BACKGROUND: Data on renal replacement therapy (RRT) for end-stage renal disease were collected by the European Renal Association (ERA) Registry via national and regional renal registries in Europe and countries bordering the Mediterranean Sea. This article provides a summary of the 2019 ERA Registry Annual Report, including data from 34 countries and additional age comparisons. METHODS: Individual patient data for 2019 were provided by 35 registries and aggregated data by 17 registries. Using these data, the incidence and prevalence of RRT, the kidney transplantation activity and the survival probabilities were calculated. RESULTS: In 2019, a general population of 680.8 million people was covered by the ERA Registry. Overall, the incidence of RRT was 132 per million population (p.m.p.). Of these patients, 62% were men, 54% were ≥65 years of age and 21% had diabetes mellitus as primary renal disease (PRD), and 84% had haemodialysis (HD), 11% had peritoneal dialysis (PD) and 5% had pre-emptive kidney transplantation as an initial treatment modality. The overall prevalence of RRT on 31 December 2019 was 893 p.m.p., with 58% of patients on HD, 5% on PD and 37% living with a kidney transplant. The overall kidney transplant rate was 35 p.m.p. and 29% of the kidney grafts were from a living donor. The unadjusted 5-year survival probability was 42.3% for patients commencing dialysis, 86.6% for recipients of deceased donor grafts and 94.4% for recipients of living donor grafts in the period 2010-14. When comparing age categories, there were substantial differences in the distribution of PRD, treatment modality and kidney donor type, and in the survival probabilities.

Austrian Dialysis and Transplant Registry Department of Internal Medicine 4 Nephrology and Hypertension Medical University Innsbruck Innsbruck Austria

CIBERESP Madrid Spain

Clinical Center of Montenegro Clinic for Nephrology Podgorica Montenegro

Complejo Hospitalario de Navarra Pamplona Navarra Spain

Coordinación Autonómica de Trasplantes de Castilla y León Dirección General de Planificación y Asistencia Sanitaria Valladolid Castilla y León Spain

Cyprus Renal Registry Nicosia Cyprus

Department of Internal Medicine of Tartu University and Tartu University Hospital Tartu Estonia

Department of Medicine General University Hospital Prague Strahov Czech Republic

Department of Medicine Holbaek Hospital Holbaek Denmark

Department of Nephrology and Hypertension IIS Fundacion Jimenez Diaz UAM Madrid Spain

Department of Nephrology Cerrahpaşa Medical Faculty Istanbul University Cerrahpaşa Istanbul Turkey

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

Department of Nephrology Transplantology and Internal Medicine Gdansk Medical University Gdansk Poland

Department of Nephrology University of Helsinki and Helsinki University Hospital Helsinki Finland

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

Dirección General de Salud Pública Servicio Extremeño de Salud Consejería de Sanidad y Políticas Sociales Junta de Extremadura Spain

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

Division of Population Health and Genomics School of Medicine University of Dundee Dundee UK

ERA Registry Department of Medical Informatics Amsterdam UMC University of Amsterdam Amsterdam Public Health research institute Amsterdam The Netherlands

Health Quality Assessment and Information System Service Dirección General de Programas Asistenciales Servicio Canario de la Salud Canary Islands Spain

Israel Renal Registry Ramat Gan Israel

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

Nephrology Department Hospital San Pedro Logroño La Rioja Spain

Oficina Regional de Coordinación de Trasplantes Madrid Region Spain

Portuguese Society of Nephrology Coimbra Portugal

Regional Transplant Coordination of Galicia Galician Health Service Santiago de Compostela Galicia Spain

REIN Registry Agence de la Biomédecine Saint Denis La Plaine France

RERCA Public Health Directorate Asturias Spain

Servei Nefrologia Fundació Puigvert Barcelona Catalonia Spain

Service of Nephrology UHC Mother Teresa Tirana Albania

SICATA Information System of the Autonomous Coordination of Transplants of Andalusia Seville Andalucia Spain

Society of Nephrology and Dialysis of Bosnia and Herzegovina Sarajevo Bosnia and Herzegovina

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

The Norwegian Renal Registry Oslo University Hospital Rikshospitalet Oslo Norway

University Hospital of Nephrology Skopje North Macedonia

doi: 10.1093/ckj/sfab274 PubMed

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