Overview of peritoneal dialysis in Latin America

Latin America is a heterogeneous region comprised of 20 countries, former colonies of European countries, in which Latin-derived Languages are spoken. According to the Latin American Society of Nephrology and Hypertension/ Sociedad Latino Americana de Nefrologia e Hipertension (SLANH), the acceptance rate for renal replacement therapy is 103 new patients per million population. In Latin America, hemodialysis is the predominant form of replacement therapy for end-stage renal disease; however, some countries employ peritoneal dialysis (PD) in 30% or more patients. In particular, Mexico is the country with the Largest PO utilization in the world, and furthermore, it is estimated that approximately 25% of the world's PD population may be found Latin America. Data concerning clinical practice and tong-term outcome of PD in Latin America are scarce, although regional registries are increasing in number and quality. In this review article, we present an overview of the situation of PO in several countries of Latin America, based on the registry of the SLAHN, national registries, and personal communication with PD experts from different countries.Pontificia Univ Catolica Parana, Ctr Hlth & Biol Sci, BR-80215901 Curitiba, PR, BrazilUniv Sao Paulo, Div Nephrol, BR-05508 Sao Paulo, BrazilIMSS, CMNO, UMAE Hosp Especialidades, Unidad Invest Med Enfermedades Renales, Guadalajara, Jalisco, MexicoMiguel Perez Carreno Hosp, Dialysis & Transplantat Serv, Caracas, VenezuelaBaxter Latin Amer, Mexico City, DF, MexicoSARI, Montevideo, UruguayPontificia Univ Catolica Chile, Div Nephrol, Santiago, ChileUNNOBA, Buenos Aires, DF, ArgentinaIMSS, Hosp Gen Zona 2, Hermosillo, Sonora, MexicoRTS Clin Nueva, Bogota, ColombiaUniv Fed Sao Paulo, Div Nephrol, Sao Paulo, BrazilHosp Especialidades Ctr Med La Raza, Inst Mexicano Seguro Social, Ctr Med Nacl Siglo 21, Mexico City, DF, MexicoUniv Fed Sao Paulo, Div Nephrol, Sao Paulo, BrazilWeb of Scienc