<?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>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022016000100001</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mortalidad y egresos hospitalarios por enfermedad renal crónica compatibles con enfermedad crónica de causas no tradicionales, Costa Rica]]></article-title>
<article-title xml:lang="en"><![CDATA[Mortality rates and hospital discharges in Chronic Kidney Disease and Chronic Kidney Disease of non-traditional causes, Costa Rica]]></article-title>
<article-title xml:lang="en"><![CDATA[Mortality rates and hospital discharges in Chronic Kidney Disease and Chronic Kidney Disease of non-traditional causes, Costa Rica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rivera-Chavarría]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Méndez-Chacón]]></surname>
<given-names><![CDATA[Ericka]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Costarricense de Investigación y Enseñanza Salud y Nutrición (INCIENSA) Unidad Salud y Nutrición ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Costa Rica. Escuela de Estadística ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2016</year>
</pub-date>
<volume>58</volume>
<numero>1</numero>
<fpage>1</fpage>
<lpage>14</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022016000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022016000100001&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022016000100001&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Objetivos: Caracterizar de acuerdo al diagnóstico primario de defunción y diagnóstico egreso hospitalario proveniente de bases de datos de acceso libre, la evolución de la Enfermedad Renal Crónica, compatible con Enfermedad Renal Crónica de Causas no tradicionales entre 1990-2013, Costa Rica.  Métodos: Estudio longitudinal descriptivo de defunciones y egresos hospitalarios con diagnóstico primario de insuficiencia renal crónica, insuficiencia renal no especificada, enfermedad renal hipertensiva, Enfermedad cardio-renal hipertensiva, provenientes de bases de datos nacionales, entre 1990-2013.  Resultados: En Costa Rica, entre 1990 -2013 hubo 8382 muertes bajo las categorías de estudio. Las tasas de mortalidad crudas como estandarizadas no muestran un incremento significativo; 8,93/100000 a 11,48/100000. Las tasas específicas por edad y sexo evidenciaron un incremento a partir de los 50 años de vida. Guanacaste, mostró tasas acumuladas de mortalidad elevadas comparadas con las nacionales y con otras provincias, así como, tasas de mortalidad crudas y estadarizadas significativas en ciertos periodos (20,3/100000 habitantes hasta un 38,23 /100000 habitantes, entre 1990-2011); asì como tasas específicas por edad y sexo aumentadas a partir de los 30 años de vida. Las tendencias de egresos hospitalarios a nivel nacional como en la provincia de Guanacaste son similares.  Conclusión: Los diagnósticos primarios de defunciones y egresos bajo las categorías de estudio, podrían ser compatibles con la Enfermedad Crónica de causas no tradicionales. La epidemiología descriptiva, ha permitido identificar zonas geográficas de riesgo y algunas características sociodemográficas. Es urgente crear sistemas de vigilancia específicos para Enfermedad Renal Crónica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Aim:  To characterize the evolution of Chronic Renal Failure compatible with Chronic Kidney Disease of nontraditional causes from 1990 to 2013 in Costa Rica, according to primary diagnosis of death and diagnosis at hospital discharge found in open source data bases.  Methods:  A descriptive longitudinal study based on information from national data bases of deaths and hospital discharges with a primary diagnosis of chronic renal failure, unspecified renal failure, hypertensive renal disease, hypertensive cardio-renal disease from 1990 to 2013.  Results:  There were 8382 deaths in Costa Rica between 1990 and 2013 in the studied categories. Crude death and standardized mortality rates did not show a significant increase: 8.93/100 000 inhabitants to 11.48/100 000 inhabitants. The specific rates by age and sex showed an increase after 50 years old. Guanacaste, showed high cumulative mortality rates compared with national and the rates of other provinces; as well as significant crude and standardized mortality rates in certain periods (20.3/100 000 inhabitants to 38.23/100 000 inhabitants between 1990 and 2011). Specific rates for age and sex increased after 30 years of age. Hospital discharges showed similar trends for national and Guanacaste.  Conclusions:  Primary diagnoses of deaths and hospital discharges in the categories of the study could be compatible with Chronic Kidney Disease of non-traditional causes. Descriptive epidemiology has allowed for identification of risk geographical areas and some sociodemographic characteristics. It is urgent to develop a specific surveillance system.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Enfermedad renal crónica]]></kwd>
<kwd lng="es"><![CDATA[epidemiología descriptiva]]></kwd>
<kwd lng="es"><![CDATA[registro]]></kwd>
<kwd lng="es"><![CDATA[Costa Rica.]]></kwd>
<kwd lng="en"><![CDATA[Chronic Kidney Disease]]></kwd>
<kwd lng="en"><![CDATA[descriptive epidemiology]]></kwd>
<kwd lng="en"><![CDATA[registry]]></kwd>
<kwd lng="en"><![CDATA[Costa Rica.]]></kwd>
</kwd-group>
</article-meta>
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