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Renal replacement therapy in Europe: a summary of the 2012 ERA-EDTA Registry Annual Report

. 2015 Jun ; 8 (3) : 248-61. [epub] 20150323

Status PubMed-not-MEDLINE Language English Country Great Britain, England Media print-electronic

Document type Journal Article

BACKGROUND: This article summarizes the 2012 European Renal Association-European Dialysis and Transplant Association Registry Annual Report (available at www.era-edta-reg.org) with a specific focus on older patients (defined as ≥65 years). METHODS: Data provided by 45 national or regional renal registries in 30 countries in Europe and bordering the Mediterranean Sea were used. Individual patient level data were received from 31 renal registries, whereas 14 renal registries contributed data in an aggregated form. The incidence, prevalence and survival probabilities of patients with end-stage renal disease (ESRD) receiving renal replacement therapy (RRT) and renal transplantation rates for 2012 are presented. RESULTS: In 2012, the overall unadjusted incidence rate of patients with ESRD receiving RRT was 109.6 per million population (pmp) (n = 69 035), ranging from 219.9 pmp in Portugal to 24.2 pmp in Montenegro. The proportion of incident patients ≥75 years varied from 15 to 44% between countries. The overall unadjusted prevalence on 31 December 2012 was 716.7 pmp (n = 451 270), ranging from 1670.2 pmp in Portugal to 146.7 pmp in the Ukraine. The proportion of prevalent patients ≥75 years varied from 11 to 32% between countries. The overall renal transplantation rate in 2012 was 28.3 pmp (n = 15 673), with the highest rate seen in the Spanish region of Catalonia. The proportion of patients ≥65 years receiving a transplant ranged from 0 to 35%. Five-year adjusted survival for all RRT patients was 59.7% (95% confidence interval, CI: 59.3-60.0) which fell to 39.3% (95% CI: 38.7-39.9) in patients 65-74 years and 21.3% (95% CI: 20.8-21.9) in patients ≥75 years.

'Carol Davila' University of Medicine and Pharmacy Nephrology Department 'Dr Carol Davila' Teaching Hospital of Nephrology Bucharest Romania

Austrian Dialysis and Transplant Registry Rohr Austria

Clinic for Hemodialysis Clinical Center University of Sarajevo Sarajevo Bosnia and Herzegovina

Croatian Society of Nephrology Dialysis and Transplantation Zagreb Croatia

Department of Internal Medicine Riga Stradins University Riga Latvia

Department of Internal Medicine Tartu University Tartu Estonia

Department of Internal Medicine Tbilisi State Medical University Tbilisi Georgia

Department of Nephrology and Hypertension Meir Medical Center Kfar Saba and Sackler Faculty of Medicine Tel Aviv Israel

Department of Nephrology Dialysis and Hypertension Dutch speaking Belgian Renal Registry Sint Niklaas Belgium

Department of Nephrology Helsinki University Central Hospital Helsinki Finland ; Finnish Registry for Kidney Diseases Helsinki Finland

Department of Nephrology Issues of Transplanted Kidney Academician 5 1 Shumakov Federal Research Center of Transplantology and Artificial Organs Moscow Russian Federation ; Chair of Nephrology A 1 Evdokimov Moscow State University of Medicine and Dentistry Moscow Russian Federation ; Moscow City Nephrology Center Moscow Russian Federation

Department of Nephrology University Medical Center Ljubljana Ljubljana Slovenia

Department of Nephrology University of Copenhagen Herlev Hospital Herlev Denmark

Dirección General de Planificación y Aseguramiento Gobierno de Aragón Spain

Division of Nephrology Department of Internal Medicine Cerrahpasa Medical Faculty Istanbul University Istanbul Turkey

Division of Nephrology Landspitali The National University Hospital of Iceland and Faculty of Medicine School of Health Sciences University of Iceland Reykjavik Iceland

Division of Nephrology Radboud University Medical Center Nijmegen the Netherlands

Division of Nephrology University Clinic University of Würzburg Würzburg Germany

ERA EDTA Registry Department of Medical Informatics Academic Medical Center Universiteit van Amsterdam Amsterdam the Netherlands

French Belgian ESRD Registry Brussels Belgium

General University Hospital and 1st Medical Faculty Department of Medicine Charles University Prague Strahov Czech Republic

Gestora del Registro Servicio Extremeño de Salud Consejería de Salud y Política Social Gobierno de Extremadura Badajoz Spain

Hellenic Renal Registry Board of Registry Coordination and Control of RRT General Hospital of Athens 'G Gennimatas' Athens Greece

Information system of regional transplant coordianation in Andalucia Andalucia Spain

Member of the Catalan Renal Registry Committee Fundació Puigvert Barcelona Spain

Nephrology and Hemodialysis Department Clinical Center of Montenegro Podgorica Montenegro

Norwegian Renal Registry Renal Unit Department for Transplant Medicine Oslo University Hospital Rikshospitalet Oslo Norway

Oficina de Coordinación de Trasplantes Servicio Gallego de Salud Galicia Spain

Polish Renal Registry Department of Nephrology Transplantology and Internal Medicine Medical University Gdansk Poland

Portuguese Society of Nephrology Nephrology Department University Hospital of Coimbra Coimbra Portugal

Public Health Directorate Asturias Spain

Registro de Enfermos Renales en Tratamiento Sustitutivo de Castilla La Mancha Castilla La Mancha Spain

Registro Español de Enfermos Renales Madrid Spain

Registro Madrileño de Enfermos Renales Sociedad Madrileña de Nefrología Madrid Spain

REIN Registry Agence de la Biomédecine Paris France

School of Medicine University of Belgrade Belgrade Serbia

Service of Nephrology University Hospital Center 'Mother Tereza' Tirana Albania

Servicio de Epidemiología Consejería de Sanidad y Política Social Registro de Enfermos Renales de la Región de Murcia Murcia Spain

Servicio de Nefrología Hospital Universitario Valdecilla Santander Cantabria Spain

Slovak Medical University Bratislava Slovakia

Swedish Renal Registry Jönköping Sweden ; Department of Internal Medicine Hospital of Helsingborg Helsingborg Sweden

Técnico de la Coordinación Autonómica de Trasplantes de Castilla y León León Spain

Técnico Registro de Enfermos Renales Comunitat Valenciana Servicio de Estudios Epidemiológicos y Registros Sanitarios Subdirección General Epidemiología Dirección General Salut Pública Consellería Sanitat Comunitat Valenciana Spain

The Scottish Renal Registry Meridian Court Glasgow Scotland

UK Renal Registry Southmead Hospital Bristol UK ; School of Social Medicine Canynge Hall University of Bristol Bristol UK

Unidad de Información Sobre Pacientes Renales de la Comunidad Autónoma del País Vasco Basque Country Spain

URDS Kiev Ukraine

See more in PubMed

Eurostat. http://epp.eurostat.ec.europa.eu/portal/page/portal/population/data/database Date of extraction: 15 August 2013. Table: average population by sex and five-year age groups.

ERA-EDTA Registry: ERA-EDTA Registry Annual Report 2012. Academic Medical Center, Department of Medical Informatics, Amsterdam, the Netherlands, 2014.

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