Table 2.

Burden of CKD in Guatemala: data sources and estimates

Data Type	Estimates	Comments
National Vital Registry data Dialysis and Kidney Transplant Registry	There are no existing population estimates or a surveillance system for CKD in Guatemala. The national CKD National mortality rate: 14 per 100,000 The nascent Dialysis and Transplant Registry has so far captured data on roughly one-third of individuals receiving RRT.	The recent population-level NCD surveys include a subnational STEPS survey and GSHS. However, neither include data on CKD.13,14 The mortality rate from CKD has increased almost 3-fold in last decade. This registry is the first effort to compile data across centers.15,16
Center-based case series UNAERC IGSS FUNDANIER	Approximately 8000 adults receive RRT in Guatemala (60% UNAERC, 40% IGSS). Approximately 200 children receive RRT at FUNDANIER.	The RRT rate in Guatemala is 536 cases per million population, lower than the regional average of 709 per million population. These figures suggest poor access to RRT and substantial underdetection of CKD.8

CKD, chronic kidney disease; FUNDANIER, Guatemalan Foundation for Children with Kidney Diseases (Fundación para el Niño Enfermo Renal); GSHS, Global School-based Student Health; IGSS, Guatemalan Institute of Social Security (Instituto Guatemalteco de Seguridad Social); NCD, noncommunicable disease; RRT, renal replacement therapy; STEPS, STEPwise Approach to Surveillance; UNAERC, National Center for Chronic Renal Disease (Unidad Nacional de Atención al Enfermo Renal Crónico).