<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932024000100015</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2024.e11122417</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Perfil etiológico de la enfermedad renal crónica en paraguayos hemodializados: un estudio observacional]]></article-title>
<article-title xml:lang="en"><![CDATA[Etiological profile of chronic kidney disease in hemodialyzed Paraguayans: an observational study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leguizamón Picco]]></surname>
<given-names><![CDATA[Elio Giovanni]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acevedo Ugarriza]]></surname>
<given-names><![CDATA[Laura Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Evers]]></surname>
<given-names><![CDATA[Karina Inés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Rios]]></surname>
<given-names><![CDATA[Cielo Estefania]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Piñánez]]></surname>
<given-names><![CDATA[Mathias Ariel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Avalos]]></surname>
<given-names><![CDATA[María Sofía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hussein El Zein]]></surname>
<given-names><![CDATA[Khayrie]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ríos Velázquez]]></surname>
<given-names><![CDATA[Ramón Sebastián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Gómez]]></surname>
<given-names><![CDATA[Karen Ariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santa Cruz Segovia]]></surname>
<given-names><![CDATA[Francisco Vicente]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera Jara]]></surname>
<given-names><![CDATA[Walter Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Católica Nuestra Señora de la Asunción Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>11</volume>
<numero>1</numero>
<fpage>15</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932024000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932024000100015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932024000100015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la etiología más común de la enfermedad renal crónica es la secundaria a diabetes mellitus tipo 2, a hipertensión arterial y de origen desconocido. Las causas pueden variar según la edad y la procedencia urbana y rural.  Objetivo: identificar las etiologías de la enfermedad renal crónica que conllevan a hemodiálisis.  Metodología: se trata de un estudio observacional descriptivo, de corte transversal, realizado de diciembre del 2022 hasta febrero del 2023. Se encuestó a 1135 pacientes hemodializados, en 24 centros de diálisis de la Región Oriental del Paraguay.  Resultados: las principales etiologías de la enfermedad renal crónica fueron la secundaria a diabetes mellitus tipo 2 (38,77%), la secundaria a hipertensión arterial (23,88%) y la de origen desconocido (18,77%). La diabetes mellitus tipo 2 fue la causa más frecuente tanto en el interior del país como en el Departamento Central y la Capital. Se encontraron diferencias de frecuencia en relación con las etiologías de hipertensión arterial y origen desconocido, donde el primero fue dominante en zonas urbanas y el segundo en zonas rurales. La edad promedio fue de 54,8 ± 14,85 años, siendo el sexo masculino el de mayor prevalencia en todas las etiologías.  Conclusiones:  se determinó a la diabetes mellitus tipo 2 como principal causa de enfermedad renal crónica en todos los centros visitados. La causa de origen desconocido fue más prevalente en el interior. La falta de registros del tiempo de evolución de las complicaciones asociadas a las patologías de base en cada centro sugiere la posibilidad de sobrediagnóstico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The most common etiology of chronic kidney disease is secondary to type 2 diabetes mellitus, arterial hypertension, and of unknown origin. The causes may vary according to age and urban and rural origin.  Objective:  To identify the etiologies of chronic kidney disease that lead to hemodialysis.  Methodology:  This descriptive, cross-sectional, observational study was conducted from December 2022 to February 2023. A total of 1135 hemodialysis patients were surveyed in 24 dialysis centers in the Eastern Region of Paraguay.  Results:  The main etiologies of chronic kidney disease were secondary to type 2 diabetes mellitus (38.77%), secondary to arterial hypertension (23.88%) and that of unknown origin (18.77%). Type 2 diabetes mellitus was the most frequent cause in the interior of the country, the Central Department, and the Capital. Differences in frequency were found concerning the etiologies of arterial hypertension and unknown origin, where the former was dominant in urban areas and the latter in rural areas. The average age was 54.8 ± 14.85 years, with the male sex being the most prevalent in all etiologies  Conclusions:  Type 2 diabetes mellitus was determined as the main cause of chronic kidney disease in all the centers visited. The cause of unknown origin was more prevalent in the interior. The lack of records of the evolution time of complications associated with the underlying pathologies in each center suggests the possibility of overdiagnosis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[insuficiencia renal crónica]]></kwd>
<kwd lng="es"><![CDATA[diabetes mellitus tipo 2]]></kwd>
<kwd lng="es"><![CDATA[hipertensión]]></kwd>
<kwd lng="es"><![CDATA[hemodiálisis]]></kwd>
<kwd lng="es"><![CDATA[etiología.]]></kwd>
<kwd lng="en"><![CDATA[chronic renal insufficiency]]></kwd>
<kwd lng="en"><![CDATA[type 2 diabetes mellitus]]></kwd>
<kwd lng="en"><![CDATA[hypertension]]></kwd>
<kwd lng="en"><![CDATA[hemodialysis]]></kwd>
<kwd lng="en"><![CDATA[etiology.]]></kwd>
</kwd-group>
</article-meta>
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