<?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>2444-9032</journal-id>
<journal-title><![CDATA[Nefrología latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Nefrol. latinoam.]]></abbrev-journal-title>
<issn>2444-9032</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Latinoamericana de Nefrología e Hipertensión]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-90322026000100005</article-id>
<article-id pub-id-type="doi">10.24875/nefro.24000020</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Socioeconomic determinants of the supply and access to kidney replacement therapies in Latin America]]></article-title>
<article-title xml:lang="es"><![CDATA[Determinantes socioeconómicos sobre la oferta y el acceso a terapias de reemplazo renal en Latinoamérica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torales]]></surname>
<given-names><![CDATA[Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortés-Sanabria]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferrari]]></surname>
<given-names><![CDATA[Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rossi]]></surname>
<given-names><![CDATA[Florencia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliver]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Sociedad Latinoamericana de Nefrología e Hipertensión Comité de Economía ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Agencia de Evaluación de Tecnologías Sanitarias de Uruguay Departamento de Investigación ]]></institution>
<addr-line><![CDATA[Montevideo ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2026</year>
</pub-date>
<volume>23</volume>
<numero>1</numero>
<fpage>5</fpage>
<lpage>18</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-90322026000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-90322026000100005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-90322026000100005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: The increasing global incidence of end-stage chronic kidney disease positions renal replacement therapies (RRT) as critical elements of the financial balance of healthcare systems: their access and distribution are inefficient, with a predominance of less cost-effective techniques, where the supply follows market logic and not public health criteria. Latin America is a region with socioeconomic characteristics where asymmetries and inequalities present a particular panorama. This article analyzes the impact of selected socioeconomic determinants on the supply and access to RRT in Latin America and identifies areas for improvement and research in health policies.  Materials and methods: A correlation analysis was conducted on 28 variables of supply and access to RRT and socioeconomic determinants from relevant databases (2019-2020) from 19 countries.  Results: Access variables (overall prevalence and prevalence by RRT) showed positive correlations with the full range of modalities, early initiation of programs, and the advancement of procurement laws, along with greater urban concentration and economic development indicators (GDP per capita). The supply of professionals and services is uneven, with greater concentration in richer countries, early initiation of Nephrology, greater urban population, and income equality, with a higher prevalence of hemodialysis units compared to peritoneal dialysis and transplantation.  Conclusions: Multiple correlations were found between socioeconomic determinants and RRT access and supply variables, some known and explicit, and others that open the field for research in equitable health policies.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: La creciente incidencia de la enfermedad renal crónica terminal posiciona a las terapias de reemplazo renal (TRR) como elementos críticos del balance financiero en salud: su acceso y distribución son ineficientes, con predominio de técnicas menos costo-efectivas, donde la oferta sigue lógicas de mercado y no criterios de salud pública. Latinoamérica es una región de características socioeconómicas donde las asimetrías y desigualdades presentan un panorama particular. Evaluar el impacto de determinantes socioeconómicos seleccionados sobre la oferta y acceso a las TRR en Latinoamérica. Identificar áreas de mejora e investigación en políticas sanitarias.  Material y métodos: Análisis de correlación de 28 variables de oferta y acceso a TRR y determinantes socioeconómicos de bases de datos relevantes (2019-2020) para 19 países latinoamericanos.  Resultados: Las variables de acceso (prevalencia global y por TRR) mostraron correlaciones positivas con la oferta completa de modalidades, el inicio precoz de los programas y el avance de leyes de procuración, junto a mayor concentración urbana e indicadores de desarrollo económico (PIB per cápita). La oferta de profesionales y servicios es desigual, con mayor concentración en países más ricos, inicio precoz de la nefrología, mayor población urbana e igualdad de ingresos, y con mayor prevalencia de centros de tratamiento.  Conclusiones: Se encontraron múltiples correlaciones entre los determinantes socioeconómicos y las variables de acceso y oferta de TRR, algunas conocidas y explícitas, y otras que abren campo para nuevas investigaciones en políticas sanitarias equitativas.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Renal replacement therapies]]></kwd>
<kwd lng="en"><![CDATA[Socioeconomic factors]]></kwd>
<kwd lng="en"><![CDATA[Health care policies]]></kwd>
<kwd lng="es"><![CDATA[Terapias de reemplazo renal]]></kwd>
<kwd lng="es"><![CDATA[Determinantes socioeconómicos]]></kwd>
<kwd lng="es"><![CDATA[Políticas sanitarias]]></kwd>
</kwd-group>
</article-meta>
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