Timothy S. Laux|Joaquín Barnoya|Douglas R Guerrero|Marcos Rothstein
Dialysis enrollment patterns in Guatemala: evidence of the chronic kidney disease of non-traditional causes epidemic in Mesoamerica
Barnes-Jewish Hospital|Washington University in St. Louis|Washington University in St. Louis
western nicaragua el salvador chronic kidney disease ckd highly prevalent generally affects young male agricultural usually sugar cane workers without established ckd risk factors yet unknown prevalence ckd nontraditional causes ckdnt extends northernmost central american country guatemala therefore sought compare dialysis enrollment rates region municipality sex daily temperature agricultural production guatemala assess similar ckdnt distribution pattern nicaragua el salvadorthe national center chronic kidney disease treatment unidad nacional de atencin al enfermo renal crnico largest provider dialysis guatemala used population human development index literacy agricultural databases assess geographic economic educational correlations national center chronic kidney disease treatments hemodialysis peritoneal dialysis enrollment database enrollment rates per 100 000 inhabitants compared region mapped comparison regional agricultural daytime temperature data distribution men women enrolled dialysis compared region using fishers exact tests spearmans rank correlation coefficients calculateddialysis enrollment higher southwest compared rest country enrollees likely p 001 male 578 compared rest country 493 dialysis enrollment positively correlates human development index literacy rates correlations weaker agricultural regions predominantly sugar cane southwest guatemalain guatemala ckdnt incidence may similar geographic distribution nicaragua el salvador higher high temperature sugar cane growing regions therefore likely cknnt epidemic extends throughout mesoamerican region