Geographic inequities in hemodialysis access: a call to reassess dialysis facility locations in Brazil

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorUniversidade Federal de São Paulo (UNIFESP)-
Autor(es): dc.contributorUniversidade Federal Fluminense (UFF)-
Autor(es): dc.contributorUniversidade de São Paulo (USP)-
Autor(es): dc.contributorHospital Alemão Oswaldo Cruz-
Autor(es): dc.creatorSantos, Guilherme Palhares Aversa-
Autor(es): dc.creatorSesso, Ricardo-
Autor(es): dc.creatorLugon, Jocemir Ronaldo-
Autor(es): dc.creatorde Menezes Neves, Precil Diego Miranda-
Autor(es): dc.creatorBarbosa, Abner Mácola Pacheco-
Autor(es): dc.creatorda Rocha, Naila Camila-
Autor(es): dc.creatorModelli de Andrade, Luis Gustavo-
Data de aceite: dc.date.accessioned2025-08-21T17:02:14Z-
Data de disponibilização: dc.date.available2025-08-21T17:02:14Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2024-11-30-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1007/s40620-024-02120-5-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/309607-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/309607-
Descrição: dc.descriptionBackground: Patients who travel more than 60 min to undergo hemodialysis may experience higher mortality and lower quality of life. The primary aim of this study was to calculate the travel distance between patient city areas and dialysis facility care locations in Brazil, to highlight barriers and need to optimize access to chronic dialysis. Methods: We conducted a retrospective cohort study using claims data from the Brazilian Public Health System's database, focusing on kidney replacement therapy (KRT) by hemodialysis. Our study population comprised all patients undergoing hemodialysis in Brazil between January 2023 and December 2023. For patients from different city areas, we calculated the Haversine distance between the patient city area and the dialysis facility. Results: We evaluated 154,788 patients who received hemodialysis funded by the Brazilian Public Health System. Fifty-nine percent of the patients underwent dialysis in the same city area. Overall, patients traveled a median (IQR) distance of 35.9 [19.5 – 64.2] kilometers to the facilities, 48% traveled more than 40 km, with a maximum traveling distance of 353 km. Notably, the median distance traveled was shortest in the Southeast (27.6 km) and longest in the North (84.3 km). The number of patients that traveled more than 40 km was lower in the Southeast (32%) and higher in the North region (77%). Conclusion: The travel distance to the dialysis facility is an important inequity to KRT access in Brazil. In the South and Southeast, where there is a higher dialysis unit density, patients have greater regional availability of dialysis centers, and shorter traveling distances than in the North, Midwest, and Northeast regions.-
Descrição: dc.descriptionDepartment of Internal Medicine UNESP Univ Estadual Paulista, Av. Prof. Montenegro, Distrito de, SP-
Descrição: dc.descriptionDivision of Nephrology Department of Medicine Member of the Brazilian Dialysis Registry Brazilian Society of Nephrology Universidade Federal de São Paulo, São Paulo-
Descrição: dc.descriptionDivision of Nephrology Department of Medicine Member of the Brazilian Dialysis Registry Brazilian Society of Nephrology Universidade Federal Fluminense, Rio de Janeiro-
Descrição: dc.descriptionNephrology Division University of São Paulo USP-
Descrição: dc.descriptionNephrology and Dialysis Center Hospital Alemão Oswaldo Cruz, São Paulo-
Descrição: dc.descriptionDepartment of Internal Medicine UNESP Univ Estadual Paulista, Av. Prof. Montenegro, Distrito de, SP-
Formato: dc.format2601-2608-
Idioma: dc.languageen-
Relação: dc.relationJournal of Nephrology-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectChronic kidney failure-
Palavras-chave: dc.subjectDialysis-
Palavras-chave: dc.subjectHemodialysis units-
Palavras-chave: dc.subjectSpatial analysis-
Título: dc.titleGeographic inequities in hemodialysis access: a call to reassess dialysis facility locations in Brazil-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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