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Clin Kidney J. 2015 Jun;8(3):248-61. doi: 10.1093/ckj/sfv014. Epub 2015 Mar 23.

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

Author information

1
ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, Universiteit van Amsterdam , Amsterdam , the Netherlands.
2
Dirección General de Planificación y Aseguramiento , Gobierno de Aragón , Spain.
3
Hellenic Renal Registry, Board of Registry, Coordination and Control of RRT, General Hospital of Athens 'G. Gennimatas' , Athens , Greece.
4
Registro Madrileño de Enfermos Renales (REMER), Sociedad Madrileña de Nefrología , Madrid , Spain.
5
Servicio de Nefrología , Hospital Universitario Valdecilla , Santander, Cantabria , Spain.
6
Department of Nephrology Issues of Transplanted Kidney , Academician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs , Moscow , Russian Federation ; Chair of Nephrology, A.I. Evdokimov Moscow State University of Medicine and Dentistry , Moscow , Russian Federation ; Moscow City Nephrology Center , Moscow , Russian Federation.
7
Oficina de Coordinación de Trasplantes, Servicio Gallego de Salud (SERGAS) , Galicia , Spain.
8
Department of Nephrology , University Medical Center Ljubljana , Ljubljana , Slovenia.
9
Croatian Society of Nephrology, Dialysis and Transplantation, Zagreb , Croatia.
10
UK Renal Registry, Southmead Hospital , Bristol , UK ; School of Social Medicine, Canynge Hall, University of Bristol , Bristol , UK.
11
Information system of regional transplant coordianation in Andalucia (SICATA), Andalucia , Spain.
12
Department of Internal Medicine , Riga Stradins University , Riga , Latvia.
13
French-Belgian ESRD Registry , Brussels , Belgium.
14
Public Health Directorate , Asturias , Spain.
15
Gestora del Registro, Servicio Extremeño de Salud, Consejería de Salud y Política Social, Gobierno de Extremadura , Badajoz , Spain.
16
Department of Nephrology, Dialysis and Hypertension , Dutch-speaking Belgian Renal Registry (NBVN) , Sint-Niklaas , Belgium.
17
Member of the Catalan Renal Registry Committee, Fundació Puigvert , Barcelona , Spain.
18
School of Medicine, University of Belgrade , Belgrade , Serbia.
19
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.
20
Department of Nephrology , Helsinki University Central Hospital , Helsinki , Finland ; Finnish Registry for Kidney Diseases, Helsinki , Finland.
21
'Carol Davila' University of Medicine and Pharmacy, Nephrology Department , 'Dr Carol Davila' Teaching Hospital of Nephrology , Bucharest , Romania.
22
Department of Nephrology and Hypertension , Meir Medical Center, Kfar-Saba and Sackler Faculty of Medicine , Tel-Aviv , Israel.
23
Técnico de la Coordinación Autonómica de Trasplantes de Castilla y León , León , Spain.
24
Registro de Enfermos Renales en Tratamiento Sustitutivo de Castilla-La Mancha , Castilla-La Mancha , Spain.
25
Department of Nephrology , University of Copenhagen Herlev Hospital , Herlev , Denmark.
26
Division of Nephrology , Radboud University Medical Center , Nijmegen , the Netherlands.
27
Department of Internal Medicine , Tbilisi State Medical University , Tbilisi , Georgia.
28
URDS , Kiev , Ukraine.
29
Austrian Dialysis- and Transplant Registry , Rohr , Austria.
30
REIN Registry, Agence de la Biomédecine , Paris , France.
31
Norwegian Renal Registry, Renal Unit, Department for Transplant Medicine , Oslo University Hospital Rikshospitalet , Oslo , Norway.
32
General University Hospital and 1st Medical Faculty , Department of Medicine , Charles University , Prague - Strahov , Czech Republic.
33
Portuguese Society of Nephrology, Nephrology Department , University Hospital of Coimbra , Coimbra , Portugal.
34
Unidad de Información Sobre Pacientes Renales de la Comunidad Autónoma del País Vasco (UNIPAR), Basque Country, Spain.
35
Registro Español de Enfermos Renales (REER) , Madrid, Spain.
36
The Scottish Renal Registry, Meridian Court , Glasgow , Scotland.
37
Division of Nephrology, Landspitali - The National University Hospital of Iceland and Faculty of Medicine , School of Health Sciences , University of Iceland , Reykjavik , Iceland.
38
Department of Internal Medicine , Tartu University , Tartu , Estonia.
39
Swedish Renal Registry , Jönköping , Sweden ; Department of Internal Medicine , Hospital of Helsingborg , Helsingborg , Sweden.
40
Nephrology and Hemodialysis Department , Clinical Center of Montenegro , Podgorica , Montenegro.
41
Clinic for Hemodialysis, Clinical Center , University of Sarajevo , Sarajevo , Bosnia and Herzegovina.
42
Polish Renal Registry, Department of Nephrology, Transplantology and Internal Medicine , Medical University , Gdansk , Poland.
43
Servicio de Epidemiología, Consejería de Sanidad y Política Social , Registro de Enfermos Renales de la Región de Murcia , Murcia , Spain.
44
Slovak Medical University , Bratislava , Slovakia.
45
Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty , Istanbul University , Istanbul , Turkey.
46
Service of Nephrology , University Hospital Center, 'Mother Tereza' , Tirana , Albania.
47
Division of Nephrology, University Clinic , University of Würzburg , Würzburg , Germany.

Abstract

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.

KEYWORDS:

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

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