[Regional disparities in the management of dialysed patients in France in 2003].
Epidemiologic data on end-stage renal disease (ESRD) treated with renal dialysis remain sparse and incomplete in France because there is no national registry of dialysis patients. The aim of this study was to determine the characteristics (age, gender, comorbidities, associated handicap) of patients treated with renal dialysis and to compare the dialysis regional practices. We performed a cross-sectional descriptive study from June 2 to June 8, 2003 in all renal dialysis units by enrolling all the patients residing in France with ESRD who were dialysed during that week, irrespective of the treatment they received or where they were being treated. In 2003, the type of dialysis units available and the technique they employ were quite different from one region to another, varying from 41.1 to 70.2% for highly specialized unit, 9.4 to 48.4% for self-care hemodialysis, and 2.9 to 26.5% for peritoneal dialysis.
Macron-Noguès
Françoise
F
CNAMTS, direction du service du contrôle médical, Paris, France. francoise.macron@cnamts.fr
Vernay
Michel
M
Ekong
Eric
E
Thiard
Bénédicte
B
Salanave
Benoît
B
Fender
Pierre
P
Allemand
Hubert
H
D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D005260:Female; D005602:France; D006801:Humans; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012041:Regional Medical Programs / Q000592:standards; D012042:Registries; D006435:Renal Dialysis / Q000592:standards* / Q000706:statistics & numerical data*