BACKGROUND: This article presents a summary of the 2017 Annual Report of the European Renal Association-European Dialysis and Transplant Association (ERA-EDTA) Registry and describes the epidemiology of renal replacement therapy (RRT) for end-stage renal disease (ESRD) in 37 countries. METHODS: The ERA-EDTA Registry received individual patient data on patients undergoing RRT for ESRD in 2017 from 32 national or regional renal registries and aggregated data from 21 registries. The incidence and prevalence of RRT, kidney transplantation activity and survival probabilities of these patients were calculated. RESULTS: In 2017, the ERA-EDTA Registry covered a general population of 694 million people. The incidence of RRT for ESRD was 127 per million population (pmp), ranging from 37 pmp in Ukraine to 252 pmp in Greece. A total of 62% of patients were men, 52% were ≥65 years of age and 23% had diabetes mellitus as the primary renal disease. The treatment modality at the onset of RRT was haemodialysis for 85% of patients. On 31 December 2017, the prevalence of RRT was 854 pmp, ranging from 210 pmp in Ukraine to 1965 pmp in Portugal. The transplant rate in 2017 was 33 pmp, ranging from 3 pmp in Ukraine to 103 pmp in the Spanish region of Catalonia. For patients commencing RRT during 2008-12, the unadjusted 5-year patient survival probability for all RRT modalities combined was 50.8%.

Abdominal Center Nephrology University of Helsinki and Helsinki University Hospital Helsinki Finland

Austrian Dialysis and Transplant Registry Rohr Austria

Catalan Renal Registry Catalan Transplant Organization Health Department Generalitat of Catalonia Barcelona Spain

Chronic Dialysis Russia and CIS Medical Department Company Baxter AO Moscow Russia

CHU Tivoli La Louvière Belgium

CIBER Epidemiología y Salud Pública Madrid Spain

Complejo Hospitalario de Navarra Pamplona Navarra Spain

Cyprus Renal Registry Nicosia Cyprus

Department of Clinical and Experimental Pharmacotherapy Slovak Medical University Bratislava Slovakia

Department of Clinical Sciences 1 Faculty of Health Sciences University of Rijeka Rijeka Croatia

Department of Internal Medicine Faculty of Medicine University of Rijeka Rijeka Croatia

Department of Internal Medicine Riga Stradins University Riga Latvia

Department of Medicine General University Hospital Prague Strahov Czech Republic

Department of Nephrology Cerrahpasa Medical Faculty Istanbul University Cerrahpasa Istanbul Turkey

Department of Nephrology Gdańsk Medical University Gdansk Poland

Department of Nephrology Holbæk Sygehus Holbæk Denmark

Department of Nephrology Riga Stradins Clinical University Hospital Riga Latvia

Department of Nephrology Valdecilla Hospital University of Cantabria IDIVAL Santander Cantabria Spain

Department of Transplantation Medicine Oslo University Hospital Rikshospitalet Oslo Norway

Dialysis Clinic Alexandrovska University Hospital Sofia Medical University Sofia Bulgaria

Division of Nephrology Ambroise Paré University Hospital Boulogne Billancourt France

Division of Nephrology Dialysis and Transplantation AULSS2 Treviso Italy

Division of Nephrology Landspitali The National University Hospital of Iceland Reykjavik Iceland

Dutch Renal Registry Nefrovisie Foundation Utrecht The Netherlands

Dutch speaking Belgian Renal Registry Antwerp Belgium

ERA EDTA Registry Department of Medical Informatics Amsterdam UMC University of Amsterdam Amsterdam Public Health Research Institute Amsterdam The Netherlands

ESPN ERA EDTA Registry Department of Medical Informatics Amsterdam UMC University of Amsterdam Amsterdam Public Health Research Institute Amsterdam The Netherlands

Faculty of Medicine School of Health Sciences University of Iceland Reykjavik Iceland

Finnish Registry for Kidney Diseases Helsinki Finland

Information System of the Autonomic Transplant Coordination of Andalucia Seville Andalucia Spain

Institut National de la Santé et de la Recherche Médicale University of Paris Ouest Versailles St Quentin en Yveline Villejuif France

Institute of Nephrology Waid and Triemli City Hospital Zurich Switzerland

Israel Renal Registry Sackler Faculty of Medicine Tel Aviv University Tel Aviv Yafo Israel

Latvian Nephrology Association Riga Latvia

Lithuanian Nephrology Dialysis and Transplantation Association Kaunas Lithuania

Medical Faculty University Sts Cyril and Methodius Skopje Republic of North Macedonia

Minsk Scientific and Practical Center of Surgery Transplantation and Hematology Minsk Belarus

Murcia Renal Registry Department of Epidemiology Murcia Regional Health Authority IMIB Arrixaca Murcia Spain

Nephrology Department American Medical Center Nicosia Cyprus

Nephrology Department Clinical University Centre of Kosova Prishtina Kosovo

Nephrology Department Medical Academy Lithuanian University of Health Sciences Kaunas Lithuania

Public Health Directorate RERCA Registry Oviedo Asturias Spain

Renal Epidemiology and Information Network Registry Agence de la biomédecine Saint Denis La Plaine France

Renal Replacement Registry Russian Dialysis Society Moscow Russia

Romanian Renal Registry Department of Internal Medicine and Nephrology Carol Davila University of Medicine and Pharmacy Bucharest Romania

Scottish Renal Registry Meridian Court ISD Scotland Glasgow UK

Service de Néphrologie Faculte de medicine CHU H Chaker Sfax and LR19ES11 Sfax Tunisia

Service of Nephrology UHC Mother Teresa Tirana Albania

Swedish Renal Registry Department of Internal Medicine Jonkoping Regional Hospital Jonkoping Sweden

UK Renal Registry Bristol UK

Unidad de Información de Pacientes Renales UNIPAR Basque Country Spain

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doi: 10.1093/ckj/sfaa162 PubMed

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ERA-EDTA Registry. ERA-EDTA Registry Annual Report 2017. Amsterdam: Amsterdam UMC, Department of Medical Informatics, 2019

Kramer A, Pippias M, Noordzij M. et al. The European Renal Association–European Dialysis and Transplant Association (ERA-EDTA) Registry Annual Report 2016: a summary. Clin Kidney J 2019; 12: 702–720 PubMed PMC

The ERA-EDTA Registry Annual Report 2018: a summary