Increase in prevalence of diabetes mellitus as a cause of diallytic end-stage renal disease - Analysis of 20 years in the west region of Parana

Diabetic nephropathy (DN) is the main cause of chronic kidney disease (CKD) in developed countries. Objective: To observe if there was an increase in the prevalence of diabetes mellitus (DM) of CKD in the last 20 years and to analyze comparatively the survival on dialysis of diabetic and non-diabetic patients. Methods: Retrospective analysis of patients kept on dialysis in the west region of Parana State in the period between 1985-2005. Survival analysis was performed using Kaplan-Meier Curves. Results: In the period, 645 patients were admitted to dialysis. In 16.1% DM was the cause of the CKD. It was observed a progressive increase in the prevalence of DM as a cause of CKD. Patient survival was lower in diabetics. Conclusions: The prevalence of DM as a cause of CKD increased in the last 20 years in our region. The survival rates were lower in diabetic than in non-diabetic patients.