Peritoneal dialysis in the developing world: the Mexican scenario.
In the developing countries it is not possible to determine the total amount of money spent in the treatment of chronic diseases, and the practice of renal replacement therapies faces many obstacles. In Mexico, the introduction of continuous ambulatory peritoneal dialysis and continuous cycling peritoneal dialysis (CCPD) achieved very good results. Unfortunately, renal disease still affected as much as 95% of chronic renal failure patients and it became a disaster with an annual mortality rate higher than 60%. This was known as the Mexican Model which failed in establishing peritoneal dialysis as the only procedure for treating patients. In order to avoid a similar scenario with the 2 replacement therapies, we created the Official Norm for hemodialysis, and now we are experimenting with an increase from 5% to 20% of hemodialysis patients who are receiving therapy, principally in private units that attend Social Security patients. In addition, the government has established a Council for Transplantation that acts as a regulatory board. In other words, we are in the process of making chronic renal diseases a priority within the National Program.
Poatgraduate Division of the Mexican Faculty of Medicine, Autonomous National University of Mexico, Mexico City, Mexico. u00axts@hotmail.com
Alejandro
A
Treviño-Becerra
Maria Antonieta Schettino
MA
Maimone
D003906:Developing Countries / Q000706:statistics & numerical data; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D008800:Mexico / Q000453:epidemiology; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000191:economics* / Q000401:mortality; D011787:Quality of Health Care; D017582:Renal Replacement Therapy / Q000191:economics; D017211:Treatment Failure