Overview of terminal kidney disease in a state of brazilian amazonia

Abstract

The objective of this study is to depict the social, demographic and clinical profile of hemodialysis patients and the costs of dialysis treatment in
the state of Amapá. This is a cross-sectional study with quantitative approach. Data were obtained through the software Nefrodata and scripted
interview questions which were analyzed using descriptive statistics. Research subjects were the hemodialysis population in the Nephrology Unit of
Macapá. The social, demographic and clinical prevalence observed were: gender: male, age group: 50 to 59, married or in a domestic partnership,
biracial, with little education, monthly income of one minimum wage, living on welfare, SUS users, born in Macapá, hemodialysis patients for up
to three years, with arteriovenous fistula. Arterial hypertension was the initial pathology in most cases. In 2015, 31,139 hemodialysis sessions and
an average of 213 patients per month were computed, with the death of 73 of them. The figures approved for funding hemodialysis treatment and
diagnostic purposes exceeded five million reais. Vulnerabilities related to education, socioeconomic condition, comorbidities and high death rates
were identified. These factors, combined with the high cost of dialysis, reinforce the challenge of the healthcare networks regarding early diagnosis
and treatment of kidney disease, highlighting the need for health professionals to know the epidemiologic profile of the chronic kidney disease in
their working context to offer culturally sensitive care.