The European Renal Association - European Dialysis and Transplant Association Registry Annual Report 2014: a summary

Maria Pippias, Anneke Kramer, Marlies Noordzij, Nikolaos Afentakis, Ramón Alonso de la Torre, Patrice M Ambühl, Manuel I Aparicio Madre, Felipe Arribas Monzón, Anders Åsberg, Marjolein Bonthuis, Encarnación Bouzas Caamaño, Ivan Bubic, Fergus J Caskey, Pablo Castro de la Nuez, Harijs Cernevskis, Maria de Los Ángeles Garcia Bazaga, Jean-Marin des Grottes, Raquel Fernández González, Manuel Ferrer-Alamar, Patrik FinneLiliana Garneata, Eliezer Golan, James G Heaf, Marc H Hemmelder, Alma Idrizi, Kyriakos Ioannou, Faical Jarraya, Nino Kantaria, Mykola Kolesnyk, Reinhard Kramar, Mathilde Lassalle, Visnja V Lezaic, Frantisek Lopot, Fernando Macario, Ángela Magaz, Angel L Martín de Francisco, Eduardo Martín Escobar, Alberto Martínez Castelao, Wendy Metcalfe, Inmaculada Moreno Alia, Maurizio Nordio, Mai Ots-Rosenberg, Runolfur Palsson, Marina Ratkovic, Halima Resic, Boleslaw Rutkowski, Carmen Santiuste de Pablos, Nurhan Seyahi, María Fernanda Slon Roblero, Viera Spustova, Koenraad J F Stas, María E Stendahl, Olivera Stojceva-Taneva, Evgueniy Vazelov, Edita Ziginskiene, Ziad Massy, Kitty J Jager, Vianda S Stel

Research output: Contribution to journalArticle (Academic Journal)peer-review

Abstract

Background: This article summarizes the European Renal Association - European Dialysis and Transplant Association Registry's 2014 annual report. It describes the epidemiology of renal replacement therapy (RRT) for end-stage renal disease (ESRD) in 2014 within 35 countries. Methods: In 2016, the ERA-EDTA Registry received data on patients who in 2014 where undergoing RRT for ESRD, from 51 national or regional renal registries. Thirty-two registries provided individual patient level data and 19 provided aggregated patient level data. The incidence, prevalence and survival probabilities of these patients were determined. Results: In 2014, 70 953 individuals commenced RRT for ESRD, equating to an overall unadjusted incidence rate of 133 per million population (pmp). The incidence ranged by 10-fold; from 23 pmp in the Ukraine to 237 pmp in Portugal. 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. By day 91 of commencing RRT, 81% of patients were receiving haemodialysis. On 31 December 2014, 490 743 individuals were receiving RRT for ESRD, equating to an unadjusted prevalence of 924 pmp. This ranged throughout Europe by more than 10-fold, from 157 pmp in the Ukraine to 1794 pmp in Portugal. In 2014, 19 406 kidney transplantations were performed, equating to an overall unadjusted transplant rate of 36 pmp. Again this varied considerably throughout Europe. For patients commencing RRT during 2005-09, the 5-year-adjusted patient survival probabilities on all RRT modalities was 63.3% (95% confidence interval 63.0-63.6). The expected remaining lifetime of a 20- to 24-year-old patient with ESRD receiving dialysis or living with a kidney transplant was 21.9 and 44.0 years, respectively. This was substantially lower than the 61.8 years of expected remaining lifetime of a 20-year-old patient without ESRD.

Original languageEnglish
Pages (from-to)154-169
Number of pages16
JournalClinical Kidney Journal
Volume10
Issue number2
DOIs
Publication statusPublished - 1 Apr 2017

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