma: En Revista: Rev Panam Salud Publica Assunto da revista: SAUDE PUBLICA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Panamá