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The dialysis census of the Brazilian Society of Nephrology in 20191 describes the situation of chronic kidney disease and its impact on the healthcare system in Brazil. Census data helps us improve survival and quality of life for patients undergoing dialysis treatment in Brazil. Voluntary participation in around 40% of dialysis clinics in the country is an important milestone. The digitized data collection played an important role in the quality of the information obtained. The improvement in data management in the clinics should contribute to further increase the percentage of participation of dialysis clinics in the censuses of the coming years. A high degree of participation in the census at the moment, greater than participation in the Datasus system – enables clinics to be able to compare treatment quality goals with average metrics at a country level. In addition to its use in clinical practice, the data shown in the publication of the Brazilian dialysis census provide evidence to guide public healthcare policies. The data show an increase in the prevalence and incidence of patients undergoing dialysis treatment, compared to the previous year. There are regional differences, indicating a higher prevalence where there is greater coverage in the healthcare system. The lower proportion of patients with end-stage kidney disease in states with the lowest per capita income, as are Paraíba and Maranhão, may be attributed to the lower health care coverage for patients with chronic kidney disease in these regions, resulting in less access for patients to early nephrology care treatment and, in particular, vascular Submitted on: 04/14/2021. Approved on: 04/27/2021.

Brazilian Nephrology Census 2019: a guide to assess the quality and scope of renal replacement therapy in Brazil. How are we, and how can we improve?