Juan Fernández-Cean

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Latin America is a heterogeneous region comprised of 20 countries, former colonies of European countries, in which Latin-derived languages are spoken. According to the Latin American Society of Nephrology and Hypertension/Sociedad Latino Americana de Nefrologia e Hipertensión (SLANH), the acceptance rate for renal replacement therapy is 103 new patients per(More)
BACKGROUND In the general population, hypertension is the leading cause of cardiovascular mortality. In dialysis patients, however, the relationship between blood pressure (BP) and mortality is controversial. We analyzed this relationship in hemodialysis (HD) patients. METHODS The study population included 405 patients who had survived at least two years(More)
Peritoneal dialysis (PD), although classically described and utilized in the treatment of patients with end-stage renal disease, can also be utilized in the acute setting in different clinical situations. Recent studies showed that, in patients with acute renal failure, it is possible to obtain reasonable dialysis doses with adequate metabolic and(More)
BACKGROUND Our aim was to compare survival among renal transplant recipients and haemodialysis patients treated in Uruguay. METHODS All the patients transplanted in Uruguay (n=460) and all the patients who started haemodialysis (HD) in three centres in Uruguay (n=695) from 01 January 1981 to 31 December 1998 were included. Overall survival, adjusted(More)
BACKGROUND Infective endocarditis (IE) is more frequent in patients on chronic haemodialysis (CHD) than in the general population and vascular access is the more frequent identified port of its entry. According to experimental and clinical studies the vascular access may also interfere with the treatment of IE. To improve the treatment of IE in CHD,(More)
INTRODUCTION Chronic kidney disease (CKD) represents a major challenge for Latin America (LA), due to its epidemic proportions and high burden to the population affected and to public health systems. METHODS Our methods have been reported previously: This paper shows the data for the last 10 years until 2010, from the Latin American Dialysis and Renal(More)
The Uruguayan Dialysis Registry (UDR) is an obligatory registry and includes all the patients on dialysis treatment in the country. The dialysis prevalence rate at 12-31-1997 was 604 pmp and the mortality rate in 1997 was 132 deaths per 1,000 patient years at risk. Adjusted mortality of each dialysis center in the country (n = 35) is calculated every year.(More)
Uruguay is a developing country with 3.16 million inhabitants. Chronic dialysis treatment (CDT) expanded after the creation of a National Fund of Resources in 1980 who receives contribution from all inhabitants to finance, among others, the CDT and renal transplantation. During the 1981-1998 period, about 4,819 patients were treatment, 2,365 patients had(More)
BACKGROUND Our aim was to identify co-morbid risk factors in ESRD patients at the start of the treatment, to select patients in the low-risk group (LRG) and to compare overall survival, adjusted overall survival and LRG survival in three centres (A, B and C). METHODS Population includes 531 patients entering haemodialysis from 1 January 1981 to 31(More)
A continuing medical education (CME) course was implemented for Latin American nephrologists in 2013. The topic was Immunopathology in native and transplanted kidneys. The course was given in Spanish and Portuguese. The activities included a distance education seven-week asynchronous online modality with multiple educational strategies. Thirty hours of(More)