Publications by authors named "R C Sesso"
Article Synopsis
- The study aimed to assess the quality of secondary health care for chronic kidney disease (CKD) patients in Brazil, comparing the Brazilian Unified Health System (UHS) to a private health plan (PHP).
- UHS patients were older, had higher rates of arterial hypertension and dyslipidemia, but worse kidney function and fewer optimal health indicators compared to PHP patients.
- The findings suggest that UHS patients experienced faster CKD progression and poorer overall care quality, highlighting the potential benefits of multidisciplinary approaches for improving patient outcomes.
Article Synopsis
- Patients in Brazil who travel over 60 minutes for hemodialysis may face higher mortality rates and reduced quality of life, prompting a need to assess travel distances to dialysis facilities across the country.
- A retrospective cohort study analyzed claims data from the Brazilian Public Health System, evaluating over 154,000 hemodialysis patients during 2023 and calculating their travel distances to treatment centers using the Haversine formula.
- Results showed that while 59% of patients received treatment in their own city, a significant portion traveled long distances, with regional disparities noted, as the Southeast had shorter travel distances compared to the North, highlighting inequities in access to kidney replacement therapy in Brazil.
Rationale & Objective: Recent evidence suggests people with nondialysis chronic kidney disease (ND-CKD) experience a substantial burden of symptoms, but informative large-scale studies have been scarce. We assessed the prevalence of symptoms and the association of overall symptom burden with quality of life in patients with moderate to severe CKD.
Study Design: Cross-sectional study.
Key Points: A large comprehensive analysis of patients undergoing KRT within Brazil's Public Health System from 2015 to 2023. We reported an increase in the age at which dialysis began and a decline in the adoption of peritoneal dialysis over the years. We showed better hemodialysis adequacy as measured by single-pool Kt/V.
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