Trends in adult renal replacement therapy in the UK: 1982-2002

Abstract

Despite significant expansion in RRT services for adults in the UK over the last 20 years, there is evidence of unmet need, and need is expected to rise, due to demographic changes and trends in type 2 diabetes. Continuing growth in the already substantial investment in RRT will be needed, unless efforts to prevent the occurrence of ERF are successful.

Validity of International Classification of Diseases, Ninth Revision, Clinical Modification Codes for Acute Renal Failure

“…T he epidemiology of ESRD has been studied extensively using large databases such as the United States Renal Data System and similar registries in Canada, Europe, Australia, and New Zealand (1)(2)(3)(4). In contrast, the epidemiology of acute renal failure (ARF) in hospitalized patients is less well understood, having been derived largely from single-center retrospective studies that used detailed review of medical records (5)(6)(7).…”

The 'Sit-to-Scale' score a pilot study to develop an easily applied score to follow functional status in elderly dialysis patients

“…Similar demographic trends have been observed in the United States and the United Kingdom [3,4]. Cross-sectional studies have shown older haemodialysis patients are generally less active and more physically impaired than younger patients [3,5,6]. In addition older dialysis patients suffer from a high degree of disability and functional dependence [6][7][8][9].…”

“…Fifty-five percent of all new dialysis patients are 65 years of age and older, and almost 25% are 75 years and older [2]. Similar demographic trends have been observed in the United States and the United Kingdom [3,4]. Cross-sectional studies have shown older haemodialysis patients are generally less active and more physically impaired than younger patients [3,5,6].…”

Cardiovascular Risk Assessment in Diabetes and Chronic Kidney Diseases: A New Insight and Emerging Strategies

“…Consequently with an increasing DM global prevalence and an aging population, DM has become the leading single cause of ESRD in many developed and developing countries [19][20][21][22][23][24]. Moreover, it is now proven that even a mild reduction in kidney function is accompanied by an increased cardiovascular (CV) risk [25,26].…”