Data published by the European Renal Association-European Dialysis and Transplant Association (ERA-EDTA) show the number of people in need of renal replacement therapy (RRT) is rising.
The 2017 Annual Report of the ERA-EDTA Registry includes data from 53 national or regional renal registries in 37 countries. It shows out of almost 700 million people, 88,453 began RRT in 2017, equating to a rate of 127 per million people (pmp), up from 121 pmp in 2016.
The ERA-EDTA says the incidence rate varied considerably among countries. Kosovo had an adjusted incidence rate of 429 pmp, while in Greece it was 223 pmp, in France it was 174 pmp, in Switzerland it was 99 pmp and in Estonia it was 68 pmp. The ERA-EDTA said, while these differences can be explained partly because of differences in national resources that are available for RRT, they are also explained by differences in general population health and availability of preventive measures between countries across Europe.
The report also shows 85 per cent of all patients started RRT with haemodialysis, 11 per cent started peritoneal dialysis and only 4 per cent received a transplant right at the start of RRT.