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pdf Ordunez, P, Wendy H. Case definitions and approaches for surveillance of chronic kidney disease in agricultural communities in Central America: policy implications. Kidney International . 2018; 93, 284-287.  Publicado Popular

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From estimates of the Institute of Health Metrics and Evaluation,1 chronic kidney disease (CKD) was among the top 10 contributors to age-standardized disability-adjusted life years in Central Latin America in 2015, and in the preceding 15 years its ranking rose from 18th to fifth place. CKD-attributable disability-adjusted life years are higher among men than women, although rates in women are increasing more rapidly. Over the past 20 years, many community reports2 have described an excess of cases of CKD in this region, specifically a form of chronic interstitial nephritis (termed CKD of nontraditional causes or CKDnT).