Author/Editor     Buturović-Ponikvar, Jadranka; Gubenšek, Jakob; Arnol, Miha; Adamlje, Tone; Blanuša, Danica; Ceglar, Zlata; Cimerman-Steklasa, Sonja; Černe, Senka; Čufer, Andrej; Drozg, Andrej; Ekart, Robert; Guček, Andrej; Kandus, Aljoša; Kapun, Sonja; Kralj Lopert, Simona; Klančič, Dimitrij; Kunc Rešek, N.; Kralj, Stojan; Malovrh, Marko; Močivnik, Marjan; Novljan, Gregor; Ponikvar, Rafael; Rus, Igor; Saksida, Silvana; Vujkovac, Bojan
Title     Renal replacement therapy in Slovenia
Type     članek
Source     In: Special issue : contributions from the 5th Slovenian Congress of Nephrology with international participation [S. l.] : International Society for Apheresis
Publication year     2013
Volume     str. 357-362
Language     eng
Abstract     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 (2052496 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 12.5h, median dry body weight 70kg, mean blood flow 27546mL/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.
Keywords     end-stage renal disease
epidemiology
hemodialysis
kidney transplantation
peritoneal dialysis