Exploring the Differences in Epidemiology of Treated ESRD Between Germany and England and Wales
American Journal of Kidney DiseasesPublished 20 February 2006
Fergus Caskey, Hans-Jürgen Schober-Halstenberg, Paul Roderick, Günter Edenharter, David Ansell, Ulrich Frei
Citations51
SJR quartileQ1
SJR score3.02
SNIP2.94
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Much of the difference in RRT incidence between Germany and E&W is explained by a greater prevalence of diabetes, hypertension, and vascular disease in the German general population, particularly those older than 65 years, and lower competing mortality risk.
Abstract
Much of the difference in RRT incidence between Germany and E&W is explained by a greater prevalence of diabetes, hypertension, and vascular disease in the German general population, particularly those older than 65 years, and lower competing mortality risk.
Keywords
Medicine
JAMAHypertension Prevalence and Blood Pressure Levels in 6 European Countries, Canada, and the United States
1,739 Citations2003Katharina Wolf-Maier
The 60% higher prevalence of hypertension in Europe compared with the United States and Canada has not been generally appreciated and the implication for national prevention strategies should be vigorously explored.
Kidney InternationalPredictors of the progression of renal disease in the Modification of Diet in Renal Disease Study
698 Citations1997Modification of Diet in Renal Disease Study Group, Lawrence G. Hunsicker +8 more
A systematic analysis to determine baseline factors that predict the decline in GFR, or which alter the efficacy of the diet or blood pressure interventions, found an approximately linear mean GFR decline as renal disease progresses.
DiabetologiaHigh prevalence of undiagnosed diabetes mellitus in Southern Germany: Target populations for efficient screening. The KORA survey 2000
552 Citations2003Wolfgang Rathmann, Burkhard Haastert +5 more
Screening for undiagnosed diabetes could be most efficient in individuals with abdominal adiposity (men), hypertriglyceridaemia (women), hypertension, and parental diabetes history, indicating the need for screening and prevention.
American Journal of Kidney DiseasesA population-based study of the incidence and outcomes of diagnosed chronic kidney disease
353 Citations2003Nicholas Drey, Paul Roderick +2 more
The incidence of diagnosed CKD is common, especially in the elderly, and is greater in more deprived areas, and the prognosis is poor, with CVD prominent.
Nephron Clinical PracticeChoosing Not to Dialyse: Evaluation of Planned Non-Dialytic Management in a Cohort of Patients with End-Stage Renal Failure
288 Citations2003Carolyn J. Smith, Maria Da Silva‐Gane +4 more
In high-risk, highly dependent patients with renal failure, the decision to dialyse or not has little impact on survival, and Dialysis in such patients risks unnecessary medicalisation of death.
HypertensionImproved Hypertension Management and Control
279 Citations2001Paola Primatesta, Marion Brookes +1 more
The 1998 data suggest that improved detection, greater use of nonpharmacological measures, and increased use of >1 antihypertensive agent per patient would produce greater success in achieving target levels, which could lead to major reductions in fatal and nonfatal cardiovascular events.
Nephrology Dialysis TransplantationTrends in the incidence of renal replacement therapy for end-stage renal disease in Europe, 1990-1999
261 Citations2003Bénédicte Stengel
RRT incidence continues to rise but at various rates in the European countries studied, tending to widen the gap between them, mainly results from enlarging differences in incidence in the elderly and, to a lesser extent, in that due to diabetes, hypertension and renal vascular disease.
Journal of the American Society of NephrologyDietary protein restriction, blood pressure control, and the progression of polycystic kidney disease. Modification of Diet in Renal Disease Study Group.
251 Citations1995S Klahr, Julia A. Breyer +7 more
Lower protein intake, but not prescription of the keto acid-amino acid supplement, was marginally associated with a slower progression of renal disease, and the rate of decline was faster in participants with ADPKD than in persons with other diagnoses.
American Journal of Kidney DiseasesUnreferred chronic kidney disease: a longitudinal study
244 Citations2004Robert John, Michelle Webb +2 more
Referral of all patients with CKD is unrealistic and inappropriate and management strategies aimed at improving adverse outcomes need to take account of this and be developed and implemented through collaboration between primary care and secondary care.
Public Health NutritionDiversity of dietary patterns observed in the European Prospective Investigation into Cancer and Nutrition (EPIC) project
239 Citations2002Nadia Slimani, Michael Fahey +27 more
There are considerable differences in food group consumption and dietary patterns among the EPIC study populations, and this large heterogeneity should be an advantage when investigating the relationship between diet and cancer and formulating new aetiological hypotheses related to dietary patterns and disease.
BMJDeprivation and cause specific morbidity: evidence from the Somerset and Avon survey of health
207 Citations1996Jenny Eachus, Mark Williams +5 more
The heavy burden of disease in the most deprived groups, particularly among elderly people, warrants attention in planning of the health service and resource allocation.
Nephrology Dialysis TransplantationLate referral for end-stage renal disease: a region-wide survey in the south west of England
150 Citations2002Paul Roderick
Nearly a quarter of patients are referred for specialist nephrology treatment at a very late stage, within 1 month of RRT, less likely to receive interventions that could alter the progression of CRF or reduce its associated co-morbidity, have a worse clinical state at the start of R RT, longer hospitalization and poorer survival.
BMJIncidence of advanced chronic renal failure and the need for end stage renal replacement treatment.
143 Citations1990Terry Feest, Chandra D. Mistry +2 more
Many patients suitable for renal replacement treatment are still not referred for nephrological opinion and are denied treatment, and the number of patients receiving treatment would rise to about 800 per million, which has considerable but predictable resource implications for the NHS.
QJMThe Coventry Diabetes Study: Prevalence of Diabetes and Impaired Glucose Tolerance in Europids and Asians
133 Citations1991David Simmons, Desmond E. Williams +1 more
The Coventry Diabetes Study compared the prevalence of diabetes and impaired glucose tolerance in adult Asians and Europids in relation to age, sex and body mass index to find that there is a greater proportion of males, a lower proportion undiagnosed disease, a younger age at diagnosis and a greaterportion of abnormal glucose tolerance that is due to non-insulin-dependent diabetes.
Nephrology Dialysis TransplantationThe pattern of referral of patients with end-stage renal disease to the nephrologist--a European survey
121 Citations1999Norbert Lameire
It can be deduced from these results that late referral has important economic consequences, leading to increased costs because of longer initial hospitalization times, the lack of choice for the cheaper form of peritoneal dialysis the lower transplantation rates in the late referrals.
Nephrology Dialysis TransplantationHealthcare systems--an international review: an overview
108 Citations1999Norbert Lameire
The present report explores the impact of these healthcare models on the access to, quality and cost of healthcare in selected European countries and finds the Private Insurance/private provider model of the US produces the highest costs, but is lowest in access and is close to lowest ranking in quality parameters.
PubMed[The German Health Survey. 1997/98].
101 Citations1998B.-M. Bellach, Hildtraud Knopf +1 more
The opportunity given to the individual Länder to increase the size of the sample was realized by Bavaria and the practised principle of a modular structure and co-financing may be regarded as a model and serve as an example for the cost effective implementation of such extensive health surveys.
Journal of the American Society of NephrologyThe Contribution of Increased Diabetes Prevalence and Improved Myocardial Infarction and Stroke Survival to the Increase in Treated End-Stage Renal Disease
89 Citations2003Paul Muntner, Josef Coresh +2 more
The increasing number of treated end-stage renal disease cases in the United States is partly explained by the increase in diabetes prevalence and US population growth but only minimally by MI and stroke survival.
Statistics for biology and healthIntroduction to Survival Analysis
58 Citations2011David G. Kleinbaum, Mitchel Klein
DMW - Deutsche Medizinische WochenschriftPrävalenz des Diabetes mellitus in Deutschland 1998 - 2001
55 Citations2003H. Hauner, Ingrid Köster +1 more
Nephrology Dialysis TransplantationAnnual report of the German renal registry 1998
50 Citations1999Ulrich Frei
During the past 3 years, the basis of a German Renal Registry has been established and an agreement between end-stage renal disease (ESRD) therapy providers, insurance companies and the government has been reached to fund and support the registry office and its electronic data base.
Nephrology Dialysis TransplantationDeaths within 90 days from starting renal replacement therapy in the ERA–EDTA Registry between 1990 and 1992
45 Citations1999D. Tsakiris, Elizabeth H. Jones +9 more
D Deaths within 90 days were significantly more frequent in elderly patients with more early deaths resulting from cardiac and social causes, while vascular causes of death and malignancy were more common in those dying after 90 days.
American Journal of Kidney DiseasesPatterns of Low Incidence of Treated End-Stage Renal Disease Among the Elderly
32 Citations1992Lawrence H. Moulton, Friedrich K. Port +3 more
US county-level maps of the 1983 to 1988 incidence of treated end-stage renal disease (ESRD) among white and nonwhite persons 65 years of age and older are presented, revealing several interesting geographic patterns.
Nephrology Dialysis TransplantationThere is room for improvement of preterminal care in diabetic patients with end-stage renal failure--the epidemiological evidence in Germany
31 Citations1997Wolfgang Pommer, F. Bressel +2 more
There is little evidence that state-of-the-art treatment is provided to the majority of diabetic patients with renal disease, and this pessimistic conclusion is supported by an epidemiological survey in Berlin.
TransplantationINCIDENCE, RISK AND PREDICTORS OF CANCER AFTER RENAL TRANSPLANTATION; AN ANALYSIS OF ANZDATA, THE AUSTRALIA AND NEW ZEALAND DIALYSIS AND TRANSPLANT REGISTRY.
23 Citations2004Angela C Webster, Berbie Byrne +3 more
DMW - Deutsche Medizinische WochenschriftUrämische Patienten - späte Überweisung, früher Tod
22 Citations2003Vedat Schwenger, Alan F. Hofmann +5 more
Early referral of patients with renal failure is indispensable to improve dialysis outcomes and causes more frequent problems of vascular access, longer hospitalisation, more medical complications, higher costs and higher mortality.
DMW - Deutsche Medizinische WochenschriftBehandlungsqualität niereninsuffizienter Diabetiker in Deutschland
20 Citations2008Christine K. Keller, E. Ritz +4 more