Supplemented ERA-EDTA Registry data evaluated the frequency of dialysis, kidney transplantation, and comprehensive conservative management for patients with kidney failure in Europe.

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  • Additional Information
    • Source:
      Publisher: Elsevier Country of Publication: United States NLM ID: 0323470 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1523-1755 (Electronic) Linking ISSN: 00852538 NLM ISO Abbreviation: Kidney Int Subsets: MEDLINE
    • Publication Information:
      Publication: 2016- : New York : Elsevier
      Original Publication: New York, Springer-Verlag.
    • Subject Terms:
      Kidney Failure, Chronic*/epidemiology ; Kidney Failure, Chronic*/therapy ; Kidney Transplantation*/adverse effects ; Renal Insufficiency*; Conservative Treatment ; Edetic Acid ; Europe ; Germany ; Greece ; Humans ; Ireland ; Italy ; Portugal ; Registries ; Renal Dialysis/adverse effects ; Spain
    • Abstract:
      The aims of this study were to determine the frequency of dialysis and kidney transplantation and to estimate the regularity of comprehensive conservative management (CCM) for patients with kidney failure in Europe. This study uses data from the ERA-EDTA Registry. Additionally, our study included supplemental data from Armenia, Germany, Hungary, Ireland, Kosovo, Luxembourg, Malta, Moldova, Montenegro, Slovenia and additional data from Israel, Italy, Slovakia using other information sources. Through an online survey, responding nephrologists estimated the frequency of CCM (i.e. planned holistic care instead of kidney replacement therapy) in 33 countries. In 2016, the overall incidence of replacement therapy for kidney failure was 132 per million population (pmp), varying from 29 (Ukraine) to 251 pmp (Greece). On 31 December 2016, the overall prevalence of kidney replacement therapy was 985 pmp, ranging from 188 (Ukraine) to 1906 pmp (Portugal). The prevalence of peritoneal dialysis (114 pmp) and home hemodialysis (28 pmp) was highest in Cyprus and Denmark respectively. The kidney transplantation rate was nearly zero in some countries and highest in Spain (64 pmp). In 28 countries with five or more responding nephrologists, the median percentage of candidates for kidney replacement therapy who were offered CCM in 2018 varied between none (Slovakia and Slovenia) and 20% (Finland) whereas the median prevalence of CCM varied between none (Slovenia) and 15% (Hungary). Thus, the substantial differences across Europe in the frequency of kidney replacement therapy and CCM indicate the need for improvement in access to various treatment options for patients with kidney failure.
      (Copyright © 2021 International Society of Nephrology. All rights reserved.)
    • Contributed Indexing:
      Keywords: hemodialysis; peritoneal dialysis; transplantation
    • Accession Number:
      9G34HU7RV0 (Edetic Acid)
    • Publication Date:
      Date Created: 20201228 Date Completed: 20210628 Latest Revision: 20210628
    • Publication Date:
      20240829
    • Accession Number:
      10.1016/j.kint.2020.12.010
    • Accession Number:
      33359055