Perú has a population of 32.5 million (in 2019) with a prevalence of dialysis-dependent chronic kidney disease of 974 per million population. The highest prevalence is in the 45 years to 64 years age group (43.3%), with hemodialysis (85.9%) as the predominant renal replacement modality. The renal transplant rate is 4 per million population, which is significantly less than other countries in Latin America (e.g., Brazil 28 per million population, Uruguay 43 per million population). Central venous catheter is the most frequently used vascular access in the prevalent hemodialysis population (76%), despite its known complications. Native arteriovenous fistula (AVF) use in the prevalent population remains low (24%) as shown in Table 1.”Reference:
Castillo Velarde E, Vachharajani TJ. Dialysis Vascular Access Training: A Peruvian Experience. Kidney Int Rep. 2022 Jun 16;7(8):1910-1912. doi: 10.1016/j.ekir.2022.05.034. PMID: 35967122; PMCID: PMC9366363.