High prevalence of hyperkalemia in Brazilian chronic dialysis patients and differences across geographic regions

Hyperkalemia is a common multifactorial condition of people on chronic dialysis and is associated with mortality. We aimed to inform and discuss the prevalence of hyperkalemia in a large population of chronic dialysis patients in Brazil and its geographic regions. Prevalence of hyperkalemia (serum p...

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Bibliographic Details
Published inBrazilian Journal of Nephrology Vol. 45; no. 1; pp. 106 - 109
Main Authors Nerbass, Fabiana Baggio, Lima, Helbert do Nascimento, Sesso, Ricardo, Lugon, Jocemir Ronaldo
Format Journal Article
LanguageEnglish
Published Brazil Sociedade Brasileira de Nefrologia 01.01.2023
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Summary:Hyperkalemia is a common multifactorial condition of people on chronic dialysis and is associated with mortality. We aimed to inform and discuss the prevalence of hyperkalemia in a large population of chronic dialysis patients in Brazil and its geographic regions. Prevalence of hyperkalemia (serum potassium ≥6.0 mEq/L) was assessed in the Brazilian Dialysis Survey (BDS) in July 2019, an online survey of voluntary participation in which all dialysis centers registered at the Brazilian Society of Nephrology were invited. Approximately one-third (n=263 of 805) of the Brazilian dialysis clinics participated. The prevalence of hyperkalemia in the whole population was 16.1% (n=7,457 of 46,193; 95%CI=15.8-16.5%,), and varied from 12.1% in the North to 18.7% in the Northeast. We found a high prevalence of hyperkalemia in a large Brazilian chronic dialysis population. A nationwide investigation of risk factors, treatment options, and whether this high prevalence contributes to dialysis mortality is warranted.
Bibliography:Conflict of Interest: The authors declare that they have no conflict of interest related to the publication of this manuscript.
Authors’ Contribution: All authors contributed substantially to the conception or design of the study; the collection, analysis or interpretation of data; the writing of the manuscript or its critical review; and the final approval of the version to be published.
ISSN:0101-2800
2175-8239
DOI:10.1590/2175-8239-JBN-2022-0053en