Abstract

HERRERA- ANAZCO, Percy; PACHECO-MENDOZA, Josmel  and  TAYPE-RONDAN, Alvaro. Chronic kidney disease in Peru: A narrative review of scientific papers published. Acta méd. peruana [online]. 2016, vol.33, n.2, pp.130-137. ISSN 1728-5917.

We describe the Peruvian scientific production on chronic kidney disease (CKD) that has been written in the medical literature by performing a non-systematic literature review up to April 2016. The results were divided into six thematic areas: prevalence of CKD, etiology of CKD, diagnosis and management, care coverage, care costs and mortality. Thirty-nine papers were found, but only 16 were used for analysis. The prevalence of CKD in some Peruvian regions reaches 16%. Diabetes and glomerulonephritis are the most common causes for CKD requiring hemodialysis (HD). In Lima and Callao, less than 9% of diabetic patients have albuminuria in their evaluation. Screening for CKD in hypertensive patients is cost-effective. Less than 50% of the population requiring HD is actually undergoing this procedure. The mortality rate in persons in HD may reach 50% at 7 months. The main cause of death is cardiovascular. In conclusion, CKD is a common condition, with problems for making a proper diagnosis and early treatment. There are problems for HD coverage and the mortality rate in persons undergoing HD is high.

Keywords : Renal insufficiency, chronic; Epidemiology; Renal dialysis.

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