Profile of people in hemodialysis therapy in the southern region of Rio Grande do Sul, Brazil

Main Article Content

J. Dall’Agnol
http://orcid.org/0000-0002-7633-4459
E. Schwartz
http://orcid.org/0000-0002-5823-7858
J.G.V. Zillmer
http://orcid.org/0000-0002-6639-8918
F. Lise
http://orcid.org/0000-0002-1677-6140

Abstract

Introduction: Chronic kidney disease is an important public health problem worldwide, as it is associated with high morbidity and mortality and high cost of treatment.


Objetive: To describe the demographic and clinical profile of people undergoing hemodialysis in the southern of Rio Grande do Sul, Brazil.


Methods: This is an observational, cross-sectional study. Data was collected in 2016 and 2017. Non-probabilistic sample for convenience with all people undergoing hemodialysis from six renal replacement therapy services in the southern region of Rio Grande do Sul. Descriptive analysis performed using the software Stata. Opinion of the Research Ethics Committee nº 1,386385 with CAAE nº 51678615300005316.


Results: The 314 people on hemodialysis are aged ≥ 60 years, are men, white, with low income and education, live with their family and have children. They live in urban area, married, time of diagnosis and time in treatment ≤ 5 years, have expenses with chronic kidney disease, have not been transplanted, have already been hospitalized, the presence of multimorbidities and are not in the waiting list for a kidney transplant.


Conclusion: The descriptive analysis of the demographic and socioeconomic profile can offer an important subsidy for all levels of health care for developing strategies aimed at the promotion and prevention of health problems in different population groups. In addition, potential nursing interventions in vulnerable groups can increase the opportunity to access the transplant program.

Publication Facts

Metric
This article
Other articles
Peer reviewers 
2
2.4

Reviewer profiles  N/A

Author statements

Author statements
This article
Other articles
Data availability 
N/A
16%
External funding 
No
32%
Competing interests 
N/A
11%
Metric
This journal
Other journals
Articles accepted 
21%
33%
Days to publication 
452
145

Indexed in

Editor & editorial board
profiles
Academic society 
N/A
Publisher 
Universidad Nacional Autónoma de México

PFL

1 2 3 4 5
Not useful Very useful

Article Details

MÉTRICAS

  • Usage
  • SciELO - Full Text Views: 25
  • SciELO - Abstract Views: 2
  • Captures
  • Mendeley - Readers: 3
 

References

1. World Health Organization. Global action plan for the prevention and control of non-communicable diseases 2013-2020. Geneva: WHO; 2013. https://bit.ly/2R0imVY

2. Kidney Disease: Improving Global Outcomes (KDIGO) CKD-MBD Update Work Group. KDIGO 2017 Clinical Practice Guideline update for the diagnosis, evaluation, prevention, and treatment of Chronic Kidney Disease-Mineral and Bone Disorder (CKD-MBD). Kidney Int Suppl. 2017; (7): 1-59. https://doi.org/10.1016/j.kisu.2017.04.001

3. GBD 2016 Causes of Death Collaborators. Global, regional, and national age-sex specific mortality for 264 causes of death, 1980-2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017; 390(10100): 1151-210. https://doi.org/10.1016/S0140-6736(17)32152-9

4. Bikbov B, Perico N, Remuzzi G. Disparities in chronic kidney disease prevalence among males and females in 195 countries: Analysis of the global burden of disease 2016 study. Nephron. 2018; 139(4): 313-8. https://doi.org/10.1159/000489897

5. Gonzalez-Bedat M, Rosa-Diez G, Pecoits-Filho R, Ferreiro A, García-García G, Cusumano A, et al. Burden of disease: Prevalence and incidence of ESRD in Latin America. Clin Nephrol. 2015; 83(7 Suppl 1): 3-6. https://doi.org/10.5414/cnp83s003

6. Miranda de Menezes-Neves PD, De Castro Cintra-Sesso R, Saldanha-Thomé F, Lugon JR, Mazza-Nasicmento M. Censo Brasileiro de Diálise: análise de dados da década 2009-2018. Braz. J. Nephrol. 2020; 42(2): 191-200. https://doi.org/10.1590/2175-8239-JBN-2019-0234

7. Ministério da Saúde. Resolução N° 466, de 12 de dezembro de 2012. Brasil: Ministério da Saúde; 2012. https://bit.ly/3dWsqbj

8. Alansari H, Almalki A, Sadagah L, Alharthi M. Hemodialysis patients' willingness to undergo kidney transplantation: An observational study. Transplant Proc. 2017; 49(9): 2025-30. https://doi.org/10.1016/j.transproceed.2017.09.016

9. Mesquita-Batista CM, Lopes-Moreira RS, Erbs-Pessoa JL, Spallini-Ferraz A, De Aguilar-Roza B. Perfil epidemiológico dos pacientes em lista de espera para o transplante renal. Acta Paul Enferm. 2017; 30(3): 280-6. https://doi.org/10.1590/1982-0194201700042

10. Kihal-Talantikite W, Vigneau C, Deguen S, Siebert M, Couchoud C, Bayat S. Influence of socio-economic inequalities on access to renal transplantation and survival of patients with end-stage renal disease. PLoS ONE. 2016; 11(4): 1-15. https://doi.org/10.1371/journal.pone.0153431

11. Illés A, Bugán A, Kovács S, Ladányi E, Szegedi J, József B, et al. Patient attitudes toward transplantation as preferred treatment modality in different stages of renal disease. Transplant Proc. 2017; 49(7): 1517-21. https://doi.org/10.1016/j.transproceed.2017.06.013

12. Qiao B, Liu L, Liu J, Xie J. A study on the attitude toward kidney transplantation and factors among hemodialysis patients in China. Transplant Proc. 2016; 48(8): 2601-7. https://doi.org/10.1016/j.transproceed.2016.06.060

13. Schold JD, Buccini LD, Poggio ED, Flechner SM, Goldfarb DA. Association of candidate removals from the kidney transplant waiting list and center performance oversight. Am J Transplant. 2016; 16(4): 1276-84. https://doi.org/10.1111/ajt.13594

14. Cintra-Sesso R, Lopes AA, Saldanha-Thomé F, Lugon JR, Tzanno-Martins C. Inquérito brasileiro de diálise crônica 2014. J. Bras. Nefrol. 2016; 38(1): 54-61. https://doi.org/10.5935/0101-2800.20160009

15. Garcia-Garcia G, Jha V. Chronic kidney disease in disadvantaged populations. Indian J Nephrol. 2015; 25(2): 65-69. https://doi.org/10.4103/0971-4065.150078

16. Bellato R, Santos-de Araújo LF, Dolina JV, Dos Anjos-Musquim C, De Lima Souza Thaines-Corrêa GH. Experiência familiar de cuidado na situação crônica. Rev. esc. enferm. USP. 2016; 50(spe): 78-85. https://doi.org/10.1590/S0080-623420160000300012

17. Ribeiro Paes-Ferraz FH, Issac Saad-Rodrigues C, Gatto GC, Monsores-de Sá N. Diferenças e desigualdades no acesso a terapia renal substitutiva nos países do BRICS. Ciênc. saúde coletiva. 2017; 22(7): 2175-85. https://doi.org/10.1590/1413-81232017227.00662017

18. Wang V, Vilme H, Maciejewski ML, Boulware LE. The economic burden of chronic kidney disease and end-stage renal disease. Semin Nephrol. 2016; 36(4): 319-30. https://doi.org/10.1016/j.semnephrol.2016.05.008

19. Naylor KL, Dixon SN, Garg AX, Kim SJ, Blake PG, Nesrallah GE, et al. Variation in access to kidney transplantation across renal programs in Ontario, Canada. Am J Transplant. 2017; 17(6): 1585-93. https://doi.org/10.1111/ajt.14133

20. Liyanage T, Ninomiya T, Jha V, Neal B, Marie-Patricie H, Okpechi I, et al. Worldwide access to treatment for end-stage kidney disease: a systematic review. Lancet. 2015; 385(9981): 1975-82. https://doi.org/10.1016/S0140-6736(14)61601-9

21. Sociedad Latinoamericana de Nefrología e Hipertensión (SLANH). Registro Latinoamericano de Diálisis y Trasplante Renal. Informe 2018. Lima, Perú: SLANH; 2018. https://bit.ly/3gLRMKN

22. Saldanha-Thome F, Cintra-Sesso R, Alberto-Lopes A, Lugon JR, Tzanno Martins C. Inquérito brasileiro de diálise crônica 2017. J. Bras. Nefrol. 2019; 41(2): 208-14. https://doi.org/10.1590/2175-8239-jbn-2018-0178

23. Tjaden LA, Noordzij M, Van Stralen KJ, Kuehni CE, Raes A, Cornelissen EAM, et al. Racial disparities in access to and outcomes of kidney transplantation in children, adolescents, and young adults: Results from the ESPN/ERA-EDTA (European Society of Pediatric Nephrology/European Renal Association-European Dialysis and Transplant Association) registry. Am J Kidney Dis. 2016; 67(2): 293-301. https://doi.org/10.1053/j.ajkd.2015.09.023

24. Etges VE. Mesorregiões brasileiras: O portal da metade Sul/RS-Mesosul. Redes. 2017 Set 122005; 10(2): 73-82. https://bit.ly/32ZTD6G

25. Associação Brasileira de Transplante de Órgãos (ABTO). Organ Transplantation in Brazil (2012-2019). São Paulo: ABTO; 2019. https://bit.ly/3gTXryq

26. Associação Brasileira de Transplante de Órgãos (ABTO). Dados numéricos da doação de órgãos e transplantes realizados por estado e instituição no período: janeiro/junho-2020. São Paulo: ABTO; 2020. https://bit.ly/3xstgod