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


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.

DOI: 10.1093/ckj/sfw135

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@inproceedings{Pippias2017TheER, title={The European Renal Association – European Dialysis and Transplant Association Registry Annual Report 2014: a summary}, author={Maria Pippias and Anneke Kramer and Marlies Noordzij and Nikolaos M. Afentakis and Ram{\'o}n Alonso de la Torre and Patrice M Amb{\"{u}hl and Manuel I. Aparicio Madre and Felipe Arribas Monz{\'o}n and Anders {\AA}sberg and Marjolein Bonthuis and Encarnaci{\'o}n Bouzas Caama{\~n}o and Ivan Bubi{\'c} and Fergus J. Caskey and Pablo Castro de la Nuez and Harijs Cernevskis and Mar{\'i}a de los {\'A}ngeles Garc{\'i}a Bazaga and Jean-Marin des Grottes and Raquel Fern{\'a}ndez Gonz{\'a}lez and Manuel Ferrer-Alamar and Patrik Finne and Liliana G{\^a}rneaţă and Eliezer Golan and James Goya Heaf and Marc H. Hemmelder and Alma Idrizi and Kyriakos Ioannou and Faiçal Jarraya and Nino Kantaria and Mykola Kolesnyk and Reinhard Kramar and Mathilde Lassalle and Visnja V. Lezaic and Franti{\vs}ek Lopot and Fernando Mac{\'a}rio and {\'A}ngela Magaz and {\'A}ngel Luis Mart{\'i}n de Francisco and Eduardo Mart{\'i}n Escobar and Alberto Mart{\'i}nez Castelao and Wendy Metcalfe and Inmaculada Moreno Al{\'i}a and Maurizio Nordio and Mai Ots-Rosenberg and Run{\'o}lfur P{\'a}lsson and Marina Mugosa Ratkovi{\'c} and Halima Resi{\'c} and Bolesław Rutkowski and Carmen Santiuste de Pablos and Nurhan Seyahi and Mar{\'i}a Fernanda Slon Roblero and Viera Spustov{\'a} and Koenraad J.F. Stas and Mar{\'i}a E. Stendahl and Olivera Stojceva-Taneva and Evgueniy S Vazelov and Edita Žiginskienė and Ziad Andr{\'e} Massy and Kitty J. Jager and Vianda S. Stel}, booktitle={Clinical kidney journal}, year={2017} }