Chronic dialysis in Brazil - report of the Brazilian Dialysis Census, 2011

Sesso, Ricardo; Lopes, Antônio Alberto; Thomé, Fernando Saldanha; Lugon, Jocemir Ronaldo; Watanabe, Yoshimi; Santos, Daniel Rinaldi dos

doi:10.5935/0101-2800.20120009

Cited by 64 publications

(53 citation statements)

References 5 publications

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“…Census data from the Brazilian Society of Nephrology reported 31.9% of patients receiving renal replacement therapy were greater than or equal to 65 years of age, with a higher incidence of men at 57.7%, whereas the present study presented a younger population with more women [15].…”

Section: Discussioncontrasting

confidence: 51%

Is the Distribution of Microorganisms and Peritonitis Affected by Seasonality in Peritoneal Dialysis?

Figueiredo¹,

Kehl²,

Bottin³

et al. 2014

OJNeph

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Introduction: Peritonitis continues to be the main complication for patients on peritoneal dialysis (PD). Objective: To determine the frequency of peritonitis according to the disease-causing microorganism and its distribution throughout the year, linking to seasonality. Methods: A retrospective study conducted in the Dialysis Unit of the Hospital São Lucas, PUCRS (HSL-PUCRS). Patients undergoing PD between January 1984 and September 2013 were included. Descriptive statistics were used and Fisher's exact test with Monte Carlo simulation for comparison between the categorical variables. Results: Of 415 evaluated patients, 66% had at least one episode of peritonitis with an incidence rate of 0.68 episode/year. There were 601 peritonitis episodes in total. The most common microorganism was coagulase-negative Staphylococcus (26.6%, n = 160), followed by Staphylococcus aureus (16.3%, n = 98), with 16.3% of the sample being negative culture. Most episodes occurred in the months of January (10.3%, n = 62) and May (10.1%, n = 61), while June had the lowest occurrence (5.2%, n = 31). The number of episodes observed in January and May were significantly higher when compared to June (p < 0.001). No significant differences were found for the remaining months. There was no association between the microorganisms and months of the year (p = 0.841). Conclusion: The rate of peritonitis is in line with that recommended by the International Society for Peritoneal Dialysis. The distribution of peritonitis-causing germs over the months of the year would seem to be random.

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Section: Discussioncontrasting

confidence: 51%

Is the Distribution of Microorganisms and Peritonitis Affected by Seasonality in Peritoneal Dialysis?

Figueiredo¹,

Kehl²,

Bottin³

et al. 2014

OJNeph

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“…Although our data accompanies the literature regarding the age, most of the reports show that in dialysis patients this condition is more common in men [2,10,11,13]. Furthermore, the predominance of female gender in our cases is, in some way, a surprise considering that the majority of the Brazilian haemodialysis population is male [19]. However, severe forms of secondary hyperparathyroidism requiring parathyroidectomy are reported to be more common in the female gender [20].…”

Section: Discussionmentioning

confidence: 60%

Quadriceps tendon rupture in maintenance haemodialysis patients: Results of surgical treatment and analysis of risk factors

Malta

Gameiro

Sampaio

et al. 2014

Injury

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“…There is a growing prevalence of elderly in the hemodialysis population all-over the world 9,10,19 . In the Brazilian dialysis census of 2000, those with age 60 or more were 26 % 39 , while in 2011 there were 31.5 % with age 65 or more 40 . In CORDIAL, also in 2011, we found a rate of 34.9 %.…”

Section: Discussionmentioning

confidence: 98%

Prevalence of Cardiovascular Risk Factors in Hemodialysis Patients - The CORDIAL Study

Burmeister¹,

Mosmann²,

Costa³

et al. 2014

Arquivos Brasileiros De Cardiologia

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BackgroundThere are scarce epidemiological data on cardiovascular risk profile of chronic hemodialysis patients in Brazil.ObjectiveThe CORDIAL study was designed to evaluate cardiovascular risk factors and follow up a hemodialysis population in a Brazilian metropolitan city.MethodsAll patients undergoing regular hemodialysis for chronic renal failure in all fifteen nephrology centers of Porto Alegre were considered for inclusion in the baseline phase of the CORDIAL study. Clinical, laboratory and demographic data were obtained in medical records and in structured individual interviews performed in all patients by trained researchers.ResultsA total of 1215 patients were included (97.3% of all hemodialysis patients in the city of Porto Alegre). Their average age was 58.3 years old, 59.5% were male and 62.8% were white. The prevalence of cardiovascular risk factors observed was 87.5% for hypertension, 84.7% for dyslipidemia, 73.1% for sedentary lifestyle, 53.7% for tobacco use, and 35.8% for diabetes. In a multivariate adjusted analysis, we found that sedentary lifestyle (p = 0.032, PR 1.08 - 95%CI: 1.01-1.15), dyslipidemia (p = 0.019, PR 1.08 - 95%CI: 1.01-1.14), and obesity (p < 0.001, PR 1.96 - 95%CI: 1.45-2.63) were more frequent in women; and hypertension (p = 0.018, PR 1.06 - 95%CI: 1.01-1.11) and tobacco use (p = 0.006, PR 2.7 - 95%CI: 1.79-4.17) were more often found among patients under 65 years old. Sedentary lifestyle was independently associated with time in dialysis less than 12 months (p < 0.001, PR 1.23 - 95% CI: 1.14-1.33).ConclusionHemodialysis patients in this southern metropolitan Brazilian city have a high prevalence of cardiovascular risk factors resembling many northern countries.

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Chronic dialysis in Brazil - report of the Brazilian Dialysis Census, 2011

Cited by 64 publications

References 5 publications

Is the Distribution of Microorganisms and Peritonitis Affected by Seasonality in Peritoneal Dialysis?

Is the Distribution of Microorganisms and Peritonitis Affected by Seasonality in Peritoneal Dialysis?

Quadriceps tendon rupture in maintenance haemodialysis patients: Results of surgical treatment and analysis of risk factors

Prevalence of Cardiovascular Risk Factors in Hemodialysis Patients - The CORDIAL Study

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