1
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Abd ElHafeez S, Noordzij M, Kramer A, Bell S, Savoye E, Abad Diez JM, Lundgren T, Reisaeter AV, Kerschbaum J, Santiuste de Pablos C, Ortiz F, Collart F, Palsson R, Arici M, Heaf JG, Massy ZA, Jager KJ. The association of living donor source with patient and graft survival among kidney transplant recipients in the ERA-EDTA Registry - a retrospective study. Transpl Int 2020; 34:76-86. [PMID: 33022814 PMCID: PMC7821376 DOI: 10.1111/tri.13759] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Revised: 07/21/2020] [Accepted: 09/28/2020] [Indexed: 11/28/2022]
Abstract
In this study we aimed to compare patient and graft survival of kidney transplant recipients who received a kidney from a living‐related donor (LRD) or living‐unrelated donor (LUD). Adult patients in the ERA‐EDTA Registry who received their first kidney transplant in 1998–2017 were included. Ten‐year patient and graft survival were compared between LRD and LUD transplants using Cox regression analysis. In total, 14 370 patients received a kidney from a living donor. Of those, 9212 (64.1%) grafts were from a LRD, 5063 (35.2%) from a LUD and for 95 (0.7%), the donor type was unknown. Unadjusted five‐year risks of death and graft failure (including death as event) were lower for LRD transplants than for LUD grafts: 4.2% (95% confidence interval [CI]: 3.7–4.6) and 10.8% (95% CI: 10.1–11.5) versus 6.5% (95% CI: 5.7–7.4) and 12.2% (95% CI: 11.2–13.3), respectively. However, after adjusting for potential confounders, associations disappeared with hazard ratios of 0.99 (95% CI: 0.87–1.13) for patient survival and 1.03 (95% CI: 0.94–1.14) for graft survival. Unadjusted risk of death‐censored graft failure was similar, but after adjustment, it was higher for LUD transplants (1.19; 95% CI: 1.04–1.35). In conclusion, patient and graft survival of LRD and LUD kidney transplant recipients was similar, whereas death‐censored graft failure was higher in LUD. These findings confirm the importance of both living kidney donor types.
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Affiliation(s)
- Samar Abd ElHafeez
- Epidemiology Department, High Institute of Public Health, Alexandria University, Alexandria, Egypt
| | - Marlies Noordzij
- Department of Medical Informatics, ERA-EDTA Registry, Amsterdam UMC, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, the Netherlands
| | - Anneke Kramer
- Department of Medical Informatics, ERA-EDTA Registry, Amsterdam UMC, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, the Netherlands
| | - Samira Bell
- Scottish Renal Registry, Meridian Court, Information Services Division Scotland, Glasgow, UK.,Division of Population Health and Genomics, University of Dundee, Dundee, UK
| | - Emilie Savoye
- Agence de la biomédecine, Direction Prélèvement Greffe Organes-Tissus, Saint-Denis La Plaine, France
| | | | - Torbjörn Lundgren
- Division of Transplantation Surgery, CLINTEC, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden
| | - Anna Varberg Reisaeter
- Department of Transplantation Medicine, Oslo University hospital, Rikshospitalet, Norway
| | - Julia Kerschbaum
- Austrian Dialysis and Transplant Registry, Department for Internal Medicine IV - Nephrology and Hypertension, Medical University Innsbruck, Innsbruck, Austria
| | - Carmen Santiuste de Pablos
- Murcia Renal Registry, Department of Epidemiology, Murcia Regional Health Authority, IMIB-Arrixaca, Murcia, Spain.,CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - Fernanda Ortiz
- Abdominal Center Unit, HUS Helsinki University Hospital, Helsinki, Finland
| | | | - Runolfur Palsson
- Division of Nephrology, Landspitali-The National University Hospital of Iceland, Reykjavik, Iceland.,Faculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland
| | - Mustafa Arici
- Department of Nephrology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
| | - James G Heaf
- Department of Medicine, Zealand University Hospital, Roskilde, Denmark
| | - Ziad A Massy
- Division of Nephrology, Ambroise Paré University Hospital, APHP, Boulogne-Billancourt, Paris, France.,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
| | - Kitty J Jager
- Department of Medical Informatics, ERA-EDTA Registry, Amsterdam UMC, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam, the Netherlands
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2
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Hemke AC, Heemskerk MBA, van Diepen M, Kramer A, de Meester J, Heaf JG, Abad Diez JM, Torres Guinea M, Finne P, Brunet P, Vikse BE, Caskey FJ, Traynor JP, Massy ZA, Couchoud C, Groothoff JW, Nordio M, Jager KJ, Dekker FW, Hoitsma AJ. Performance of an easy-to-use prediction model for renal patient survival: an external validation study using data from the ERA-EDTA Registry. Nephrol Dial Transplant 2018; 33:1786-1793. [PMID: 29346645 DOI: 10.1093/ndt/gfx348] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2017] [Accepted: 11/15/2017] [Indexed: 11/12/2022] Open
Abstract
Background An easy-to-use prediction model for long-term renal patient survival based on only four predictors [age, primary renal disease, sex and therapy at 90 days after the start of renal replacement therapy (RRT)] has been developed in The Netherlands. To assess the usability of this model for use in Europe, we externally validated the model in 10 European countries. Methods Data from the European Renal Association-European Dialysis and Transplant Association (ERA-EDTA) Registry were used. Ten countries that reported individual patient data to the registry on patients starting RRT in the period 1995-2005 were included. Patients <16 years of age and/or with missing predictor variable data were excluded. The external validation of the prediction model was evaluated for the 10- (primary endpoint), 5- and 3-year survival predictions by assessing the calibration and discrimination outcomes. Results We used a data set of 136 304 patients from 10 countries. The calibration in the large and calibration plots for 10 deciles of predicted survival probabilities showed average differences of 1.5, 3.2 and 3.4% in observed versus predicted 10-, 5- and 3-year survival, with some small variation on the country level. The concordance index, indicating the discriminatory power of the model, was 0.71 in the complete ERA-EDTA Registry cohort and varied according to country level between 0.70 and 0.75. Conclusions A prediction model for long-term renal patient survival developed in a single country, based on only four easily available variables, has a comparably adequate performance in a wide range of other European countries.
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Affiliation(s)
- Aline C Hemke
- Dutch Transplant Foundation, Organ Centre, Leiden, The Netherlands.,Dutch Renal Replacement Registry, Leiden, The Netherlands
| | | | - Merel van Diepen
- Department of Clinical Epidemiology, Leiden University Medical Centre, Leiden, The Netherlands
| | - Anneke Kramer
- ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - Johan de Meester
- Department of Nephrology, Dialysis, and Hypertension, AZ Nikolaas, Sint-Niklaas, Belgium
| | - James G Heaf
- Department of Medicine, Zealand University Hospital, Roskilde, Denmark
| | | | | | - Patrik Finne
- Abdominal Center Nephrology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.,Finnish Registry for Kidney Diseases, Helsinki, Finland
| | - Philippe Brunet
- Centre de Nephrologie et Transplantation Renale, Hospital de la Conception, Aix Marseille Université, AP-HM, Marseille, France
| | - Bjørn E Vikse
- Department of Medicine, Haugesund Hospital, Haugesund, Norway.,Department of Clinical Medicine, University of Bergen, Bergen, Norway
| | - Fergus J Caskey
- UK Renal Registry, Southmead Hospital, Bristol, UK.,School of Social and Community Medicine, University of Bristol, Bristol, UK
| | - Jamie P Traynor
- Scottish Renal Registry, Information Services Division Scotland, Glasgow, UK
| | - Ziad A Massy
- Division of Nephrology, Ambroise Paré University Hospital, APHP, Boulogne-Billancourt, Paris, France.,Institut National de la Santé et de la Recherche Médicale (INSERM) U1018, Research Centre in Epidemiology and Population Health (CESP) Team 5, University of Paris Ouest-Versailles-St Quentin-en-Yveline, Villejuif, Paris, France
| | - Cécile Couchoud
- Renal Epidemiology and Information Network (REIN) Registry, French Biomedical Agency, Saint-Denis-la-Plaine, France
| | - Jaap W Groothoff
- Emma Children's Hospital, Academic Medical Center, Amsterdam, The Netherlands
| | - Maurizio Nordio
- Veneto Dialysis and Transplantation Registry, Regional Epidemiology System, Padua, Italy.,Nephrology and Dialysis Unit, AULSS 6, Padua, Italy
| | - Kitty J Jager
- ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands
| | - Friedo W Dekker
- Department of Clinical Epidemiology, Leiden University Medical Centre, Leiden, The Netherlands
| | - Andries J Hoitsma
- Dutch Transplant Foundation, Organ Centre, Leiden, The Netherlands.,Division of Nephrology, University Nijmegen Medical Centre, Nijmegen, The Netherlands
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3
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Kramer A, Pippias M, Stel VS, Bonthuis M, Abad Diez JM, Afentakis N, Alonso de la Torre R, Ambuhl P, Bikbov B, Bouzas Caamaño E, Bubic I, Buturovic-Ponikvar J, Caskey FJ, Castro de la Nuez P, Cernevskis H, Collart F, Comas Farnés J, Garcia Bazaga MDLÁ, De Meester J, Ferrer Alamar M, Finne P, Garneata L, Golan E, G Heaf J, Hemmelder M, Ioannou K, Kantaria N, Kolesnyk M, Kramar R, Lassalle M, Lezaic V, Lopot F, Macário F, Magaz A, Martín-Escobar E, Metcalfe W, Ots-Rosenberg M, Palsson R, Piñera Celestino C, Resić H, Rutkowski B, Santiuste de Pablos C, Spustová V, Stendahl M, Strakosha A, Süleymanlar G, Torres Guinea M, Varberg Reisæter A, Vazelov E, Ziginskiene E, Massy ZA, Wanner C, Jager KJ, Noordzij M. Renal replacement therapy in Europe: a summary of the 2013 ERA-EDTA Registry Annual Report with a focus on diabetes mellitus. Clin Kidney J 2016; 9:457-69. [PMID: 27274834 PMCID: PMC4886899 DOI: 10.1093/ckj/sfv151] [Citation(s) in RCA: 63] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2015] [Accepted: 12/11/2015] [Indexed: 12/14/2022] Open
Abstract
Background This article provides a summary of the 2013 European Renal Association–European Dialysis and Transplant Association (ERA-EDTA) Registry Annual Report (available at http://www.era-edta-reg.org), with a focus on patients with diabetes mellitus (DM) as the cause of end-stage renal disease (ESRD). Methods In 2015, the ERA-EDTA Registry received data on renal replacement therapy (RRT) for ESRD from 49 national or regional renal registries in 34 countries in Europe and bordering the Mediterranean Sea. Individual patient data were provided by 31 registries, while 18 registries provided aggregated data. The total population covered by the participating registries comprised 650 million people. Results In total, 72 933 patients started RRT for ESRD within the countries and regions reporting to the ERA-EDTA Registry, resulting in an overall incidence of 112 per million population (pmp). The overall prevalence on 31 December 2013 was 738 pmp (n = 478 990). Patients with DM as the cause of ESRD comprised 24% of the incident RRT patients (26 pmp) and 17% of the prevalent RRT patients (122 pmp). When compared with the USA, the incidence of patients starting RRT pmp secondary to DM in Europe was five times lower and the incidence of RRT due to other causes of ESRD was two times lower. Overall, 19 426 kidney transplants were performed (30 pmp). The 5-year adjusted survival for all RRT patients was 60.9% [95% confidence interval (CI) 60.5–61.3] and 50.6% (95% CI 49.9–51.2) for patients with DM as the cause of ESRD.
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Affiliation(s)
- Anneke Kramer
- Department of Medical Informatics, Academic Medical Center , ERA-EDTA Registry, University of Amsterdam , 1100 DE Amsterdam , The Netherlands
| | - Maria Pippias
- Department of Medical Informatics, Academic Medical Center , ERA-EDTA Registry, University of Amsterdam , 1100 DE Amsterdam , The Netherlands
| | - Vianda S Stel
- Department of Medical Informatics, Academic Medical Center , ERA-EDTA Registry, University of Amsterdam , 1100 DE Amsterdam , The Netherlands
| | - Marjolein Bonthuis
- Department of Medical Informatics, Academic Medical Center , ESPN/ERA-EDTA Registry, Universiteit van Amsterdam , Amsterdam , The Netherlands
| | | | - Nikolaos Afentakis
- Hellenic Renal Registry, Board of Registry, Coordination and Control of RRT , General Hospital of Athens 'G. Gennimatas' , Athens , Greece
| | | | - Patrice Ambuhl
- Swiss Dialysis Registry, Renal Division, Stadtspital Waid Zürich , Zurich , Switzerland
| | - Boris Bikbov
- A.I. Evdokimov Moscow State University of Medicine and Dentistry, Moscow, Russian Federation; Department of Nephrology Issues of Transplanted Kidney, Academician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, Moscow, Russian Federation
| | | | - Ivan Bubic
- Department of Nephrology, Dialysis and Transplantation, Clinical Hospital Center Rijeka , School of Medicine University of Rijeka , Rijeka , Croatia
| | - Jadranka Buturovic-Ponikvar
- Department of Nephrology, University Medical Center Ljubljana, Ljubljana, Slovenia; Medical Faculty, University of Ljubljana, Ljubljana, Slovenia
| | | | - Pablo Castro de la Nuez
- Information System of Regional Transplant Coordination in Andalucia (SICATA) , Andalucia , Spain
| | - Harijs Cernevskis
- Department of Internal Medicine , Riga Stradins University , Riga , Latvia
| | | | - Jordi Comas Farnés
- Catalan Renal Registry, Catalan Transplant Organization, Health Department , Generalitat of Catalonia , Barcelona , Spain
| | - Maria de Los Ángeles Garcia Bazaga
- Dirección General de Salud Pública, Servicio Extremeño de Salud , Consejería de Sanidad y Políticas Sociales, Junta de Extremadura , Spain
| | - Johan De Meester
- Department of Nephrology, Dialysis and Hypertension , Dutch-speaking Belgian Renal Registry (NBVN) , Sint-Niklaas , Belgium
| | - Manuel Ferrer Alamar
- Técnico Registro de Enfermos Renales Comunitat Valenciana, Servicio de Estudios Epidemiológicos y Registros Sanitarios, Subdirección General Epidemiología, Dirección General Salut Pública, Consellería Sanitat , Valencian Region , Spain
| | - Patrik Finne
- Abdominal Center, Nephrology and Finnish Registry for Kidney Diseases , Helsinki University Central Hospital , Helsinki , Finland
| | - Liliana Garneata
- "Carol Davila" University of Medicine and Pharmacy , "Dr C Davila" Teaching Hospital of Nephrology, Romanian Renal Registry , Bucharest , Romania
| | - Eliezer Golan
- Department of Nephrology and Hypertension , Meir Medical Center, Kfar-Saba and Sackler Faculty of Medicine , Tel-Aviv , Israel
| | - James G Heaf
- Department of Medicine , Roskilde Hospital, University of Copenhagen , Copenhagen , Denmark
| | - Marc Hemmelder
- Nefrovisie Renine, Dutch Renal Registry , Leiden , The Netherlands
| | - Kyriakos Ioannou
- Nephrology Department , Nicosia General Hospital , Nicosia , Cyprus
| | - Nino Kantaria
- Department of Internal Medicine , Tbilisi State Medical University , Tbilisi , Georgia
| | | | | | | | - Visnja Lezaic
- Department of Nephrology, Clinical Centre of Serbia , Belgrade University , Belgrade , Serbia
| | - Frantisek Lopot
- General University Hospital and 1st Medical Faculty, Department of Medicine , Charles University , Prague - Strahov , Czech Republic
| | - Fernando Macário
- Portuguese Society of Nephrology, Nephrology Department , University Hospital of Coimbra , Coimbra , Portugal
| | - Angela Magaz
- Unidad de Información Sobre Pacientes Renales de la Comunidad Autónoma del País Vasco (UNIPAR) , Basque Country , Spain
| | - Eduardo Martín-Escobar
- Registro Español de Enfermos Renales (REER), Organización Nacional de Trasplantes , Madrid , Spain
| | - Wendy Metcalfe
- Scottish Renal Registry, Meridian Court , Glasgow , Scotland
| | - Mai Ots-Rosenberg
- Department of Internal Medicine , Tartu University , Tartu , Estonia
| | - Runolfur Palsson
- Division of Nephrology, Landspitali - National University Hospital of Iceland, Reykjavik, Iceland; Faculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland
| | | | - Halima Resić
- Clinic for Hemodialysis, Clinical Center , University of Sarajevo , Sarajevo , Bosnia and Herzegovina
| | - Boleslaw Rutkowski
- Polish Renal Registry, Department of Nephrology, Transplantology and Internal Medicine , Medical University , Gdansk , Poland
| | - Carmen Santiuste de Pablos
- Registro de Enfermos Renales de la Región de Murcia, Servicio de Epidemiología, Consejería de Sanidad , IMIB-Arrixaca , Murcia , Spain
| | | | - Maria Stendahl
- Department of Internal Medicine, Ryhov County Hospital, Jönköping, Sweden; Swedish Renal Registry, Jönköping, Sweden
| | - Ariana Strakosha
- Service of Nephrology, Dialysis and Transplant , University Hospital Center , Tirana , Albania
| | - Gültekin Süleymanlar
- Division of Nephrology, Department of Medicine, Medical School , Akdeniz University , Antalya , Turkey
| | - Marta Torres Guinea
- Registro de Enfermos Renales en Tratamiento Sustitutivo de Castilla-La Mancha , Hospital Virgen de la Salud , Castilla-La Mancha , Spain
| | - Anna Varberg Reisæter
- Norwegian Renal Registry, Renal Unit, Department for Transplant Medicine , Oslo University Hospital, Rikshospitalet , Oslo , Norway
| | - Evgueniy Vazelov
- Dialysis Clinic , "Alexandrovska" University Hospital , Sofia Medical University , Sofia , Bulgaria
| | - Edita Ziginskiene
- Department of Nephrology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania; Lithuanian Nephrology, Dialysis and Transplantation Association, Nephrological Clinic, Hospital of Lithuanian University of Health Sciences Kaunas Clinics, Kaunas, Lithuania
| | - Ziad A Massy
- Division of Nephrology, Ambroise Paré University Hospital, APHP, University of Paris Ouest-Versailles-St-Quentin-en-Yvelines (UVSQ), Boulogne-Billancourt/Paris, France; Institut National de la Santé et de la Recherche Médicale (INSERM) U1018, CESP, Team 5, Villejuif, France
| | - Christoph Wanner
- Division of Nephrology , University Clinic , University of Würzburg , Würzburg , Germany
| | - Kitty J Jager
- Department of Medical Informatics, Academic Medical Center , ERA-EDTA Registry, University of Amsterdam , 1100 DE Amsterdam , The Netherlands
| | - Marlies Noordzij
- Department of Medical Informatics, Academic Medical Center , ERA-EDTA Registry, University of Amsterdam , 1100 DE Amsterdam , The Netherlands
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4
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Pippias M, Stel VS, Abad Diez JM, Afentakis N, Herrero-Calvo JA, Arias M, Tomilina N, Bouzas Caamaño E, Buturovic-Ponikvar J, Čala S, Caskey FJ, Castro de la Nuez P, Cernevskis H, Collart F, Alonso de la Torre R, García Bazaga MDLÁ, De Meester J, Díaz JM, Djukanovic L, Ferrer Alamar M, Finne P, Garneata L, Golan E, González Fernández R, Gutiérrez Avila G, Heaf J, Hoitsma A, Kantaria N, Kolesnyk M, Kramar R, Kramer A, Lassalle M, Leivestad T, Lopot F, Macário F, Magaz A, Martín-Escobar E, Metcalfe W, Noordzij M, Palsson R, Pechter Ü, Prütz KG, Ratkovic M, Resić H, Rutkowski B, Santiuste de Pablos C, Spustová V, Süleymanlar G, Van Stralen K, Thereska N, Wanner C, Jager KJ. Renal replacement therapy in Europe: a summary of the 2012 ERA-EDTA Registry Annual Report. Clin Kidney J 2015; 8:248-61. [PMID: 26034584 PMCID: PMC4440462 DOI: 10.1093/ckj/sfv014] [Citation(s) in RCA: 88] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2015] [Accepted: 02/25/2015] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND This article summarizes the 2012 European Renal Association-European Dialysis and Transplant Association Registry Annual Report (available at www.era-edta-reg.org) with a specific focus on older patients (defined as ≥65 years). METHODS Data provided by 45 national or regional renal registries in 30 countries in Europe and bordering the Mediterranean Sea were used. Individual patient level data were received from 31 renal registries, whereas 14 renal registries contributed data in an aggregated form. The incidence, prevalence and survival probabilities of patients with end-stage renal disease (ESRD) receiving renal replacement therapy (RRT) and renal transplantation rates for 2012 are presented. RESULTS In 2012, the overall unadjusted incidence rate of patients with ESRD receiving RRT was 109.6 per million population (pmp) (n = 69 035), ranging from 219.9 pmp in Portugal to 24.2 pmp in Montenegro. The proportion of incident patients ≥75 years varied from 15 to 44% between countries. The overall unadjusted prevalence on 31 December 2012 was 716.7 pmp (n = 451 270), ranging from 1670.2 pmp in Portugal to 146.7 pmp in the Ukraine. The proportion of prevalent patients ≥75 years varied from 11 to 32% between countries. The overall renal transplantation rate in 2012 was 28.3 pmp (n = 15 673), with the highest rate seen in the Spanish region of Catalonia. The proportion of patients ≥65 years receiving a transplant ranged from 0 to 35%. Five-year adjusted survival for all RRT patients was 59.7% (95% confidence interval, CI: 59.3-60.0) which fell to 39.3% (95% CI: 38.7-39.9) in patients 65-74 years and 21.3% (95% CI: 20.8-21.9) in patients ≥75 years.
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Affiliation(s)
- Maria Pippias
- ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, Universiteit van Amsterdam , Amsterdam , the Netherlands
| | - Vianda S Stel
- ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, Universiteit van Amsterdam , Amsterdam , the Netherlands
| | | | - Nikolaos Afentakis
- Hellenic Renal Registry, Board of Registry, Coordination and Control of RRT, General Hospital of Athens 'G. Gennimatas' , Athens , Greece
| | | | - Manuel Arias
- Servicio de Nefrología , Hospital Universitario Valdecilla , Santander, Cantabria , Spain
| | - Natalia Tomilina
- Department of Nephrology Issues of Transplanted Kidney , Academician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs , Moscow , Russian Federation ; Chair of Nephrology, A.I. Evdokimov Moscow State University of Medicine and Dentistry , Moscow , Russian Federation ; Moscow City Nephrology Center , Moscow , Russian Federation
| | | | | | - Svjetlana Čala
- Croatian Society of Nephrology, Dialysis and Transplantation, Zagreb , Croatia
| | - Fergus J Caskey
- UK Renal Registry, Southmead Hospital , Bristol , UK ; School of Social Medicine, Canynge Hall, University of Bristol , Bristol , UK
| | - Pablo Castro de la Nuez
- Information system of regional transplant coordianation in Andalucia (SICATA), Andalucia , Spain
| | - Harijs Cernevskis
- Department of Internal Medicine , Riga Stradins University , Riga , Latvia
| | | | | | | | - Johan De Meester
- Department of Nephrology, Dialysis and Hypertension , Dutch-speaking Belgian Renal Registry (NBVN) , Sint-Niklaas , Belgium
| | - Joan Manuel Díaz
- Member of the Catalan Renal Registry Committee, Fundació Puigvert , Barcelona , Spain
| | | | - Manuel Ferrer Alamar
- Técnico Registro de Enfermos Renales Comunitat Valenciana, Servicio de Estudios Epidemiológicos y Registros Sanitarios, Subdirección General Epidemiología, Dirección General Salut Pública, Consellería Sanitat , Comunitat Valenciana , Spain
| | - Patrik Finne
- Department of Nephrology , Helsinki University Central Hospital , Helsinki , Finland ; Finnish Registry for Kidney Diseases, Helsinki , Finland
| | - Liliana Garneata
- 'Carol Davila' University of Medicine and Pharmacy, Nephrology Department , 'Dr Carol Davila' Teaching Hospital of Nephrology , Bucharest , Romania
| | - Eliezer Golan
- Department of Nephrology and Hypertension , Meir Medical Center, Kfar-Saba and Sackler Faculty of Medicine , Tel-Aviv , Israel
| | | | - Gonzalo Gutiérrez Avila
- Registro de Enfermos Renales en Tratamiento Sustitutivo de Castilla-La Mancha , Castilla-La Mancha , Spain
| | - James Heaf
- Department of Nephrology , University of Copenhagen Herlev Hospital , Herlev , Denmark
| | - Andries Hoitsma
- Division of Nephrology , Radboud University Medical Center , Nijmegen , the Netherlands
| | - Nino Kantaria
- Department of Internal Medicine , Tbilisi State Medical University , Tbilisi , Georgia
| | | | | | - Anneke Kramer
- ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, Universiteit van Amsterdam , Amsterdam , the Netherlands
| | | | - Torbjørn Leivestad
- Norwegian Renal Registry, Renal Unit, Department for Transplant Medicine , Oslo University Hospital Rikshospitalet , Oslo , Norway
| | - Frantisek Lopot
- General University Hospital and 1st Medical Faculty , Department of Medicine , Charles University , Prague - Strahov , Czech Republic
| | - Fernando Macário
- Portuguese Society of Nephrology, Nephrology Department , University Hospital of Coimbra , Coimbra , Portugal
| | - Angela Magaz
- Unidad de Información Sobre Pacientes Renales de la Comunidad Autónoma del País Vasco (UNIPAR), Basque Country, Spain
| | | | - Wendy Metcalfe
- The Scottish Renal Registry, Meridian Court , Glasgow , Scotland
| | - Marlies Noordzij
- ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, Universiteit van Amsterdam , Amsterdam , the Netherlands
| | - Runolfur Palsson
- Division of Nephrology, Landspitali - The National University Hospital of Iceland and Faculty of Medicine , School of Health Sciences , University of Iceland , Reykjavik , Iceland
| | - Ülle Pechter
- Department of Internal Medicine , Tartu University , Tartu , Estonia
| | - Karl G Prütz
- Swedish Renal Registry , Jönköping , Sweden ; Department of Internal Medicine , Hospital of Helsingborg , Helsingborg , Sweden
| | - Marina Ratkovic
- Nephrology and Hemodialysis Department , Clinical Center of Montenegro , Podgorica , Montenegro
| | - Halima Resić
- Clinic for Hemodialysis, Clinical Center , University of Sarajevo , Sarajevo , Bosnia and Herzegovina
| | - Boleslaw Rutkowski
- Polish Renal Registry, Department of Nephrology, Transplantology and Internal Medicine , Medical University , Gdansk , Poland
| | - Carmen Santiuste de Pablos
- Servicio de Epidemiología, Consejería de Sanidad y Política Social , Registro de Enfermos Renales de la Región de Murcia , Murcia , Spain
| | | | - Gültekin Süleymanlar
- Division of Nephrology, Department of Internal Medicine, Cerrahpasa Medical Faculty , Istanbul University , Istanbul , Turkey
| | - Karlijn Van Stralen
- ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, Universiteit van Amsterdam , Amsterdam , the Netherlands
| | - Nestor Thereska
- Service of Nephrology , University Hospital Center, 'Mother Tereza' , Tirana , Albania
| | - Christoph Wanner
- Division of Nephrology, University Clinic , University of Würzburg , Würzburg , Germany
| | - Kitty J Jager
- ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, Universiteit van Amsterdam , Amsterdam , the Netherlands
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Kramer A, Stel VS, Abad Diez JM, Alonso de la Torre R, Bouzas Caamaño E, Čala S, Cao Baduell H, Castro de la Nuez P, Cernevskis H, Collart F, Couchoud C, de Meester J, Djukanovic L, Ferrer-Alamar M, Finne P, Fogarty D, de Los Ángeles García Bazaga M, Garneata L, Golan E, Gonzalez Fernández R, Heaf JG, Hoitsma A, Ioannidis GA, Kolesnyk M, Kramar R, Leivestad T, Limido A, Lopot F, Macario F, Magaz Á, Martín-Escobar E, Metcalfe W, Noordzij M, Ots-Rosenberg M, Palsson R, Piñera C, Postorino M, Prutz KG, Ratkovic M, Resic H, Rodríguez Hernández A, Rutkowski B, Serdengeçti K, Yebenes TS, Spustová V, Stojceva-Taneva O, Tomilina NA, van de Luijtgaarden MWM, van Stralen KJ, Wanner C, Jager KJ. Renal replacement therapy in Europe-a summary of the 2010 ERA-EDTA Registry Annual Report. Clin Kidney J 2013; 6:105-115. [PMID: 27818766 PMCID: PMC5094410 DOI: 10.1093/ckj/sfs164] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Background This study provides a summary of the 2010 European Renal Association–European Dialysis and Transplant Association (ERA–EDTA) Registry Annual Report (available at www.era-edta-reg.org). Methods This report includes data on renal replacement therapy (RRT) using data from the national and regional renal registries in 29 countries in Europe and bordering the Mediterranean Sea. Individual patient data were received from 27 registries, whereas 18 registries contributed data in aggregated form. We present incidence and prevalence of RRT, transplant rates, survival probabilities and expected remaining lifetimes. The latter two are solely based on individual patient records. Results In 2010, the overall incidence rate of RRT for end-stage renal disease (ESRD) among all registries reporting to the ERA–EDTA Registry was 123 per million population (pmp) (n = 91 798). The highest incidence rate was reported by Turkey (252pmp) and the lowest reported by Montenegro (21 pmp). The overall prevalence of RRT for ESRD at 31 December 2010 among all registries reporting to the ERA–EDTA Registry was 741 pmp (n = 551 005). The prevalence varied from 124 pmp in Ukraine to 1580 pmp in Portugal. The overall number of renal transplantations performed in 2010 among all registries was 29.2 pmp (n = 21 740). The highest overall transplant rate was reported from Spain, Cantabria (73 pmp), whereas the highest transplant rate for living donor kidneys was reported from the Netherlands (28 pmp). For patients who started RRT between 2001 and 2005, the unadjusted 5-year patient survival on RRT was 46.2% [95% confidence interval (CI) 46.0–46.3], and on dialysis 38.6% (95% CI 38.5–38.8). The unadjusted 5-year patient survival after the first renal transplantation performed between 2001 and 2005 was 86.6% (95% CI 86.1–87.1) for deceased donor kidneys and 94.1% (95% CI 93.4–94.8) for living donor kidneys.
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Affiliation(s)
- Anneke Kramer
- ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Vianda S Stel
- ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | | | | | | | - Svjetlana Čala
- Nephrology and Dialysis Department, University Clinic for Internal Diseases, Sestre Milosrdnice Clinical Hospital Centre, School of Medicine, University of Zagreb, Zagreb, Croatia
| | | | - Pablo Castro de la Nuez
- Coordinación Autonómica de Trasplantes, Servicios de Apoyo del SAS, Sevilla, Andalusia, Spain
| | - Harijs Cernevskis
- Department of Internal Medicine, P.Stradins Clinical University Hospital, Riga, Latvia
| | | | - Cécile Couchoud
- REIN registry, Agence de la biomédecine, Saint Denis La Plaine Cedex, Paris, France
| | - Johan de Meester
- Dept of Nephrology, Dialysis & Hypertension, AZ Nikolaas, Sint-Niklaas, Belgium
| | | | - Manuel Ferrer-Alamar
- Valencian Region Renal Registry (REMRENAL), Dir. Gral. Investigacion y Salud Publica, Conselleria de Sanitat, Valencia, Spain
| | - Patrik Finne
- Department of Nephrology, Helsinki University Central Hospital, Helsinki, Finland; Finnish Registry for Kidney Diseases, Helsinki, Finland
| | - Damian Fogarty
- Nephrology Research Group, Centre for Public Health, Queen's University and Regional Nephrology Unit, Belfast City Hospital, Belfast, UK
| | | | - Liliana Garneata
- Dr Carol Davila University of Medicine and Pharmacy, Dr Carol Davila Teaching Hospital of Nephrology, Bucharest, Romania
| | - Eliezer Golan
- Israel Society of Nephrology & Hypertension, Dept. of Nephrology & Hypertension, Meir Medical Center, Kfar-Saba, Israel
| | | | - James G Heaf
- Department of Nephrology B, Copenhagen University Hospital at Herlev, Herlev, Denmark
| | - Andries Hoitsma
- Department of Nephrology, Radboud University, Nijmegen Medical Centre, Nijmegen, The Netherlands
| | - George A Ioannidis
- Hellenic Renal Registry, General Hospital of Athens "G.Gennimatas", Athens, Greece
| | | | | | - Torbjørn Leivestad
- The Norwegian Renal Registry, Dept. of Transplantation Medicine, Oslo University Hospital, Oslo, Norway
| | - Aurelio Limido
- Nephrology and Dialysis Unit, Azienda Ospedaliera Fatebenefratelli e Oftalmico, Milano, Italy
| | - Frantisek Lopot
- General University Hospital, Department of Medicine - Strahov and Charles University Medical School, Institute of Biophysics and Informatics, Prague, Czech Republic
| | - Fernando Macario
- Portuguese Renal Disease Registry, Portuguese Society of Nephrology, Coimbra, Portugal
| | | | | | - Wendy Metcalfe
- Scottish Renal Registry, Cirrus House, Abbotsinch, Paisley, Scotland, UK
| | - Marlies Noordzij
- ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | | | - Runolfur Palsson
- Division of Nephrology, Landspitali, The National University Hospital of Iceland and Faculty of Medicine, School of Health Sciences, University of Iceland, Reykjavik, Iceland
| | - Celestino Piñera
- Servicio de Nefrología, Hospital Universitario Valdecilla, Santander (Cantabria), Spain
| | - Maurizio Postorino
- CNR-IBIM Clinical Epidemiology and Pathophysiology of Renal Diseases and Hypertension, Renal and Transplantation Unit, Ospedali Riuniti, Reggio Calabria, Italy
| | - Karl G Prutz
- Department of Internal Medicine, Hospital of Helsingborg, Helsingborg, Sweden
| | - Marina Ratkovic
- Nephrology and Haemodialysis Department, Clinical Center of Montenegro, Podgorica, Montenegro
| | - Halima Resic
- Clinic for Hemodialysis, Clinical Center University of Sarajevo, Sarajevo, Bosnia and Herzegovina
| | | | - Boleslaw Rutkowski
- Polish Renal Registry, Department of Nephrology, Transplantology and Internal Disease, Medical University Gdansk, Gdansk, Poland
| | - Kamil Serdengeçti
- Division of Nephrology, Department of Internal Medicine, Istanbul University, Cerrahpasa Medical Faculty, Istanbul, Turkey
| | | | | | - Olivera Stojceva-Taneva
- Macedonian Renal Registry, University Clinic of Nephrology, University "Sts. Cyril and Methodius" Skopje, Skopje, Republic of Macedonia
| | - Natalia A Tomilina
- Academician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs, Moscow, Russia; Moscow State University of Medicine and Dentistry, Moscow, Russia
| | - Moniek W M van de Luijtgaarden
- ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Karlijn J van Stralen
- ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Christoph Wanner
- Division of Nephrology, University Clinic, University of Würzburg, Würzburg, Germany
| | - Kitty J Jager
- ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
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