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This study evaluates demographic and socioeconomic changes related to dialysis treatment in Brazil from 2002 to 2019 using descriptive, analytical retrospective documentary data. Comparative assessment covered demographic, economic, and social trends as well as dialysis service provision, including a correlation between Municipal Human Development Index (HDI-M) and the number of dialysis units. Results show increased older population share and life expectancy alongside strong GDP growth, yet limited and inequitable health investment and access. A positive linear correlation emerged between HDI-M and dialysis unit availability.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/maintenance-of-inequity-in-the-provision-of-chronic-dialysis-treatment-in-brazil/469990/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/maintenance-of-inequity-in-the-provision-of-chronic-dialysis-treatment-in-brazil/469990.png","ImageObject",300,407,{"name":92,"@type":93},"dabgoudw","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What time period and data sources were used to study dialysis inequity in Brazil?","Question",{"text":112,"@type":113},"The study analyzed demographic and socioeconomic changes related to dialysis treatment in Brazil from 2002 to 2019, using descriptive and analytical retrospective documentary data.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How did demographic and economic indicators change during 2002–2019?",{"text":117,"@type":113},"The older population proportion and life expectancy increased, and GDP rose markedly, while investment in public health remained low (below 4%).",{"name":119,"@type":110,"acceptedAnswer":120},"What was the relationship between HDI-M and dialysis unit availability?",{"text":121,"@type":113},"The study found a positive linear correlation between HDI-M values and the number of dialysis units (R = 0.52; p = 0.006).","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},469990,1790825472,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},3985747860484,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Original article   \nMaintenance of inequity in the provision of chronic dialysis treatment in Brazil  \nManutenção da iniquidade na oferta do tratamento de diálise crônica no Brasil  \nAuthors  \nFábio Humberto Ribeiro Paes Ferraz1  \nCibele Isaac Saad Rodrigues2 Natan Monsores de Sá3  \n1Universidade do Distrito Federal, Escola Superior de Ciênciasda Saúde, Departamento de Graduação em Medicina, Brasília, DF, Brazil.  \n2Pontifícia Universidade Católica, Faculdade de Ciências Médicas eda Saúde, Sorocaba, SP, Brazil. 3Universidade de Brasília, Faculdade de Ciências da Saúde, Departamento de Saúde Coletiva, Brasília, DF, Brazil.  \nSubmitted on: 04/01/2025 .  \nApproved on: 08/24/2025 .  \nPublished on: 01/09/2026 .  \nCorrespondence to:  \nFábio Humberto Ribeiro Paes Ferraz.  \nEmail: [fabionefro@gmail.com](fabionefro@gmail.com)  \nDOI: [https://doi.org/10.1590/2175-](https://doi.org/10.1590/2175-)[ ](https://doi.org/10.1590/2175-)[8239-JBN-2025-0033en](8239-JBN-2025-0033en)  \nAbstRAct  \nIntroduction: The high rate of people with chronic kidney disease on dialysis is a public health problem, especially in developing countries. Objectives: To evaluate demographic and socioeconomic changes related to dialysis treatment in Brazil from 2002 to 2019. Methods: This descriptive, analytical study reviewed retrospective documentary data. A comparative analysis was conducted on demographic, economic, and social trends, as well as changes in dialysis service provision in Brazil between 2002 and 2019. Correlation analysis between Municipal Human Development Index (HDI-M) and the number of dialysis units was performed. Results: There was an increase in the percentage of the older population (5.3% vs. 9.25%) and in life expectancy at birth (70.8 vs. 75.9 years) . The gross domestic product (GDP) increased by 453%; the percentage of investment in public health (below 4%) was stable and the ranking of global Human Development Index decreased (73 vs 84) . The increase in the prevalence of patients on chronic maintenance dialysis was greater than the increase in the number of patients in new centers (117 .3% vs. 43.9%), with fewer patients receiving treatment in the North and Northeast regions. There was a positive linear correlation between the HDI-M values and the number of dialysis units (R = 0.52; 95% CI: 0.75–0.18; p = 0.006) . Conclusion: Despite Brazil’s strong economic growth and the drastic demographic changes that occurred during the study period, this progress did not translate into a higher investment in health and equitable access to dialysis treatment across the country.  \nKeywords: Bioethics; Dialysis; Renal dialysis; Equity; Disparities in health levels; Epidemiology.  \nResumo  \nIntrodução: A elevada taxa deindivíduos com doença renal crônica em diálise constitui um problema desaúde pública, especialmente nos paísesem desenvolvimento. Objetivos: Avaliar as mudanças demográficas e socioeconômicas relacionadas ao tratamento dialítico no Brasil entre 2002 e 2019. Métodos: Estudodescritivo e analítico com revisão de dados documentais retrospectivos. Foi realizada uma análise comparativa das tendências demográficas, econômicas e sociais, bem como das alterações na oferta de serviços de diálise no Brasil entre 2002 e 2019. Realizouse, ainda, uma análise de correlação entre o Índice de Desenvolvimento Humano Municipal (IDH-M) e o número deunidades de diálise. Resultados: Houve um aumento no percentual da população idosa (5,3% vs. 9,25%) e na expectativa de vida ao nascer (70,8 vs. 75,9 anos). O produto interno bruto (PIB) aumentou 453%;  \no percentual de investimento em saúdepública permaneceu estável (abaixo de 4%) e o ranking do Indice de Desenvolvimento Humano Global apresentou redução (73 vs 84). O aumento na prevalência de pacientes em diálise crônica de manutenção foi superior ao aumentononúmerode pacientes em novos centros (117,3% vs. 43,9%), com menos pacientes recebendo tratamento nas regiões Norte e Nordeste. Houve correlação linear posit","cbCaigAXoS9kbu25","https://ap.wps.com/l/cbCaigAXoS9kbu25","pdf",686527,11,"English","# Abstract\n## Introduction\n## Objectives\n## Methods\n## Results\n## Conclusion","[{\"question\":\"What time period and data sources were used to study dialysis inequity in Brazil?\",\"answer\":\"The study analyzed demographic and socioeconomic changes related to dialysis treatment in Brazil from 2002 to 2019, using descriptive and analytical retrospective documentary data.\"},{\"question\":\"How did demographic and economic indicators change during 2002–2019?\",\"answer\":\"The older population proportion and life expectancy increased, and GDP rose markedly, while investment in public health remained low (below 4%).\"},{\"question\":\"What was the relationship between HDI-M and dialysis unit availability?\",\"answer\":\"The study found a positive linear correlation between HDI-M values and the number of dialysis units (R = 0.52; p = 0.006).\"}]","Maintenance of inequity in the provision of chronic dialysis treatment in Brazil | PDF",1790776538,28]