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Chronic kidney disease (CKD) is one of the pathologies with the greatest impact on the public health system. Over the last few decades, the relevance of CKD in Mexico has increased, with associated overwhelming costs for care of renal disease. There are no reliable CKD statistics in Mexico. In June 2018, the government of Aguascalientes called on all Health Institutions to create a state registryoftreated end-stage renal disease (ESRD). In the same system, a renal biopsy result registry included all the nativekidney biopsies obtained in