title: [Renal replacement therapy for chronic renal failure patients in the Languedoc-Roussillon region in 1994].
abstract: BACKGROUND
  Unbiased and reliable data are presently required for health planning concerning end stage renal diseases (ESRD) in Languedoc-Roussillon region of France.
  
  
  METHODS
  A comprehensive retrospective study has been carried out on patients with ESRD in 1994 in this area. Information was collected from medical and social documents by physicians. The present report describes the management of patients and their demographic and epidemiologic characteristics. Multiple correspondence analysis was carried out to estimate to what extent mode of renal replacement therapy is determined by patient characteristics.
  
  
  RESULTS
  An incidence of 11.4 for new cases of renal replacement therapy was found per 100,000 inhabitants. This represents an increase of 4.8% in the total number of patients. The patients were found to be elderly (25% being over 72 years) and to present with multiple pathologies (32.5% severe cardiac pathology; 20.7% arteritis of the lower limbs; 15.1% diabetes; 11.2% manifesting malignant tumors). Only 57.5% received dialysis within a hospital setting; 30.1% received dialysis at home; 13% perform autodialysis; 1.2% were being trained for home dialysis in December. The renal transplantation rate was 5.5%. No significant relationship was found between choice of therapy and age, renal disease, comorbidities and place of dwelling.
  
  
  CONCLUSIONS
  This study demonstrates the great variety in the modes of treatment used, the facilities provided and the evolutive trend, which together make programming planning difficult.
authors.affiliation: Observatoire Régional de la Santé du Languedoc-Roussillon, Hôpital Saint-Eloi, Montpellier.
authors.forename: I
authors.initials: I
authors.lastname: Millot
authors.forename: J P
authors.initials: JP
authors.lastname: Daures
authors.forename: D
authors.initials: D
authors.lastname: Bessaoud
authors.forename: B
authors.initials: B
authors.lastname: Ledésert
authors.forename: D
authors.initials: D
authors.lastname: Nebbia
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005602:France / Q000453:epidemiology; D006301:Health Services Needs and Demand; D006801:Humans; D015994:Incidence; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000628:therapy*; D008875:Middle Aged; D018579:Patient Selection; D015995:Prevalence; D012040:Regional Health Planning; D017582:Renal Replacement Therapy / Q000379:methods / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D012307:Risk Factors
vernacular_title: Les insuffisants rénaux chroniques en traitement de suppléance dans la région Languedoc-Roussillon en 1994.