Table 2.
Kidney replacement therapy and nephrology workforce statistics in 18 Latin American countries participating in the ISN-GKHA survey3,11, 12, 13
| Country | Treated KF, pmp, 2018 |
Prevalence of long-term dialysis, pmp, 2018 |
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]a | 142 [106–193] | 787 [522–1047] | 310 [99–597] | 25 [2–56] | 359 [112–636] | 4.5 [1.0–10.0] | 1.3 [0.4–2.5] | 14 [5–36] | 269 [66–468] | 0.4 [0.2–0.7] | 10.0 [1.2–22.9] | 1.4 [0.3–3.7] |
| Latin America median [IQR]a | 157 [85–189] | 715 [469–1065] | 451 [293–673] | 69 [44–135] | 602 [443–771] | 4.6 [2.9–10.9] | 1.0 [0.5–1.5] | 13 [6–23] | 135 [50–242] | 0.5 [0.3–0.9] | 9.8 [8.7–19.3] | 1.4 [0.9–3.0] |
| Argentina | 161 | 976 | 673 | 45 | 718 | 11.0 | 5.0 | 30 | 258 | 1.3 | 31.3 | 3.4 |
| Bolivia | — | — | 451 | — | — | 4.0 | 0.4 | 7 | 33 | 0.9 | 9.5 | 3.2 |
| Brazil | 204 | 876 | 591 | 49 | 640 | 4.0 | 0.7 | 28 | 236 | 0.5 | 19.7 | 2.4 |
| British Virgin Islands | — | — | 1399 | 42 | 1442 | 28.0 | — | — | — | — | 0.0 | 0.0 |
| Chile | 173 | 1541 | 1259 | 73 | 1332 | 13.0 | 2.1 | 21 | 209 | 0.8 | 18.1 | 1.4 |
| Colombia | 70 | 686 | 400 | 148 | 547 | 1.0 | 0.2 | 17 | 139 | 0.2 | 5.2 | 0.4 |
| Cuba | 108 | 430 | 293 | 6 | 299 | 5.0 | 0.9 | 15 | 131 | 0.8 | 38.9 | 20.6 |
| Dominican Republic | 15 | 305 | 183 | 75 | 258 | 9.0 | 0.8 | 5 | 47 | 0.4 | 15.9 | 3.4 |
| El Salvador | 217 | 776 | 297 | 380 | 677 | 5.0 | 1.1 | 6 | 99 | 0.6 | 8.7 | 1.3 |
| Guatemala | 153 | 508 | 257 | 204 | 461 | 1.0 | 0.1 | 6 | 46 | 0.2 | 4.3 | 0.8 |
| Haiti | — | — | — | — | — | 1.0 | — | — | — | 0.0 | 0.6 | 0.0 |
| Mexicob | 344 | 1405 | 272 | 499 | 771 | 38.0 | 19.0 | 79 | 634 | 21.0 | 8.7 | 1.2 |
| Panama | 157 | 715 | 460 | 104 | 564 | 4.0 | 1.8 | 10 | 151 | 0.5 | 9.2 | 0.9 |
| Paraguay | 59 | 331 | 271 | 10 | 281 | 4.0 | 0.3 | 6 | 50 | 0.4 | 10.0 | 1.3 |
| Peru | 70 | 590 | 486 | 56 | 542 | 3.0 | 1.0 | 5 | 48 | 0.4 | 9.3 | 0.8 |
| Puerto Rico | 419 | 2129 | 1607 | 130 | 1737 | 16.4 | 1.2 | 18 | 392 | — | 30.3 | 1.5 |
| Uruguay | 165 | 1153 | 706 | 65 | 771 | 11.0 | 2.4 | 43 | 382 | 0.9 | 53.4 | 4.4 |
| Venezuela, RB | 100 | 388 | 374 | 14 | 388 | 5.0 | 0.5 | 1 | — | 0.2 | 15.9 | 1.6 |
—, Data not reported/unavailable; GKHA, Global Kidney Health Atlas; HD, hemodialysis; IQR, interquartile range; ISN, International Society of Nephrology; KF, kidney failure; PD, peritoneal dialysis; pmp, per million population; RB, República Bolivariana.
a
Median and interquartile range are calculated for the selected countries in the GKHA survey only.
b
Data are for the province of Jalisco, Mexico (population, 8.26 million).