Renal replacement therapy in an era of socioeconomic changes-report from the Polish registry.
During the era of so-called'real'socialism, renal replacement therapy was in a very poor condition in Poland.
Here we present data on the influence that the socioeconomic changes in Poland had on the status of dialysis therapy.
All data are based on analysis of annual questionnaires from all dialysis and renal transplant units.
During the period 1989-1995, the number of dialysis units increased by 39%, the number of stations by 68%, and the number of patients by 136%. Not only quantitative but also qualitative changes occurred in the introduction of new, modern machines, individualization of dialysis treatment, the start of a peritoneal dialysis programme, and an increasing number of patients on erythropoietin therapy.
Also, broader criteria for the admission of patients with secondary nephropathies (especially diabetes) and aged people were adopted.
The gross mortality rate (9.5-10.5%) during the period of observation was satisfactory and comparable with that of western European countries.
Progress was the result of the implementation of the programme of the National Committee for the Promotion of Nephrology, approved by the Ministry of Health and the Parliamentary Health Commission, and supported by the central funding system.
Further consequent development of all alternative renal replacement therapy methods (among them especially renal transplantation) is necessary to achieve an acceptance rate comparable with developed countries by the beginning of the next century.
Mots-clés Pascal : Pologne, Europe, Homme, Dialyse, Rapport coût bénéfice, Gestion ressources, Hémodialyse, Dialyse péritonéale, Epidémiologie, Insuffisance rénale, Epuration extrarénale, Appareil urinaire pathologie, Rein pathologie
Mots-clés Pascal anglais : Poland, Europe, Human, Dialysis, Cost benefit ratio, Resource management, Hemodialysis, Peritoneal dialysis, Epidemiology, Renal failure, Extrarenal dialysis, Urinary system disease, Kidney disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0340302
Code Inist : 002B27B03. Création : 12/09/1997.