Table 2.
Kidney replacement therapy (incidence and prevalence) and nephrology workforce statistics in the ISN North America and the Caribbean region11, 12, 13, 14, 15, 16
| Country | Treated KF, pmp |
Prevalence of long-term dialysis, pmp |
Long-term dialysis centers, pmp |
Kidney transplantation, pmp, 2018 |
Nephrology workforce, pmp |
|||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Incidence | Prevalence | HD | PD | Total (HD + PD) | HD | PD | Incidence | Prevalence | Centers | Nephrologists | Nephrology trainees | |
| Global median [IQR] | 170.0 | 862.4 | 407.8 | 49.4 | 468.7 | 4.5 [1.2–9.9] | 1.3 [0.3–2.4] | 20.7 | 279.9 | 0.4 [0.2–0.7] | 9.9 [1.2–22.7] | 1.4 [0.4–3.7] |
| North America and the Caribbean median [IQR] | 287.9 | 884.7 | 930.6 | 53.6 | 976.1 | 18.1 [10.4–19.6] | 7.2 [1.4–16.8] | 56.0 | 251.3 | 0.8 [0.6–0.8] | 18.1 [15.3–29.5] | 0.0 [0.0–1.7]a |
| Antigua and Barbuda | — | — | — | — | — | 10.4 | — | — | — | 10.4 | 31.3 | 0.0 |
| Bahamas | — | 651.1 | — | — | — | — | — | — | 3.1 | — | — | — |
| Barbados | — | 682.5 | 678.8 | 0.0 | 678.8 | — | — | — | 3.7 | — | — | — |
| Canada | 197.7 | 1371.5 | 633.3 | 161.1 | 794.4 | 5.6 | 1.4 | 48.4 | 577.0 | 0.6 | 15.3 | 1.7 |
| Cayman Islands | — | 819.5 | 963.8 | 0.0 | 963.8 | 33.6 | 16.8 | — | — | — | 16.8 | 0.0 |
| Jamaica | — | 137.4 | 192.7 | 11.5 | 131.5 | 4.6 | 1.1 | — | 6.8 | 0.4 | 4.3 | — |
| St. Kitts and Nevis | — | — | — | — | — | 18.9 | 18.8 | — | — | — | 18.8 | 18.8 |
| St. Lucia | — | — | — | — | — | 18.1 | — | — | — | — | 18.1 | 0.0 |
| St. Vincent and the Grenadines | — | — | — | — | — | 19.6 | 9.8 | — | — | — | 29.5 | 0.0 |
| Trinidad and Tobago | — | 334.6 | 278.6 | 56.0 | 334.6 | 14.8 | 1.7 | — | — | 0.8 | 5.8 | 0.0 |
| Turks and Caicos | — | — | 1882.4 | 0.0 | 1882.4 | — | — | — | — | — | — | — |
| United States | 378.0 | 2196.0 | 1416.1 | 157.9 | 1582.0 | 20.5 | 7.2 | 63.6 | 666.0 | 0.8 | 29.5 | 1.7 |
| Virgin Islands (United States) | — | — | 1399.1 | 42.4 | 1441.5 | — | — | — | — | — | — | — |
—, Data not reported/unavailable; HD, hemodialysis; IQR, interquartile range; ISN, International Society of Nephrology; KF, kidney failure; PD, peritoneal dialysis; pmp, per million population.
a
Although the median is 0, the average number of nephrology trainees is 2.8 pmp.