Prevalence and Determinants of Predialysis Dietitian Follow-Up: Results From the Brazilian Dialysis Registry

Nerbass, Fabiana Baggio; Lima, Helbert do Nascimento; Neto, Osvaldo Merege Vieira; Sesso, Ricardo; Lugon, Jocemir Ronaldo

doi:10.1053/j.jrn.2022.04.005

Cited by 2 publications

(1 citation statement)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…22 We previously showed in an analysis of the same cohort that a higher percentage of women also had predialysis dietitian follow-up, an advantage not observed after adjustment for predialysis nephrologist care. 23 The second 4-year period had a higher prevalence of nephrologist follow-up compared to the first and third for both sexes. For reasons yet to be clarified, this relatively higher women's predialysis care did not reflect in a greater percentage of them on renal replacement therapy.…”

Section: Discussionmentioning

confidence: 92%

Sex-specific differences in a large cohort of Brazilian incident dialysis patients over 12 years: A retrospective study

Nerbass,

Lima,

Lugon

et al. 2024

Int J Artif Organs

Self Cite

View full text Add to dashboard Cite

Objective: Sex-specific differences in the epidemiology of chronic kidney disease, such as higher prevalence of women on pre-dialysis and men on chronic dialysis treatment, have been reported worldwide. In this regard, data from non-high-income countries are scarce. We aimed to compare the demographic, clinical, and dialysis characteristics of incident dialysis patients, both men and women, in a large cohort of Brazilian patients over a 12-year period. Methods: This was a multicentric retrospective cohort study coordinated by the Brazilian Society of Nephrology. The study included all adult incident dialysis patients in the Brazilian Dialysis Registry from January 2011 to December 2022. The variables studied encompassed age, skin color, education, CKD etiology, predialysis nephrologist care, dialysis characteristics, and geographic region. Additionally, the sample was analyzed for each of the three 4-year periods over the 12 years of data collection. Results: A total of 24,632 incident dialysis patients were included. Men were 59.1% of the dialysis population, remaining stable over the three 4-year periods. Besides other differences, women started dialysis younger (58.5 ± 16.2 years vs 59.5 ± 14.4 years; p < 0.001), had a lower educational level (less than 8 years at school: 54% vs 44%; p < 0.001), received more predialysis nephrologist care (46.2% vs 44.2%; p = 0.04), and had a higher prevalence of peritoneal dialysis (4.4% vs 3.5%; p = 0.03). Conclusion: We consistently observed a higher prevalence of men on dialysis and differences in demographic, clinical, and dialysis characteristics. The underlying reasons for these sex differences still necessitate further clarification.

show abstract

Section: Discussionmentioning

confidence: 92%