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About the authors Abstract End-stage renal disease ESRD is an important public health problem, especially in developing countries due to the high level of economic resources needed to maintain patients in the different programs that make up renal replacement therapy RRT. This is an applied, descriptive, cross-sectional, quantitative and qualitative study, with documentary analysis and a literature review. There is unequal access to RRT in all the BRICS countries, as well as the absence of information regarding dialysis and transplants India , the absence of effective legislation to inhibit the trafficking of organs India and South Africa and the use of deceased prisoners as donors for renal transplants China. The construction of mechanisms to promote the sharing of benefits and solidarity in the field of international cooperation in the area of renal health involves the recognition of bioethical issues related to access to RRT in the BRICS countries. Bioethics; Dialysis; Health inequalities; Epidemiology; Kidney transplantation Introduction End-stage renal disease ESRD is an important public health problem due to its increasing prevalence and the high costs of maintaining patients in existing forms of renal replacement therapy RRT , i.
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Evaluating patients for the number of comorbidities, we found that those with three or more were older, retired and diabetic. Low levels of calcium and high levels of urea were also found in patients with more comorbidities. Not only were mean values of the physical components reduced as early as stages 1—3 of CKD but mental health also seemed to be compromised, based on the mean values of the SF scores, which were below 70 in most dimensions. Normal healthy populations usually have scores above this level in most studies 7.
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