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This study aimed to identify main factors associated with child and adolescent access to chronic kidney disease (CKD) treatment in Brazil. Multi-center cross-sectional study conducted in eight pediatric nephrology centers across all Brazilian geographic regions. Information was collected on characteristics associated with referral and treatment of patients with CKD. The following outcomes were analyzed as follows (1) age at first consultation, and (2) time elapsed between referral and treatment at the specialized service. Three hundred th