Kazes Isabelle, Béchade Clémence, Lobbedez Thierry, Couchoud Cécile, Lassalle Mathilde
Coordination régionale Champagne-Ardenne, CHU Reims, France
Coordination régionale Basse-Normandie, CHU Caen, France
Nephrol Ther. 2023 Aug 28;18(S2):19-24. doi: 10.1016/S1769-7255(22)00562-4.
On the occasion of the 20th anniversary of the REIN (French Renal Epidemiology and Information Network), a summary work on the contributions of the national French ESKD register was carried out. On the issue of ESKD incidence, the following key messages were retained. Thanks to several studies conducted using data from the REIN registry, the spatial variations of incidence of stage 5 chronic kidney disease in the replacement stage could be explained, in part, by the health condition of the general population as well as by the socio-economic context and differences in practices. Just like what is observed in other countries, the incidence is stabilising, or even decreasing, especially among people who do not have diabetes. Thanks to the registry having provided an indicator on the initiation of the dialysis, a decrease in the rate of initiation of emergency dialysis (i.e., initiated less than 24 hours after a nephrology evaluation considering a vital risk for the patient) has been observed, resulting from an effort to understand and better anticipate the starting of the replacement.
在法国肾脏流行病学与信息网络（REIN）成立20周年之际，对法国全国终末期肾病登记处的贡献进行了一项总结工作。关于终末期肾病发病率问题，保留了以下关键信息。得益于利用REIN登记处数据开展的多项研究，终末期慢性肾病替代期发病率的空间差异，部分可归因于普通人群的健康状况、社会经济背景以及医疗实践差异。与其他国家观察到的情况一样，发病率正在稳定甚至下降，尤其是在非糖尿病患者中。由于登记处提供了透析起始指标，已观察到急诊透析起始率（即在考虑患者有生命危险的肾病评估后不到24小时就开始透析）有所下降，这是努力理解并更好预测替代治疗开始时间的结果。
