UK Renal Registry, Bristol, UK.
Nephron Clin Pract. 2012;120 Suppl 1:c93-103. doi: 10.1159/000342847. Epub 2012 Sep 1.
To describe the demographics of the paediatric RRT population under the age of 16 years in the UK and to analyse changes in demography with time.
Data were collected from all 13 paediatric renal centres within the UK. A series of cross-sectional and longitudinal analyses were performed to describe the demographics of prevalent paediatric RRT patients.
A total of 870 children and young people under 18 with ERF were receiving treatment at paediatric nephrology centres in 2010. At the census date, 76.7% had a functioning transplant, 14.3% were receiving peritoneal dialysis (PD) and 9.0% were receiving haemodialysis (HD). In patients aged <16 years the prevalence of ERF was 59.3 pmarp and the incidence 8.1 pmarp. Analysis of trends over the last 15 years shows that both incidence and prevalence are increasing with the most marked increases in children aged 12-16 years and in ethnic minority groups. A third of the patients have one or more reported comorbidities. At transfer to adult services, 84.9% of patients had a functioning renal transplant.
The data provided in this report show increasing trends over 15 years in the incidence and prevalence of established renal failure. This is important for the planning of the provision of care for children needing renal replacement therapy. The inclusion this year of an analysis of the patients transferring to adult services may assist in developing care pathways for this vulnerable group.
描述英国年龄在 16 岁以下的儿科肾脏替代治疗（RRT）人群的人口统计学特征，并分析随时间推移人口统计学特征的变化。
数据来自英国的 13 个儿科肾脏中心。进行了一系列横断面和纵向分析，以描述现患儿科 RRT 患者的人口统计学特征。
2010 年，共有 870 名患有急性肾损伤的 18 岁以下儿童和年轻人在儿科肾病中心接受治疗。在普查日，76.7%的患者有功能移植，14.3%的患者接受腹膜透析（PD），9.0%的患者接受血液透析（HD）。在<16 岁的患者中，急性肾损伤的患病率为 59.3 pmarp，发病率为 8.1 pmarp。对过去 15 年趋势的分析表明，发病率和患病率都在增加，12-16 岁的儿童和少数族裔群体的增幅最为明显。三分之一的患者有一个或多个报告的合并症。在转至成人服务时，84.9%的患者有功能肾移植。
本报告提供的数据显示，过去 15 年中，确诊肾衰竭的发病率和患病率呈上升趋势。这对于规划需要肾脏替代治疗的儿童的护理提供很重要。今年包括了对转至成人服务的患者的分析，这可能有助于为这一弱势群体开发护理途径。
