Diabetes complications

Prevalence of diabetic kidney disease in Brazil: A systematic review with meta-analysis

Diabetes Res Clin PractPublished Systematic review and meta-analysis

Study context

Population
Brazilian adults with diabetes; studies in PubMed, EMBASE and LILACS up to December 2025
Participants
24,893 adults46 studies
Outcome
Pooled prevalence of DKD
Methodological detailsPRISMA guidelines, random-effects meta-analysis (generalized linear mixed model), subgroup analyses, Two researchers independently performed screening, data extraction and quality assessment
  • PRISMA guidelines
  • Random-effects meta-analysis (generalized linear mixed model)
  • Subgroup analyses
  • Two researchers independently performed screening, data extraction and quality assessment

Pooled result

As reported in the abstract

Pooled prevalence of DKD among Brazilian adults

Pooled prevalence of diabetes kidney disease (DKD)

27.06%

95% CI 22.40–32.29; I2 98%

Further pooled results

OutcomeValues
DKD prevalence by diabetes durationHigher prevalence associated with longer diabetes duration≥10 years 33.28% · <10 years 24.32%
DKD prevalence by diagnostic criteriaDiagnostic criteria significantly influenced resultsAlbuminuria only 32.30% · eGFR only 17.70% · Combined eGFR/albuminuria 30.69%
DKD prevalence by regionSouth 41.0%
DKD prevalence by diabetes type
Percent
Type 1
28.93%(CI 18.06–42.92)
Type 2
28.61%(CI 20.95–37.73)

DKD prevalence by region

Limited data available for the North and Northeast

Original publication

Prevalence of diabetic kidney disease in Brazil: A systematic review with meta-analysis. Diabetes Res Clin Pract. Published 17 May 2026. doi:10.1016/j.diabres.2026.113327

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