Renal replacement therapy in Slovenia: excerpts from 2011 data.
This report provides a summary of the 2011 Slovenian renal replacement therapy (RRT) data. Data were obtained from 24 renal centers: 23 dialysis and one transplant center, referred as of 31 December 2011, with 100% response rate to individual patient questionnaires. Slovenia has a population of approximately 2 million (2 052 496 in 2011). The total number of patients treated by RRT was 2011,that is, 980 per million of population (pmp); 0.4% decrease compared to 2010. 1347 (67.0%) were treated by hemodialysis, 60 (3.0%) by peritoneal dialysis, and 604 (30.0%) had a functioning kidney graft. A total of 236 incident patients, 115 pmp (at day one), started RRT, their median age was 68 years, 64.8% were men, 36.4% were diabetics. Regarding hemodialysis patients, 59.3% were treated with on-line hemodiafiltration, 86% with ultrapure dialysis fluid. Median weekly duration of hemodialysis was 12.5 h, median dry body weight 70 kg, mean blood flow 275 ± 46 mL/min, 7.1% were dialyzed in a single-needle mode. Vascular accesses were native arteriovenous fistula in 79%, polytetrafluoroethylene graft in 6%, and catheter in 15%. The crude death rate was 15.9% in dialysis patients, 1.9% in transplant recipients, and 12.0% in all RRT patients (both dialysis and transplant, incident patients at day 1 included). Slovenia has been a member of Eurotransplant since 2000. Forty-six kidney transplantations were performed in 2011, all from deceased donors. A slight decrease in prevalent number of RRT patients was observed in 2011, for the first time in 40 years. The number and proportion of patients with functioning kidney grafts is increasing, reaching 30% in 2011.
Department of Nephrology, University Medical Center Ljubljana, Slovenia. jadranka.buturovic@mf.uni-lj.si
Jadranka
J
Buturović-Ponikvar
Jakob
J
Gubenšek
Miha
M
Arnol
Tone
T
Adamlje
Danica
D
Blanuša
Zlata
Z
Ceglar
Sonja Cimerman
SC
Steklasa
Senka
S
Černe
Andrej
A
Čufer
Andrej
A
Drozg
Robert
R
Ekart
Andrej
A
Guček
Aljoša
A
Kandus
Sonja
S
Kapun
Simona
S
Kralj-Lopert
Dimitrij
D
Klančič
Natalija
N
Kunc-Rešek
Stojan
S
Kralj
Marko
M
Malovrh
Marjan
M
Močivnik
Gregor
G
Novljan
Rafael
R
Ponikvar
Igor
I
Rus
Silvan
S
Saksida
Bojan
B
Vujkovac
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015314:Dialysis Solutions / Q000737:chemistry; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D016030:Kidney Transplantation / Q000379:methods / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000379:methods / Q000706:statistics & numerical data*; D006435:Renal Dialysis / Q000379:methods / Q000706:statistics & numerical data*; D017524:Slovenia; D011795:Surveys and Questionnaires; D055815:Young Adult
D015314:Dialysis Solutions
End-stage renal disease; Epidemiology; Hemodialysis; Kidney transplantation; Peritoneal dialysis