title: [Epidemiological characteristics of elderly dialysed patients aged 75 and more. Study conducted in the Provence-Alpes-Côte d'Azur region of France].
abstract: BACKGROUND
  One of the consequences of an ageing French population is the large number of elderly patients with end stage renal failure (ESRF). Nephrologists will be increasingly confronted with the growing number of elderly patients and the sometimes-precarious health of the extremely elderly.
  
  
  OBJECTIVE
  To describe the epidemiological characteristics of the populations of patients over 75 years in ESRF, treated by dialysis in the Provence Alpes Côte d'Azur region (Paca) in 1999.
  
  
  METHODS
  Cross-sectional survey.
  
  
  RESULTS
  Of the 2347 patients treated by dialysis and resident in the Paca region, 25,1% are aged 75 or more. The prevalence for this age group is of 1428 patients per million persons (pmp) versus 429 pmp for those aged under 75 years. Elderly patients are more frequently treated by dialysis in centres, with shorter dialysis duration. They have more complications related to treatment (perdialytic hypotension, irregular cardiac rhythm), more dependence and more frequently exhibit comorbidity, with the exception of hepatitis C which is less frequent in this population (p<0.0001). The number of patients aged 75 and over treated with dialysis increased 53% between 1995 and 1999 in the Paca region compared with an overall increase of 17% during the same period. The recourse to hemodialysis in a centre for these patients increased by 39.4% whereas it has decreased by 2.4% in younger populations (p<0.0001). In fact, the use of autodialysis has risen enormously: +309% for those aged 75 years and more and +88.1% for others.
  
  
  CONCLUSIONS
  The increase in the prevalence of elderly people undergoing dialysis will present problems due to a saturation point which is now being reached in dialysis centres. It is clear that those who forecast health care provisions will need to adapt the supply and demand better to the requirements of the population.
authors.affiliation: Laboratoire de santé publique (EA 3279), Faculté de médecine, Marseille.
authors.forename: Jean-Christophe
authors.initials: JC
authors.lastname: Delarozière
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Gentile
authors.forename: Bénédicte
authors.initials: B
authors.lastname: Devictor
authors.forename: Isabelle
authors.initials: I
authors.lastname: Bongiovanni
authors.forename: Roland
authors.initials: R
authors.lastname: Sambuc
authors.forename: Alain
authors.initials: A
authors.lastname: Robert
authors.forename: Yvon
authors.initials: Y
authors.lastname: Berland
mesh_terms: D000368:Aged; D003430:Cross-Sectional Studies; D003625:Data Collection; D005260:Female; D005602:France; D006801:Humans; D007676:Kidney Failure, Chronic / Q000453:epidemiology* / Q000628:therapy; D008297:Male; D006435:Renal Dialysis