Tendencia de la mortalidad por enfermedad renal crónica en Brasil: un estudio ecológico

Gouvêa, Ellen de Cassia Dutra Pozzetti; Ribeiro, Alex Mussoi; Aquino, Erika Carvalho de; Stopa, Sheila Rizzato

doi:10.1590/S2237-96222023000300010.EN

person Ellen de Cassia Dutra Pozzetti Gouvêa

concept and design · analyzing and interpreting · drafting and reviewing · drafted · integrity

schoolMinistério da Saúde, Secretaria de Vigilância em Saúde e Ambiente, Brasília, DF, Brazil

0000-0003-0611-3738

person Alex Mussoi Ribeiro

concept and design · analyzing and interpreting · drafting and reviewing · integrity

schoolUniversidade Federal de Santa Catarina, Programa de Pós-Graduação em Controle de Gestão, Florianópolis, SC, Brazil

0000-0003-3389-9713

person Erika Carvalho de Aquino

concept · analysis and interpreting · drafting and reviewing · integrity

schoolMinistério da Saúde, Secretaria de Vigilância em Saúde e Ambiente, Brasília, DF, Brazil

0000-0002-5659-0308

person Sheila Rizzato Stopa

concept · drafting and reviewing · integrity

schoolAutonomous researcher, Epidemiology, Brasília, DF, Brazil

0000-0001-8847-665X

personCorrespondence: Ellen de Cassia Dutra Pozzetti Gouvêa |
emailellen.gouvea@saude.gov.br

groupsAUTHOR CONTRIBUTIONS

Gouvêa ECDP contributed to the study concept and design, analyzing and interpreting the results, drafting and critically reviewing the contents of the manuscript, as well as having drafted the first version. Ribeiro AM contributed to the study concept and design, analyzing and interpreting the results, drafting and critically reviewing the contents of the manuscript. Aquino EC contributed to the study concept, data analysis and interpretation, drafting and critically reviewing the contents of the manuscript. Stopa SR contributed to the study concept, drafting and critically reviewing the contents of the manuscript. All the authors have approved the final version of the manuscript and are responsible for all aspects thereof, including the guarantee of its accuracy and integrity.

CONFLICTS OF INTEREST

The authors do not have any conflicts of interest to declare.

Associate editor:

Doroteia Aparecida Höfelmann - orcid.org/0000-0003-1046-3319

Year of death	2009		2010		2011		2012		2013		2014		2015		2016		2017		2018		2019		2020		Total
Year of death	n	%	N	%	n	%	n	%	n	%	N	%	N	%	N	%	N	%	N	%	N	%	N	%	N	%
Sex
Male	3,045	58.0	3,222	57.3	3,458	57.9	3,352	57.6	3,483	56.4	3,592	56.7	3,931	57.1	4,123	57.6	4,277	57.3	4,61	56.7	4,916	58.2	4,485	57.8	46,494	57.4
Female	2,2	42.0	2,4	42.7	2,518	42.1	2,472	42.4	2,695	43.6	2,743	43.3	2,954	42.9	3,04	42.4	3,191	42.7	3,514	43.2	3,526	41.8	3,278	42.2	34,531	42.6
Unknown	1	-	-	-	-	-	-	-	-	-	3	-	-	-	1	-	2	-	2	-	-	-	-	-	9	-
Age group (in years)
< 1	4	0.1	10	0.2	4	0.1	3	0.1	2	-	3	-	5	0.1	2	-	4	0.1	10	0.1	8	0.1	2	-	57	0.1
01-04	9	0.2	10	0.2	5	0.1	12	0.2	9	0.1	8	0.1	9	0.1	11	0.2	6	0.1	10	0.1	8	0.1	5	0.1	102	0.1
05-14	26	0.5	17	0.3	24	0.4	24	0.4	13	0.2	9	0.1	22	0.3	25	0.3	20	0.3	10	0.1	13	0.2	17	0.2	220	0.3
15-24	74	1.4	76	1.4	77	1.3	71	1.2	57	0.9	80	1.3	62	0.9	70	1.0	61	0.8	81	1.0	70	0.8	81	1.0	860	1.1
25-34	156	3.0	184	3.3	144	2.4	133	2.3	149	2.4	140	2.2	147	2.1	151	2.1	165	2.2	154	1.9	133	1.6	157	2.0	1,813	2.2
35-44	299	5.7	284	5.1	317	5.3	297	5.1	300	4.9	320	5.0	311	4.5	340	4.7	336	4.5	312	3.8	328	3.9	343	4.4	3,787	4.7
45-54	602	11.5	674	12.0	659	11.0	640	11.0	624	10.1	580	9.2	631	9.2	714	10.0	633	8.5	675	8.3	679	8.0	666	8.6	7,777	9.6
55-64	909	17.3	985	17.5	1,067	17.9	982	16.9	1,054	17.1	1,037	16.4	1,093	15.9	1,112	15.5	1,224	16.4	1,338	16.5	1,359	16.1	1,27	16.4	13,43	16.6
65-74	1,145	21.8	1,166	20.7	1,275	21.3	1,26	21.6	1,32	21.4	1,428	22.5	1,524	22.1	1,604	22.4	1,674	22.4	1,921	23.6	1,933	22.9	1,756	22.6	18,006	22.2
≥ 75	2,015	38.4	2,212	39.3	2,402	40.2	2,4	41.2	2,645	42.8	2,732	43.1	3,08	44.7	3,128	43.7	3,345	44.8	3,611	44.4	3,911	46.3	3,466	44.6	34,947	43.1
Age unknown	7	0.1	4	0.1	2	-	2	-	5	0.1	1	-	1	-	7	0.1	2	-	4	-	-	-	-	-	35	0.0
Region of residence
North	310	5.9	312	5.5	363	6.1	345	5.9	331	5.4	383	6.0	409	5.9	470	6.6	552	7.4	584	7.2	659	7.8	591	7.6	5,309	6.6
Northeast	1,051	20.0	1,087	19.3	1,336	22.4	1,276	21.9	1,409	22.8	1,493	23.6	1,633	23.7	1,794	25.0	1,831	24.5	1,91	23.5	2,042	24.2	1,825	23.5	18,687	23.1
Southeast	2,608	49.7	2,891	51.4	2,903	48.6	2,904	49.9	3,045	49.3	3,048	48.1	3,304	48.0	3,389	47.3	3,518	47.1	3,765	46.3	3,763	44.6	3,382	43.6	38,52	47.5
South	868	16.5	908	16.2	959	16.0	867	14.9	994	16.1	920	14.5	1,032	15.0	1,087	15.2	1,099	14.7	1,351	16.6	1,328	15.7	1,389	17.9	12,802	15.8
Midwest	409	7.8	424	7.5	415	6.9	432	7.4	399	6.5	494	7.8	507	7.4	424	5.9	470	6.3	516	6.3	650	7.7	576	7.4	5,716	7.1
TOTAL	5,246	100.0	5,622	100.0	5,976	100.0	5,824	100.0	6,178	100.0	6,338	100.0	6,885	100.0	7,164	100.0	7,47	100.0	8,126	100.0	8,442	100.0	7,763	100.0	81,034	100.0

Disaggregation	Mortality coefficient			Beta^b	p-value	Average annual rate of increase (%)	95%CI^c	Interpretation
Disaggregation	2009	2015	2020	Beta^b	p-value	Average annual rate of increase (%)	95%CI^c	Interpretation
Sex
Male	3.72	3.99	3.98	0.005	0.002	1.14	0.52;1.76	Rising
Female	2.13	2.30	2.23	0.004	0.008	0.82	0.28;1.37	Rising
Age group (in years)
≤ 4	0.08	0.09	0.05	0.002	0.768	0.54	-3.34;4.58	Stationary
5-14	0.08	0.07	0.06	-0.012	0.385	-2.82	-9.32;4.15	Stationary
15-24	0.21	0.18	0.24	0.000	0.888	0.10	-1.46; 1.69	Stationary
25-34	0.47	0.42	0.46	-0.003	0.527	-0.58	-2.50; 1.38	Stationary
35-44	1.12	1.04	1.04	-0.003	0.018	-0.79	-1.40; -0.17	Falling
45-54	2.78	2.58	2.54	-0.004	0.094	-0.95	-2.07; 0.18	Stationary
55-64	6.49	6.21	6.17	-0.001	0.664	-0.23	-1.33;0.89	Stationary
65- 74	13.61	14.66	14.33	0.006	0.001	1.42	0.78;2.06	Rising
≥ 75	37.95	45.85	44.74	0.010	< 0.001	2.23	1.87; 2.60	Rising
Region of residence
North	2.92	3.30	4.07	0.016	0.002	3.86	1.86;5.90	Rising
Northeast	2.12	2.83	2.83	0.014	< 0.001	3.36	2.24;4.50	Rising
Southeast	3.04	3.10	2.77	-0.002	0.187	-0.41	-1.05;0.23	Stationary
South	3.02	2.85	3.28	0.003	0.309	0.76	-0.80;2.35	Stationary
Midwest	7.99	7.47	7.05	-0.004	0.297	-0.92	-2.75;0.93	Stationary
TOTAL	2.82	3.03	3.24	0.006	< 0.001	1.29	0.73;1.85	Rising

[TFN1] Source: General Coordination of Epidemiological Information and Analysis, Health and Environment Surveillance Secretariat, Ministry of Health (CGIAE/SVSA/MS); Mortality Information System (Sistema de Informações sobre Mortalidade - SIM).