Portal de Periódicos da CAPES

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

2021; Elsevier BV; Volume: 100; Issue: 1 Linguagem: Inglês

10.1016/j.kint.2020.12.010

1523-1755

Vianda S Stel, Rianne W de Jong, Anneke Kramer, Anton Andrusev, José Baltar, Myftar Barbullushi, Samira Bell, Pablo Castro de la Nuez, Harijs Čerņevskis, Cécile Couchoud, Johan De Meester, Bjørn O. Eriksen, Liliana Gârneaţă, Eliezer Golan, Jaakko Helve, Marc H. Hemmelder, Kristine Hommel, Kyriakos Ioannou, F. Jarraya, Nino Kantaria, Julia Kerschbaum, Kirill Komissarov, Ángela Magaz, Lucile Mercadal, Mai Ots-Rosenberg, Runólfur Pálsson, Axel Rahmel, Helena Rydell, Manuela Savino, Nurhan Seyahi, María Fernanda Slon Roblero, Olivera Stojceva-Taneva, Arjan van der Tol, Evgueniy Vazelov, Edita Žiginskienė, Óscar Zurriaga, Raymond Vanholder, Ziad A. Massy, Kitty J. Jager,

Organ Donation and Transplantation

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.