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Clin Kidney J. 2018 Feb;11(1):108-122. doi: 10.1093/ckj/sfx149. Epub 2018 Jan 5.

The European Renal Association - European Dialysis and Transplant Association (ERA-EDTA) Registry Annual Report 2015: a summary.

Author information

1
ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
2
Hellenic Renal Registry, Board of Registry, Coordination and Control of RRT, General Hospital of Athens 'G. Gennimatas', Athens, Greece.
3
Swiss Dialysis Registry, Renal Division, Stadtspital Waid Zürich, Zurich, Switzerland.
4
Department of Peritoneal Dialysis, City Hospital #52, Moscow, Russian Federation.
5
Russian Dialysis Society, Moscow, Russian Federation.
6
Catalan Renal Registry, Catalan Transplant Organization, Health Department, Generalitat of Catalonia, Barcelona, Spain.
7
Departamento de Sanidad de Aragón, Dirección General de Asistencia Sanitaria, Zaragoza, Spain.
8
Department of Transplantation, Oslo University Hospital Rikshospitalet and Norwegian Renal Registry, Oslo, Norway.
9
Service of Nephrology, UHC "Mother Teresa", Tirana, Albania.
10
ESPN/ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
11
UK Renal Registry, Southmead Hospital, Bristol, UK.
12
Population Health Sciences, University of Bristol, Bristol, UK.
13
Information System of Regional Transplant Coordination in Andalucia (SICATA), Seville, Andalucia, Spain.
14
Department of Internal Medicine, Riga Stradins University, Riga, Latvia.
15
CHU Tivoli, La Louvière, Belgium.
16
"Carol Davila" University of Medicine and Pharmacy, Department of Internal Medicine and Nephrology "Dr Carol Davila" Teaching Hospital of Nephrology, Bucharest, Romania.
17
Department of Nephrology and Hypertension, Meir Medical Center, Kfar-Saba and Sackler Faculty of Medicine, Tel-Aviv, Israel.
18
Dutch Renal Registry Renine, Nefrovisie foundation, Utrecht, The Netherlands.
19
Nephrology Department, Apollonion Private Hospital, Nicosia, Cyprus.
20
Nephrology Department, American Medical Center, Nicosia, Cyprus.
21
Research Unit 12ES14 and Nephrology Department, Sfax University, Sfax, Tunisia.
22
State Institute of Nephrology, National Academy of Medical Sciences of Ukraine, Kiev, Ukraine.
23
Belarusian Medical Academy of Postgraduate Education, Minsk, Belarus.
24
REIN Registry, Agence de la biomédecine, Saint-Denis La Plaine, France.
25
Portuguese Society of Nephrology, Nephrology Department, University Hospital of Coimbra, Coimbra, Portugal.
26
Spanish Renal Disease Patients Registry (REER), Organización Nacional de Trasplantes (ONT), Madrid, Spain.
27
Servicio de Nefrología, Hospital Universitario Valdecilla, Santander, Spain.
28
Division of Nephrology, Landspitali - The National University Hospital of Iceland, Reykjavik, Iceland.
29
Faculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
30
Department of Internal Medicine, Tartu University, Tartu, Estonia.
31
Clinic for Hemodialysis, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina.
32
Polish Renal Registry, Department of Nephrology, Transplantology and Internal Medicine, Medical University, Gdansk, Poland.
33
Registro de Enfermos Renales de la Región de Murcia, Servicio de Epidemiología, Consejería de Sanidad, IMIB-Arrixaca, Murcia, Spain.
34
Istanbul University, Cerrahpasa Medical Faculty, Nephrology, Istanbul, Turkey.
35
Clinical Centre of Serbia, Department of Nephrology, Belgrade, Serbia.
36
Complejo Hospitalario de Navarra Pamplona, Navarra, Spain.
37
Slovak Medical University, Bratislava, Slovakia.
38
University Clinic of Nephrology, Medical Faculty of Skopje, Skopje, Macedonia.
39
The Scottish Renal Registry, Meridian Court, Information Services Division Scotland, Glasgow, UK.
40
Division of Nephrology, Ambroise Paré University Hospital, Boulogne-Billancourt, France.
41
Institut National de la Santé et de la Recherche Médicale (INSERM) Unit 1018 team5, Research Centre in Epidemiology and Population Health (CESP), University of Paris Ouest-Versailles-St Quentin-en-Yveline, Villejuif, France.

Abstract

Background:

This article summarizes the European Renal Association - European Dialysis and Transplant Association (ERA-EDTA) Registry's 2015 Annual Report. It describes the epidemiology of renal replacement therapy (RRT) for end-stage renal disease (ESRD) in 2015 within 36 countries.

Methods:

In 2016 and 2017, the ERA-EDTA Registry received data on patients who were undergoing RRT for ESRD in 2015, from 52 national or regional renal registries. Thirty-two registries provided individual patient-level data and 20 provided aggregated-level data. The incidence, prevalence and survival probabilities of these patients were determined.

Results:

In 2015, 81 373 individuals commenced RRT for ESRD, equating to an overall unadjusted incidence rate of 119 per million population (pmp). The incidence ranged by 10-fold, from 24 pmp in Ukraine to 232 pmp in the Czech Republic. Of the patients commencing RRT, almost two-thirds were men, over half were aged ≥65 years and a quarter had diabetes mellitus as their primary renal diagnosis. Treatment modality at the start of RRT was haemodialysis for 85% of the patients, peritoneal dialysis for 11% and a kidney transplant for 4%. By Day 91 of commencing RRT, 82% of patients were receiving haemodialysis, 13% peritoneal dialysis and 5% had a kidney transplant. On 31 December 2015, 546 783 individuals were receiving RRT for ESRD, corresponding to an unadjusted prevalence of 801 pmp. This ranged throughout Europe by more than 10-fold, from 178 pmp in Ukraine to 1824 pmp in Portugal. In 2015, 21 056 kidney transplantations were performed, equating to an overall unadjusted transplant rate of 31 pmp. This varied from 2 pmp in Ukraine to 94 pmp in the Spanish region of Cantabria. For patients commencing RRT during 2006-10, the 5-year unadjusted patient survival probabilities on all RRT modalities combined was 50.0% (95% confidence interval 49.9-50.1).

KEYWORDS:

dialysis; end-stage renal disease; epidemiology; kidney transplantation; survival analysis

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