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In the context of the search and understanding of the main underlying causes of CKD, which is seen as part of the increase in the global burden of non-communicable diseases and their complications, hypertension (26%) is among the non-communicable diseases and is the most common and affected cause. 27% of interior residents. A similar situation is the understanding that diabetes mellitus was the main cause of renal failure in the metropolitan region of Ceará, also with 26%46,47.