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Clin Kidney J. 2016 Jun;9(3):457-69. doi: 10.1093/ckj/sfv151. Epub 2016 Jan 31.

Renal replacement therapy in Europe: a summary of the 2013 ERA-EDTA Registry Annual Report with a focus on diabetes mellitus.

Author information

1
Department of Medical Informatics, Academic Medical Center , ERA-EDTA Registry, University of Amsterdam , 1100 DE Amsterdam , The Netherlands.
2
Department of Medical Informatics, Academic Medical Center , ESPN/ERA-EDTA Registry, Universiteit van Amsterdam , Amsterdam , The Netherlands.
3
Aragon Renal Registry , Zaragoza , Spain.
4
Hellenic Renal Registry, Board of Registry, Coordination and Control of RRT , General Hospital of Athens 'G. Gennimatas' , Athens , Greece.
5
Public Health Directorate, Asturias , Spain.
6
Swiss Dialysis Registry, Renal Division, Stadtspital Waid Zürich , Zurich , Switzerland.
7
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.
8
Regional Transplant Coordination Office , Galicia , Spain.
9
Department of Nephrology, Dialysis and Transplantation, Clinical Hospital Center Rijeka , School of Medicine University of Rijeka , Rijeka , Croatia.
10
Department of Nephrology, University Medical Center Ljubljana, Ljubljana, Slovenia; Medical Faculty, University of Ljubljana, Ljubljana, Slovenia.
11
UK Renal Registry , Southmead Hospital , Bristol , UK.
12
Information System of Regional Transplant Coordination in Andalucia (SICATA) , Andalucia , Spain.
13
Department of Internal Medicine , Riga Stradins University , Riga , Latvia.
14
French-Belgian ESRD Registry , Brussels , Belgium.
15
Catalan Renal Registry, Catalan Transplant Organization, Health Department , Generalitat of Catalonia , Barcelona , Spain.
16
Dirección General de Salud Pública, Servicio Extremeño de Salud , Consejería de Sanidad y Políticas Sociales, Junta de Extremadura , Spain.
17
Department of Nephrology, Dialysis and Hypertension , Dutch-speaking Belgian Renal Registry (NBVN) , Sint-Niklaas , Belgium.
18
Técnico Registro de Enfermos Renales Comunitat Valenciana, Servicio de Estudios Epidemiológicos y Registros Sanitarios, Subdirección General Epidemiología, Dirección General Salut Pública, Consellería Sanitat , Valencian Region , Spain.
19
Abdominal Center, Nephrology and Finnish Registry for Kidney Diseases , Helsinki University Central Hospital , Helsinki , Finland.
20
"Carol Davila" University of Medicine and Pharmacy , "Dr C Davila" Teaching Hospital of Nephrology, Romanian Renal Registry , Bucharest , Romania.
21
Department of Nephrology and Hypertension , Meir Medical Center, Kfar-Saba and Sackler Faculty of Medicine , Tel-Aviv , Israel.
22
Department of Medicine , Roskilde Hospital, University of Copenhagen , Copenhagen , Denmark.
23
Nefrovisie Renine, Dutch Renal Registry , Leiden , The Netherlands.
24
Nephrology Department , Nicosia General Hospital , Nicosia , Cyprus.
25
Department of Internal Medicine , Tbilisi State Medical University , Tbilisi , Georgia.
26
URDS , Kiev , Ukraine.
27
Austrian Dialysis and Transplant Registry , Rohr , Austria.
28
REIN Registry, Agence de la Biomédecine , Paris , France.
29
Department of Nephrology, Clinical Centre of Serbia , Belgrade University , Belgrade , Serbia.
30
General University Hospital and 1st Medical Faculty, Department of Medicine , Charles University , Prague - Strahov , Czech Republic.
31
Portuguese Society of Nephrology, Nephrology Department , University Hospital of Coimbra , Coimbra , Portugal.
32
Unidad de Información Sobre Pacientes Renales de la Comunidad Autónoma del País Vasco (UNIPAR) , Basque Country , Spain.
33
Registro Español de Enfermos Renales (REER), Organización Nacional de Trasplantes , Madrid , Spain.
34
Scottish Renal Registry, Meridian Court , Glasgow , Scotland.
35
Department of Internal Medicine , Tartu University , Tartu , Estonia.
36
Division of Nephrology, Landspitali - National University Hospital of Iceland, Reykjavik, Iceland; Faculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
37
Servicio de Nefrología , Hospital Universitario Valdecilla , Santander, Cantabria , Spain.
38
Clinic for Hemodialysis, Clinical Center , University of Sarajevo , Sarajevo , Bosnia and Herzegovina.
39
Polish Renal Registry, Department of Nephrology, Transplantology and Internal Medicine , Medical University , Gdansk , Poland.
40
Registro de Enfermos Renales de la Región de Murcia, Servicio de Epidemiología, Consejería de Sanidad , IMIB-Arrixaca , Murcia , Spain.
41
Slovak Medical University , Bratislava , Slovakia.
42
Department of Internal Medicine, Ryhov County Hospital, Jönköping, Sweden; Swedish Renal Registry, Jönköping, Sweden.
43
Service of Nephrology, Dialysis and Transplant , University Hospital Center , Tirana , Albania.
44
Division of Nephrology, Department of Medicine, Medical School , Akdeniz University , Antalya , Turkey.
45
Registro de Enfermos Renales en Tratamiento Sustitutivo de Castilla-La Mancha , Hospital Virgen de la Salud , Castilla-La Mancha , Spain.
46
Norwegian Renal Registry, Renal Unit, Department for Transplant Medicine , Oslo University Hospital, Rikshospitalet , Oslo , Norway.
47
Dialysis Clinic , "Alexandrovska" University Hospital , Sofia Medical University , Sofia , Bulgaria.
48
Department of Nephrology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania; Lithuanian Nephrology, Dialysis and Transplantation Association, Nephrological Clinic, Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania.
49
Division of Nephrology, Ambroise Paré University Hospital, APHP, University of Paris Ouest-Versailles-St-Quentin-en-Yvelines (UVSQ), Boulogne-Billancourt/Paris, France; Institut National de la Santé et de la Recherche Médicale (INSERM) U1018, CESP, Team 5, Villejuif, France.
50
Division of Nephrology , University Clinic , University of Würzburg , Würzburg , Germany.

Abstract

BACKGROUND:

This article provides a summary of the 2013 European Renal Association-European Dialysis and Transplant Association (ERA-EDTA) Registry Annual Report (available at http://www.era-edta-reg.org), with a focus on patients with diabetes mellitus (DM) as the cause of end-stage renal disease (ESRD).

METHODS:

In 2015, the ERA-EDTA Registry received data on renal replacement therapy (RRT) for ESRD from 49 national or regional renal registries in 34 countries in Europe and bordering the Mediterranean Sea. Individual patient data were provided by 31 registries, while 18 registries provided aggregated data. The total population covered by the participating registries comprised 650 million people.

RESULTS:

In total, 72 933 patients started RRT for ESRD within the countries and regions reporting to the ERA-EDTA Registry, resulting in an overall incidence of 112 per million population (pmp). The overall prevalence on 31 December 2013 was 738 pmp (n = 478 990). Patients with DM as the cause of ESRD comprised 24% of the incident RRT patients (26 pmp) and 17% of the prevalent RRT patients (122 pmp). When compared with the USA, the incidence of patients starting RRT pmp secondary to DM in Europe was five times lower and the incidence of RRT due to other causes of ESRD was two times lower. Overall, 19 426 kidney transplants were performed (30 pmp). The 5-year adjusted survival for all RRT patients was 60.9% [95% confidence interval (CI) 60.5-61.3] and 50.6% (95% CI 49.9-51.2) for patients with DM as the cause of ESRD.

KEYWORDS:

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

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