Nephrology Dialysis Transplantation, Vol 12, Issue 12 2521-2527, Copyright © 1997 by Oxford University Press
M Mazzuchi, E Schwedt, J Fernandez, A Cusumano, M Ancao, H Poblete, M Saldana-Arevalo, N Espinosa, C Centurion, H Castillo, F Gonzalez, C Milanes, M Infante and M Ariza
Background: The Latin America Registry of Dialysis and
Transplantation was created in October 1991 and comprises the national
Societies of Nephrology from 21 countries with a total population of 468.56
million inhabitants. Methods: This report includes
data from 21 181 patients from Argentina, Brazil, Chile, El Salvador,
Panama, Paraguay, Peru, Puerto Rico, Uruguay, and Venezuela who were
receiving chronic dialysis treatment during 1993. Data was collected by
individual patient questionnaire except from Chile and Brazil where the
data was obtained from a local centre questionnaire.
Results: The prevalence rate averaged 131.1 per
million population. The mean age of the 8972 incident patients was 50.5
years, with 58.2% males. The more frequent causes of renal failure were
glomerulopathies (22.6%), vascular nephropathy (20.9%) and diabetes
(16.9%). Haemodialysis was the most used treatment (88.3%). Gross mortality
was 21.1% and the more frequent causes of death were cardiac complications
and infections. The analysis of mortality risk factors using a logistic
regression model showed that diabetics patients older than 65 years had the
highest probability of death (43.0%) and patients with glomerulonephritis,
younger than 65 years had the lowest (8.0%). The adjusted mortality rate
was 241 deaths/1000 patient-years at risk when the USRDS 1987-1989 white
mortality rate by age groups and primary diseases was used as standard.
Conclusion: In spite of the economic difficulties,
very important efforts have been made to treat ESRD patients and gross
mortality statistics in some countries are similar to those reported by
other regional registries. Key words: haemodialysis;
peritoneal dialysis; end stage renal diseases; registry; mortality; Latin
America
DIALYSIS AND TRANSPLANTATION NEWS
Latin American registry of dialysis and renal transplantation: 1993 annual dialysis data report
Chairman, Secretary, Reporting Members from Argentina, Brazil, Chile, Salvador, Panama, Paraguay, Peru, Uruguay, and Venezuela, Latin American Registry of Dialysis and Kidney Transplantation, Montevideo, Uruguay; Corresponding author at: Registro Latinoamericano de Dialisis y Transplante Renal Ranom y Cajal 2546, Montevideo 11600, Casilla de Correo 16217, Uruguay
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