title: [Epidemiologic aspects of terminal chronic kidney failure and its therapeutic modalities].
abstract: France occupies second position among industrial countries for the number of patients with chronic renal failure. The incidence of chronic renal failure is 61 per million of inhabitants, and increases by 10 to 20% each year. One third of patients with CRF are renal transplant recipients, while 6% of the remaining patients are treated by chronic ambulatory peritoneal dialysis, 6% by domiciliary haemodialysis and 57% by haemodialysis in a dialysis centre or autodialysis. The mean age of management of patients with end-stage chronic renal failure is 59 years. The role of glomerulonephritis and chronic pyelonephritis appears to be decreasing, but the incidence of diabetic nephropathy has doubled over the last decade. The mean age of transplant recipients is 45 years. The number of transplantations has regularly decreased over several years due to the lack of organs. Chronic renal failure patients essentially die from cardiovascular causes, and the frequency of malignant disease responsible for death is estimated to be 10%.
mesh_terms: D000367:Age Factors; D002423:Cause of Death; D019049:Developed Countries; D003928:Diabetic Nephropathies / Q000453:epidemiology; D005260:Female; D005602:France / Q000453:epidemiology; D005921:Glomerulonephritis / Q000453:epidemiology; D006331:Heart Diseases / Q000401:mortality; D006437:Hemodialysis, Home / Q000706:statistics & numerical data; D006801:Humans; D015994:Incidence; D007676:Kidney Failure, Chronic / Q000453:epidemiology* / Q000401:mortality / Q000601:surgery / Q000628:therapy; D016030:Kidney Transplantation / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000401:mortality; D010531:Peritoneal Dialysis, Continuous Ambulatory / Q000706:statistics & numerical data; D011704:Pyelonephritis / Q000453:epidemiology; D006435:Renal Dialysis / Q000706:statistics & numerical data; D019452:Terminally Ill; D009927:Tissue and Organ Procurement / Q000706:statistics & numerical data
vernacular_title: Aspects épidémiologiques de l'insuffisance rénale chronique terminale et de ses modalités thérapeutiques.