[Increase in prevalence of diabetes mellitus as a cause of dialytic end-stage renal disease: analysis of 20 years in the west region of Paraná].
Diabetic nephropathy (DN) is the main cause of chronic kidney disease (CKD) in developed countries.


OBJECTIVE
To observe if there was an increase in the prevalence of diabetes mellitus (DM) of CKD in the last 20 years and to analyze comparatively the survival on dialysis of diabetic and non-diabetic patients.


METHODS
Retrospective analysis of patients kept on dialysis in the west region of Paraná State in the period between 1985-2005. Survival analysis was performed using Kaplan-Meier Curves.


RESULTS
In the period, 645 patients were admitted to dialysis. In 16.1% DM was the cause of the CKD. It was observed a progressive increase in the prevalence of DM as a cause of CKD. Patient survival was lower in diabetics.


CONCLUSIONS
The prevalence of DM as a cause of CKD increased in the last 20 years in our region. The survival rates were lower in diabetic than in non-diabetic patients.
Peres
Luis A B
LA
Universidade Estadual do Oeste do Paraná. peres@certto.com.br
Matsuo
Tiemi
T
Delfino
Vinicius D A
VD
Peres
Celeide P A
CP
Almeida Netto
José Henrique de
JH
Ann
Hi K
HK
Camargo
Maurício T A
MT
Rohde
Noris R S
NR
Uscocovich
Vanessa F M
VF
D000328:Adult; D001938:Brazil / Q000453:epidemiology; D003922:Diabetes Mellitus, Type 1 / Q000150:complications / Q000401:mortality; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000401:mortality; D003928:Diabetic Nephropathies / Q000150:complications / Q000453:epidemiology / Q000401:mortality*; D005260:Female; D006801:Humans; D053208:Kaplan-Meier Estimate; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000209:etiology / Q000401:mortality*; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D006435:Renal Dialysis / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D014511:Uremia