ArticlePloS one2015
Pediatric Chronic Dialysis in Brazil: Epidemiology and Regional Inequalities.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.
- Recommendations Of The Brazilian Society Of Nephrology Regarding Pediatric Patients On Renal Replacement Therapy During The Covid-19 Pandemic.Jornal brasileiro de nefrologia · 2020Guideline
- Home-based inspiratory muscle training in pediatric patients after kidney transplantation: a randomized clinical trial.Pediatric nephrology (Berlin, Germany) · 2020Trial
- Patterns of Internet and smartphone use by parents of children with chronic kidney disease.PloS one · 2019Trial
- Is there an interaction between hypertension and proteinuria in pediatric chronic kidney disease progression? Evidence from the SP-CKD-Kids cohort.Pediatric nephrology (Berlin, Germany) · 2026Article
- Sociodemographic Profile of Pediatric Hemodialysis during the COVID-19 Pandemic and Challenges for Sustainable Development.Revista brasileira de enfermagem · 2025Article
- Article
- Symptoms for early diagnosis of chronic kidney disease in children - a machine learning-based score.European journal of pediatrics · 2023Article
- The role of neuroimmune and inflammation in pediatric uremia-induced neuropathy.Frontiers in immunology · 2022Review
- Evaluation of renal replacement therapy in children and adolescents in the state of Amazonas, Brazil.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2022Article
- Access to treatment for chronic kidney disease by children and adolescents in Brazil.Pediatric nephrology (Berlin, Germany) · 2021Article
- Policy in pediatric nephrology: successes, failures, and the impact on disparities.Pediatric nephrology (Berlin, Germany) · 2021Review
- Living well with kidney disease.Pediatric nephrology (Berlin, Germany) · 2021Article
- Development of a risk score for earlier diagnosis of chronic kidney disease in children.PloS one · 2019Article
- Cardiovascular risk in children and adolescents with end stage renal disease.Clinics (Sao Paulo, Brazil) · 2019Article
- Inequality in pediatric kidney transplantation in Brazil.Pediatric nephrology (Berlin, Germany) · 2016Article
- Inequalities in access to pediatric ESRD care: a global health challenge.Pediatric nephrology (Berlin, Germany) · 2016Article
- Just a consequence of hunger or a sign of chronic kidney disease in children? The dilemma of growth failure in countries with regional disparities.Jornal brasileiro de nefrologiaArticle
- Standard of care for children and adolescents with chronic kidney disease and its Peculiarities: a call to action!Jornal brasileiro de nefrologiaArticle
- Epidemiology of chronic dialysis treatment among children and adolescents in a capital of Northeastern Brazil.Jornal brasileiro de nefrologiaObservational
- Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThere are few reports in the literature estimating the epidemiologic characteristics of pediatric chronic dialysis. These patients have impaired physical growth, high number of comorbidities and great need for continuous attention of specialized services with high demand for complex and costly procedures.
objectiveThe aim of this study was to estimate the incidence and prevalence rates and describe the characteristics of children and adolescents undergoing chronic dialysis treatment in a Brazilian demographic health survey. MATERIALS AND
methodsA cross-sectional study was performed in a representative sample of dialysis centers (nc = 239) that was established from the 2011 Brazilian Nephrology Society Census (Nc = 708). We collected data encompassing the five Brazilian macro-regions. We analyzed the data from all patients under 19 years of age. The sample population consisted of 643 children and adolescents who were on chronic dialysis program anytime in 2012. Data collection was carried out in the dialysis services by means of patients' records reviews and personal interviews with the centers' leaders.
resultsWe estimated that there were a total of 1,283 pediatric patients on chronic dialysis treatment in Brazil, resulting in a prevalence of 20.0 cases per million age-related population (pmarp) (95% CI: 14.8-25.3) and an incidence of 6.6 cases pmarp in 2012 (95% CI: 4.8-8.4). The South region had the highest prevalence and incidence rates of patients under dialysis therapy, 27.7 (95% CI: 7.3-48.1) and 11.0 (95% CI: 2.8-19.3) cases pmarp, respectively; the lowest prevalence and incidence rates were found in the North-Midwest region, 13.8 (95% CI: 6.2-21.4), and in the Northeast region, 3.8 (95% CI: 1.4-6.3) cases pmarp, respectively.
conclusionBrazil has an overall low prevalence of children on chronic dialysis treatment, figuring near the rates from others countries with same socioeconomic profile. There are substantial differences among regions related to pediatric chronic dialysis treatment. Joint strategies aiming to reduce inequities and improving access to treatment and adequacy of services across the Brazilian regions are necessary to provide an appropriate care setting for this population group.
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