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

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

doi:10.1016/j.kint.2020.12.010

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

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

^*Corresponding author for this work

Clinical Departments

Research output: Contribution to journal › Article › peer-review

36 Scopus citations

Abstract

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.

Original language	English
Pages (from-to)	182-195
Number of pages	14
Journal	Kidney International
Volume	100
Issue number	1
DOIs	https://doi.org/10.1016/j.kint.2020.12.010
State	Published - Jul 2021

Funding

Funders	Funder number
Andalusia Sistema de Información de la Coordinación Autonómica de Trasplantes de Andalucia
Austrian Dialysis and Transplant Registry
Belarus Renal Registry
Castile–La Mancha
Catalonia
Danish Nephrology Registry
Dutch Renal Registry
Dutch-speaking Belgian Society of Nephrology
EKITA
EuroPD
European Dialysis and Transplant Association
European Renal Association
F. van Ittersum
Finnish Registry for Kidney Diseases
Georgian Renal Registry
Hellenic Renal Registry
Israel National Registry of Renal Replacement Therapy
Italian Registry of Dialysis and Transplantation
J.C. Ruiz San Millán
Macedonian Renal Registry
NBVN
Norwegian Renal Registry
OEDTR
Polish Renal Registry
REMRENAL
RENINE
Renal Registry
Renal Registry Bosnia and Herzegovina
Renal Registry in Serbia
Renal Registry of the Region of Murcia
Romanian Renal Registry
Russian Renal Registry
SICATA
Scottish Renal Registry
Serbian Society of Nephrology
Spanish Regional Registries
Swedish Renal Registry
Swiss Dialysis Registry
U. Huynh-Do
UKRR
Ukrainian Renal Data System
UNITED KINGDOM
Valencian region
Recycled Materials Resource Center
Indian Society of Nephrology
Sociedad Española de Nefrología
European Commission	PP-01-2016
Universidade Paranaense
European Renal Association-European Dialysis and Transplant Association
Research Innovation and Development Trust, University of Malta

Keywords

hemodialysis
peritoneal dialysis
transplantation

Access to Document

10.1016/j.kint.2020.12.010

Cite this

Stel, V. S., de Jong, R. W., Kramer, A., Andrusev, A. M., Baltar, J. M., Barbullushi, M., Bell, S., Castro de la Nuez, P., Cernevskis, H., Couchoud, C., De Meester, J., Eriksen, B. O., Gârneaţă, L., Golan, E., Helve, J., Hemmelder, M. H., Hommel, K., Ioannou, K., Jarraya, F., ... Jager, K. J. (2021). Supplemented ERA-EDTA Registry data evaluated the frequency of dialysis, kidney transplantation, and comprehensive conservative management for patients with kidney failure in Europe. Kidney International, 100(1), 182-195. https://doi.org/10.1016/j.kint.2020.12.010

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

abstract = "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.",

keywords = "hemodialysis, peritoneal dialysis, transplantation",

author = "Stel, {Vianda S.} and {de Jong}, {Rianne W.} and Anneke Kramer and Andrusev, {Anton M.} and Baltar, {Jos{\'e} M.} and Myftar Barbullushi and Samira Bell and {Castro de la Nuez}, Pablo and Harijs Cernevskis and C{\'e}cile Couchoud and {De Meester}, Johan and Eriksen, {Bj{\o}rn O.} and Liliana G{\^a}rnea{\c t}{\u a} and Eliezer Golan and Jaakko Helve and Hemmelder, {Marc H.} and Kristine Hommel and Kyriakos Ioannou and Fai{\c c}al Jarraya and Nino Kantaria and Julia Kerschbaum and Komissarov, {Kirill S.} and {\'A}ngela Magaz and Lucile Mercadal and Mai Ots-Rosenberg and Run{\'o}lfur P{\'a}lsson and Axel Rahmel and Helena Rydell and Manuela Savino and Nurhan Seyahi and {Slon Roblero}, {Maria F.} and Olivera Stojceva-Taneva and {van der Tol}, Arjan and Vazelov, {Evgueniy S.} and Edita Ziginskiene and {\'O}scar Zurriaga and Vanholder, {Raymond C.} and Massy, {Ziad A.} and Jager, {Kitty J.}",

note = "Publisher Copyright: {\textcopyright} 2021 International Society of Nephrology",

year = "2021",

month = jul,

doi = "10.1016/j.kint.2020.12.010",

language = "אנגלית",

volume = "100",

pages = "182--195",

journal = "Kidney International",

issn = "0085-2538",

publisher = "Elsevier B.V.",

number = "1",

}

Stel, VS, de Jong, RW, Kramer, A, Andrusev, AM, Baltar, JM, Barbullushi, M, Bell, S, Castro de la Nuez, P, Cernevskis, H, Couchoud, C, De Meester, J, Eriksen, BO, Gârneaţă, L, Golan, E, Helve, J, Hemmelder, MH, Hommel, K, Ioannou, K, Jarraya, F, Kantaria, N, Kerschbaum, J, Komissarov, KS, Magaz, Á, Mercadal, L, Ots-Rosenberg, M, Pálsson, R, Rahmel, A, Rydell, H, Savino, M, Seyahi, N, Slon Roblero, MF, Stojceva-Taneva, O, van der Tol, A, Vazelov, ES, Ziginskiene, E, Zurriaga, Ó, Vanholder, RC, Massy, ZA & Jager, KJ 2021, 'Supplemented ERA-EDTA Registry data evaluated the frequency of dialysis, kidney transplantation, and comprehensive conservative management for patients with kidney failure in Europe', Kidney International, vol. 100, no. 1, pp. 182-195. https://doi.org/10.1016/j.kint.2020.12.010

Supplemented ERA-EDTA Registry data evaluated the frequency of dialysis, kidney transplantation, and comprehensive conservative management for patients with kidney failure in Europe. / Stel, Vianda S.; de Jong, Rianne W.; Kramer, Anneke et al.
In: Kidney International, Vol. 100, No. 1, 07.2021, p. 182-195.

Research output: Contribution to journal › Article › peer-review

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T1 - Supplemented ERA-EDTA Registry data evaluated the frequency of dialysis, kidney transplantation, and comprehensive conservative management for patients with kidney failure in Europe

AU - Stel, Vianda S.

AU - de Jong, Rianne W.

AU - Kramer, Anneke

AU - Andrusev, Anton M.

AU - Baltar, José M.

AU - Barbullushi, Myftar

AU - Bell, Samira

AU - Castro de la Nuez, Pablo

AU - Cernevskis, Harijs

AU - Couchoud, Cécile

AU - De Meester, Johan

AU - Eriksen, Bjørn O.

AU - Gârneaţă, Liliana

AU - Golan, Eliezer

AU - Helve, Jaakko

AU - Hemmelder, Marc H.

AU - Hommel, Kristine

AU - Ioannou, Kyriakos

AU - Jarraya, Faiçal

AU - Kantaria, Nino

AU - Kerschbaum, Julia

AU - Komissarov, Kirill S.

AU - Magaz, Ángela

AU - Mercadal, Lucile

AU - Ots-Rosenberg, Mai

AU - Pálsson, Runólfur

AU - Rahmel, Axel

AU - Rydell, Helena

AU - Savino, Manuela

AU - Seyahi, Nurhan

AU - Slon Roblero, Maria F.

AU - Stojceva-Taneva, Olivera

AU - van der Tol, Arjan

AU - Vazelov, Evgueniy S.

AU - Ziginskiene, Edita

AU - Zurriaga, Óscar

AU - Vanholder, Raymond C.

AU - Massy, Ziad A.

AU - Jager, Kitty J.

PY - 2021/7

Y1 - 2021/7

N2 - 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.

AB - 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.

KW - hemodialysis

KW - peritoneal dialysis

KW - transplantation

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JF - Kidney International

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ER -

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

Abstract

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Keywords

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