There are large disparities between Latin American countries in resources and access to care for chronic kidney disease.
Latin America is the region with the highest burden of chronic kidney disease , in terms of disability-adjusted life years and premature deaths. This situation partly results from many countries' difficulties in implementing early detection and providing treatments for CKD and renal failure .
The highest proportions of deaths attributed to CKD are found in Mexico, El Salvador, and Nicaragua . All countries have at least one modality of renal replacement therapy. According to 2020 data from the Latin American Dialysis and Renal Transplantation Registry of the Latin American Society of Nephrology and Hypertension, 67% of people with renal failure were treated with in-center hemodialysis and 9.3% with peritoneal dialysis , while 23.6% received a kidney transplant .
Only Costa Rica and Puerto Rico have registries for all levels of kidney care: CKD, dialysis, transplantation, and acute kidney injury. Others, such as Argentina, Brazil, Chile, Colombia, Paraguay, and Uruguay, have registries for the first three levels . Guatemala has only for dialysis and transplants and Mexico only for transplants.
In 95% of the region's countries that responded to the survey, nephrologists concentrate on the medical care of patients with renal failure, with little involvement of other health professionals. This finding is"bad because all the responsibility falls on nephrologists, and there are very few," said Madero."We should empower nurses and other professionals to run peritoneal dialysis clinics and have much more power among patients.
Chronic Kidney Failure CKD - Chronic Kidney Disease Chronic Kidney Disease CKD Hemodialysis Vascular Access Kidney Dialysis Renal Dialysis Haemodialysis Renal Failure Renal Insufficiency Kidney Insufficiency Kidney Failure Renal Impairment Pediatric Nephrology Peritoneal Dialysis Dialysis End Stage Renal Disease ESRD - End Stage Renal Disease ESRD
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