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OVERVIEW OF PERITONEAL DIALYSIS IN LATIN AMERICA

¹ Center for Health and Biological Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Brazil; ² Nephrology Division, Universidade de Sao Paulo; ³ Unidad de Investigación Médica en Enfermedades Renales, UMAE Hospital de Especialidades, CMNO, IMSS, Guadalajara, Jalisco, Mexico; ⁴ Dialysis and Transplantation Service, Miguel Perez Carreño Hospital, Caracas, Venezuela; ⁵ Medical and Scientific Affairs, Baxter Latin América, Mexico City, Mexico;⁶ Servicio de Asistencia Renal Integral (SARI), Montevideo, Uruguay; ⁷ Nephrology Division, Pontifícia Universidad Católica de Chile, Santiago, Chile;⁸ Universidad Nacional del Noroeste de Buenos Aires (UNNOBA), Argentina; ⁹ Servicio de Medicina Interna, Hospital General de Zona #2, IMSS, Hermosillo, Sonora, Mexico;¹⁰ RTS Clinica Nueva, Bogotá, Colombia; ¹¹ Nephrology Division, Federal University of Sao Paulo, Brazil; ¹² Unidad de Investigación Médica en Enfermedades Nefrológicas, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, México

Correspondence to: R. Pecoits-Filho, Center for Health and Biological Sciences, Imaculada Conceição, 1155, Curitiba, PR 80215-901 Brazil. r.pecoits{at}pucpr.br

Latin America is a heterogeneous region comprised of 20 countries, former colonies of European countries, in which Latin-derived languages are spoken. According to the Latin American Society of Nephrology and Hypertension/Sociedad Latino Americana de Nefrologia e Hipertensión (SLANH), the acceptance rate for renal replacement therapy is 103 new patients per million population. In Latin America, hemodialysis is the predominant form of replacement therapy for end-stage renal disease; however, some countries employ peritoneal dialysis (PD) in 30% or more patients. In particular, Mexico is the country with the largest PD utilization in the world, and furthermore, it is estimated that approximately 25% of the world's PD population may be found Latin America. Data concerning clinical practice and long-term outcome of PD in Latin America are scarce, although regional registries are increasing in number and quality. In this review article, we present an overview of the situation of PD in several countries of Latin America, based on the registry of the SLAHN, national registries, and personal communication with PD experts from different countries.

KEY WORDS: KEY WORDS:; Latin America.

Received 13 February 2007; accepted 27 February 2007.

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