title: [Parallels in development of hemodialysis service and kidney transplantations in Lithuania during 1996-2005].
abstract: The aim of our study was to evaluate the changes in hemodialysis service, main demographic characteristics of hemodialysis patients in Lithuania during 1996-2005, and their correlation with the number of recipients on the kidney waiting list. During the study period, we annually visited all hemodialysis centers in Lithuania and collected data about all hemodialysis patients. There was a sharp increase in the number of hemodialysis centers (from 17 to 43), hemodialysis stations (from 25 to 100 per million population, P<0.001), hemodialysis patients (from 60 to 312 per million population, P<0.001), and new hemodialysis patients (from 54.3 to 95 per million population, P<0.01). The mean age of hemodialysis patients increased from 47.2+/-16.1 years in 1996 to 58.8+/-15.6 years in 2005 (P<0.001). Hemodialysis population became older. The percentage of patients aged more than 60 years increased from 22.8% to 53.2% (P<0.001) and aged more than 70 years from 5.4% to 24.4% (P<0.001). The frequency of chronic glomerulonephritis as underlying disease of end-stage renal disease decreased from 54.5% in 1996 to 21.1% in 2005 (P<0.001). There was an increase in the percentage of patients in whom end-stage renal disease was caused by diabetic (from 7.1% to 19.2%, P<0.01) and hypertensive nephropathies (from 3.1% to 13.9%, P<0.05) and chronic pyelonephritis (from 11.2% to 17.9%, P<0.01). The percentage of recipients on the kidney waiting list decreased from 71.4% in 1996 to 21.1% in 2005. In summary, during the last 9 years, hemodialysis service in Lithuania significantly expanded. The number of hemodialysis patients was continuously rising with predominance of diabetic, hypertensive, and elderly patients. Diabetic nephropathy, chronic glomerulonephritis, and pyelonephritis were the main underlying diseases of end-stage renal disease in hemodialysis patients in 2005. The percentage of recipients on the kidney waiting list decreased probably because of the rise in the number of elderly patients and patients with diabetes mellitus in Lithuanian hemodialysis population.
authors.affiliation: Department of Nephrology, Kaunas University of Medicine, Kaunas, Lithuania. nefrologijos.klinika@kmuk.lt
authors.forename: Edita
authors.initials: E
authors.lastname: Ziginskiene
authors.forename: Vytautas
authors.initials: V
authors.lastname: Kuzminskis
authors.forename: Inga Arūne
authors.initials: IA
authors.lastname: Bumblyte
authors.forename: Lina
authors.initials: L
authors.lastname: Santockiene
authors.forename: Egle
authors.initials: E
authors.lastname: Dalinkeviciene
authors.forename: Zydrūne
authors.initials: Z
authors.lastname: Kardauskaite
authors.forename: Jurgita
authors.initials: J
authors.lastname: Uogintaite
authors.forename: Agne
authors.initials: A
authors.lastname: Motiejūnaite
authors.forename: Ernestas
authors.initials: E
authors.lastname: Butautas
authors.forename: Vaclovas
authors.initials: V
authors.lastname: Vainauskas
authors.forename: Kazimieras
authors.initials: K
authors.lastname: Macius
authors.forename: Marija
authors.initials: M
authors.lastname: Sakalauskiene
authors.forename: Ricardas
authors.initials: R
authors.lastname: Steckis
authors.forename: Egle
authors.initials: E
authors.lastname: Gaupsiene
authors.forename: Jūrate
authors.initials: J
authors.lastname: Urbanaviciene
authors.forename: Vilma
authors.initials: V
authors.lastname: Labutiene
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D002648:Child; D002675:Child, Preschool; D003627:Data Interpretation, Statistical; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000453:epidemiology / Q000601:surgery / Q000628:therapy*; D016030:Kidney Transplantation / Q000266:history / Q000639:trends*; D008097:Lithuania; D008875:Middle Aged; D006435:Renal Dialysis / Q000266:history / Q000639:trends*