Prevalence of Patients Receiving Publicly Funded Renal Replacement Therapy in Brazil: Regional Inequities and Costs

A. C. S. D. S. Junior, Fernando das Mercês Lucas Junior, K. Farah, Ana Carolina Aguiar do Nascimento, J. L. Nogueira, C. Amaral, S. Kelles
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引用次数: 1

Abstract

From 2008 to 2013 there was a 25% increase in the absolute number of hemodialysis sessions (10,022,962; 12,561,623). This resulted in an estimated overall increase of 18% in the ratio of patients on hemodialysis per million population (352 pmp; 416 pmp). There were considerable differences among Brazilian States regarding the prevalence of patients with ESRD on hemodialysis. In 2013, the prevalence ranged from 173 pmp (State of Amazonas) to 531 pmp (State of Minas Gerais). The leading Brazilian States, in absolute number of patients, were São Paulo (19,301), Minas Gerais (10,940) and Rio de Janeiro (8,510), all of them in the southeast region. In 2013, the overall mean mortality rate was 18.4%. From 2008 to 2013, the renal transplantation rate increased from 35.2 to 41.6 transplants per year per million inhabitants. In 2013, hemodialysis was the most frequent modality of therapy, corresponding to 87.1% of the cases, followed by CAPD (9.2%) and APD (3.7%).
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巴西接受公共资助的肾脏替代治疗患者的患病率:区域不平等和成本
从2008年到2013年,血液透析的绝对次数增加了25%(10022962次;12561623次)。这导致每百万人口中接受血液透析的患者比例估计总体增加了18%(352 pmp;416 pmp)。在血液透析中ESRD患者的患病率方面,巴西各州之间存在相当大的差异。2013年,流行率从173 pmp(亚马逊州)到531 pmp(米纳斯吉拉斯州)不等。在患者绝对数量方面,巴西领先的州是圣保罗州(19301人)、米纳斯吉拉斯州(10940人)和里约热内卢州(8510人),它们都位于东南部地区。2013年,总体平均死亡率为18.4%。从2008年到2013年,肾移植率从每百万居民每年35.2例增加到41.6例。2013年,血液透析是最常见的治疗方式,占87.1%,其次是CAPD(9.2%)和APD(3.7%)。
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