title: Latin American Dialysis and Renal Transplant Registry: 2008 report (data 2006).
abstract: BACKGROUND
  Between 1991 and 2006, the Latin American Dialysis and Renal Transplantation Registry collected data from 20 countries (Argentina, Brazil, Bolivia, Chile, Colombia, Costa Rica, Cuba, Ecuador, El Salvador, Guatemala, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Puerto Rico, Dominican Republic, Venezuela and Uruguay). Access to RRT was universal in Argentina, Brazil, Chile, Cuba, Puerto Rico, Venezuela and Uruguay, all countries belonging to the medium-high or high income group.
  
  
  METHODS
  Data about patients on renal replacement therapy (RRT) were supplied by national affiliates or the Registry's Coordination Committee. Transplant data were gathered and shared with the Latin American and Caribbean Society of Transplantation.
  
  
  RESULTS
  RRT prevalence increased from 162 patients per million population (pmp) in 1991 to 478 pmp in 2005 and 473 pmp in 2006 (59.2% hemodialysis, 20.4% peritoneal dialysis and 20.4% with a functioning kidney allograft). Countries with the highest prevalence were Puerto Rico (1,148.9 pmp), Uruguay (924.5 pmp) and Chile (907.6 pmp). Latin America's (LA) incidence increased from 27.8 pmp in 1992 to 188 pmp in 2006. The LA Kidney transplant rate increased from 3.7 pmp in 1987 to 15,4 pmp in 2006, and 166 combined transplants - kidney and another organ, mainly pancreas - were performed. In the medium-high income group 2006, (Argentina, Brazil, Chile, Costa Rica, Cuba, Mexico, Panama, Uruguay, Venezuela) the prevalence rate was 534.8 pmp vs. 289.5 pmp in the middle-low income group. The transplant rate was 18.4 pmp in the medium-high income group vs. 7 pmp in the middle-low group (p < 0.01).
  
  
  CONCLUSIONS
  RRT incidence and prevalence continue to grow steadily. Access to RRT is universal only in some countries included in the medium-high or high income group. It is imperative to accomplish the goal of making RRT available to all who need it.
authors.affiliation: amcusumano40@gmail.com
authors.forename: A M
authors.initials: AM
authors.lastname: Cusumano
authors.forename: M C
authors.initials: MC
authors.lastname: Gonzalez Bedat
authors.forename: G
authors.initials: G
authors.lastname: García-García
authors.forename: S
authors.initials: S
authors.lastname: Maury Fernandez
authors.forename: J R
authors.initials: JR
authors.lastname: Lugon
authors.forename: H
authors.initials: H
authors.lastname: Poblete Badal
authors.forename: S
authors.initials: S
authors.lastname: Elgueta Miranda
authors.forename: R
authors.initials: R
authors.lastname: Gómez
authors.forename: M
authors.initials: M
authors.lastname: Cerdas Calderón
authors.forename: M
authors.initials: M
authors.lastname: Almaguer López
authors.forename: J
authors.initials: J
authors.lastname: Moscoso Tobar
authors.forename: R
authors.initials: R
authors.lastname: Leiva Merino
authors.forename: Jv
authors.initials: J
authors.lastname: Sánchez Polo
authors.forename: R
authors.initials: R
authors.lastname: Lou Meda
authors.forename: Bv
authors.initials: B
authors.lastname: Franco Acosta
authors.forename: R
authors.initials: R
authors.lastname: Ayala Ferrari
authors.forename: E
authors.initials: E
authors.lastname: Escudero
authors.forename: A
authors.initials: A
authors.lastname: Saavedra López
authors.forename: E
authors.initials: E
authors.lastname: Mena Castro
authors.forename: Cl
authors.initials: C
authors.lastname: Milanés
authors.forename: R
authors.initials: R
authors.lastname: Carlini
authors.forename: V
authors.initials: V
authors.lastname: Duro Garcia
mesh_terms: D006801:Humans; D016030:Kidney Transplantation / Q000706:statistics & numerical data* / Q000639:trends; D007843:Latin America; D012042:Registries; D006435:Renal Dialysis / Q000706:statistics & numerical data* / Q000639:trends