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Clin Kidney J. 2014 Apr;7(2):227-38. doi: 10.1093/ckj/sfu007. Epub 2014 Mar 2.

Renal replacement therapy in Europe: a summary of the 2011 ERA-EDTA Registry Annual Report.

Author information

1
ERA-EDTA Registry, Department of Medical Informatics , Academic Medical Center, University of Amsterdam , Amsterdam , the Netherlands.
2
Planificación y Aseguramiento , Gobierno de Aragón , Aragon , Spain.
3
Salud Pública , Principado de Asturias , Asturias , Spain.
4
Catalan Renal Registry, Catalan Transplant Organization, Health Department , Generalitat of Catalonia , Barcelona , Spain.
5
A.I. Evdokimov Moscow State University of Medicine and Dentistry , Moscow , Russian Federation ; Department of Nephrology, Issues of Transplanted Kidney , Academician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs , Moscow , Russian Federation.
6
ESPN/ERA-EDTA Registry, Department of Medical Informatics , Academic Medical Center, University of Amsterdam , Amsterdam , the Netherlands.
7
Oficina de Coordinación de Trasplantes , Servicio Gallego de Salud (SERGAS) , Galicia , Spain.
8
Croatian Registry of Renal Replacement Therapy , Zagreb , Croatia.
9
UK Renal Registry , Southmead Hospital , Bristol , UK.
10
Coordinación Autonómica de Trasplantes , Servicios de Apoyo del SAS, Andalusia , Sevilla , Spain.
11
Department of Internal Medicine , Riga Stradins University , Riga , Latvia.
12
French-Belgian ESRD Registry, Brussels , Belgium.
13
Sociedad de Nefrología de Castilla-La Mancha, Registro de Enfermos Renales de Castilla la Mancha , Spain.
14
School of Medicine , University of Belgrade , Belgrade , Serbia.
15
Registro de Enfermos Renales Comunitat Valenciana, Servicio de estudios epidemiológicos y registros sanitarios , Subdirección General Epidemiología, Dirección General Salut Pública, Consellería Sanitat, Comunitat Valenciana , Valencia , Spain.
16
Department of Nephrology , Helsinki University Central Hospital, Helsinki, Finland/Finnish Registry for Kidney Diseases , Helsinki , Finland.
17
Servicio Extremeño de Salud , Consejería de Salud y Política Social, Gobierno de Extremadura , Extremadura , Spain.
18
Dr Carol Davila University of Medicine and Pharmacy, Dr Carol Davila Teaching Hospital of Nephrology , Bucharest , Romania.
19
Department of Nephrology and Hypertension , Meir Medical Center, Kfar-Saba and Sackler faculty of Medicine , Tel-Aviv , Israel.
20
Coordinación Autonómica de Trasplantes de Castilla y León , Spain.
21
Department of Nephrology B , Copenhagen University Hospital at Herlev , Herlev , Denmark.
22
Department of Nephrology , Radboud University Nijmegen Medical Centre , Nijmegen , the Netherlands.
23
Hellenic Renal Registry , General Hospital of Athens 'G. Gennimatas' , Athens , Greece.
24
Institute of Nephrology , Kiev , Ukraine.
25
Austrian Dialysis and Transplant Registry , Kematen ad Krems , Austria.
26
REIN registry, Agence de la biomédecine , Saint Denis La Plaine Cedex , Paris , France.
27
Norwegian Renal Registry, Renal Unit, Department of Transplantation Medicine , Oslo University Hospital Rikshospitalet , Oslo , Norway.
28
Department of Medicine , General University Hospital and 1st Medical Faculty, Charles University , Prague , Czech Republic.
29
Portuguese Society of Nephrology, Nephrology Department , University Hospital of Coimbra , Coimbra , Portugal.
30
Unidad de Información sobre Pacientes Renales de la Comunidad Autónoma del País Vasco (UNIPAR) , Basque Country , Spain.
31
Registro Español de Enfermos Renales, Renales , Spain.
32
Department of Nephrology, Dialysis and Hypertension , AZ Nikolaas , Sint-Niklaas , Belgium.
33
Scottish Renal Registry, Abbotsinch , Paisley, UK.
34
Department of Internal Medicine , Tartu University , Tartu , Estonia.
35
Division of Nephrology , Landspitali-The National University Hospital of Iceland and Faculty of Medicine, School of Health Sciences, University of Iceland , Reykjavik , Iceland.
36
Servicio de Nefrología , Hospital Universitario Valdecilla , Santander (Cantabria) , Spain.
37
Swedish Renal Registry, Jönköping , Sweden ; Department of Internal Medicine , Hospital of Helsingborg , Helsingborg , Sweden.
38
Nephrology and Haemodialysis Department , Clinical Center of Montenegro , Podgorica , Montenegro.
39
Clinic for Hemodialysis , Clinical Center University of Sarajevo , Sarajevo , Bosnia and Herzegovina.
40
Autonómico de Trasplante de Órganos y Tejidos, Canarias , Spain.
41
Polish Renal Registry, Department of Nephrology, Transplantology and Internal Medicine , Medical University , Gdańsk , Poland.
42
Slovak Medical University , Bratislava , Slovakia.
43
Medical Faculty , University Clinic of Nephrology , University 'Sts. Cyril and Methodius' Skopje , Skopje , Macedonia.
44
Division of Nephrology, Department of Internal Medicine , Istanbul University, Cerrahpasa Medical Faculty , Istanbul , Turkey.
45
Division of Nephrology , University Clinic, University of Würzburg , Würzburg , Germany.

Abstract

BACKGROUND:

This article provides a summary of the 2011 ERA-EDTA Registry Annual Report (available at www.era-edta-reg.org).

METHODS:

Data on renal replacement therapy (RRT) for end-stage renal disease (ESRD) from national and regional renal registries in 30 countries in Europe and bordering the Mediterranean Sea were used. From 27 registries, individual patient data were received, whereas 17 registries contributed data in aggregated form. We present the incidence and prevalence of RRT, and renal transplant rates in 2011. In addition, survival probabilities and expected remaining lifetimes were calculated for those registries providing individual patient data.

RESULTS:

The overall unadjusted incidence rate of RRT in 2011 among all registries reporting to the ERA-EDTA Registry was 117 per million population (pmp) (n = 71.631). Incidence rates varied from 24 pmp in Ukraine to 238 pmp in Turkey. The overall unadjusted prevalence of RRT for ESRD on 31 December 2011 was 692 pmp (n = 425 824). The highest prevalence was reported by Portugal (1662 pmp) and the lowest by Ukraine (131 pmp). Among all registries, a total of 22 814 renal transplantations were performed (37 pmp). The highest overall transplant rate was reported from Spain, Cantabria (81 pmp), whereas the highest rate of living donor transplants was reported from Turkey (39 pmp). For patients who started RRT between 2002 and 2006, the unadjusted 5-year patient survival on RRT was 46.8% [95% confidence interval (CI) 46.6-47.0], and on dialysis 39.3% (95% CI 39.2-39.4). The unadjusted 5-year patient survival after the first renal transplantation performed between 2002 and 2006 was 86.7% (95% CI 86.2-87.2) for kidneys from deceased donors and 94.3% (95% CI 93.6-95.0) for kidneys from living donors.

KEYWORDS:

end-stage renal disease; incidence; prevalence; renal replacement therapy; survival

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