title: Epidemiological study of 7316 patients on haemodialysis treated in FME clinics in Spain, using data from the EuCliD® database: results from years 2009-2010.
abstract: Observational study of patients on hemodialysis (HD) in FMC® Spain clinics over the years 2009 and 2010. The data were collected from the EuClid® database, implemented in the clinics of FMC®, which complies with the following feature: record online, compulsory, conducted in patients incidents and that it covers the entire population on HD in these clinics. Its aim is to understand the characteristics of patients and treatment patterns, comparing them with other studies described in the literature and in order to improve their prognosis and quality of life. Include 2637 incidents patients and 4679 prevalent, which makes a total of 7316 patients. In prevalent patients: 24.4% were diabetic; 76.3% had cardio-vascular disease (CVD) and 13.4% cancer. Among the incidents, these percentages were: 33.5% diabetic; 80.6% had CVD and 12.6% cancer. The prevalent patients had such as vascular access: FAV 68.5%, prosthesis 5.6%, permanent catheter 23.7% and 2.3% temporary catheter. The average of the duration of the sessions of HD was 230 minutes. 23.2% of the prevalent patients were on on-line hemodiafiltration. These patients hospitalization rates were 0.46 hospitalizations per incident patient per year and 0.52 per prevalent patient per year. The annual gross mortality rate was 12%. The mortality of the patients in this study HD is smaller than these of the Spanish Registry of Dialysis and Transplant (GRER). The result of morbidity and mortality of the FMC clinics of Spain can, therefore, be as good compared with these of the GRER and other international series. That does not mean that there are not areas of improvement as the increase in the time of dialysis, the percentage of patients on on-line hemodiafiltration convective techniques and the percentage of FAV.
authors.affiliation: Servicio de Nefrología, Hospital Universitario Infanta Leonor, Madrid, Spain. rperezgarcia@senefro.org
authors.forename: Rafael
authors.initials: R
authors.lastname: Pérez-García
authors.forename: Inés
authors.initials: I
authors.lastname: Palomares-Sancho
authors.forename: José I
authors.initials: JI
authors.lastname: Merello-Godino
authors.forename: Pedro
authors.initials: P
authors.lastname: Aljama-García
authors.forename: Jesús
authors.initials: J
authors.lastname: Bustamante-Bustamante
authors.forename: José
authors.initials: J
authors.lastname: Luño
authors.forename: Francisco
authors.initials: F
authors.lastname: Maduell-Canals
authors.forename: Angel L
authors.initials: AL
authors.lastname: Martín-de Francisco
authors.forename: Alejandro
authors.initials: A
authors.lastname: Martín-Malo
authors.forename: Eduard
authors.initials: E
authors.lastname: Mirapeix-i-Vicens
authors.forename: Manuel
authors.initials: M
authors.lastname: Molina-Núñez
authors.forename: Manuel
authors.initials: M
authors.lastname: Praga-Terente
authors.forename: Ciro
authors.initials: C
authors.lastname: Tetta
authors.forename: Daniele
authors.initials: D
authors.lastname: Marcelli
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016208:Databases, Factual; D016021:Epidemiologic Studies; D005260:Female; D006268:Health Facilities; D006801:Humans; D008297:Male; D008875:Middle Aged; D006435:Renal Dialysis; D051436:Renal Insufficiency, Chronic / Q000628:therapy*; D013030:Spain; D013997:Time Factors; D055815:Young Adult