Issad Belkacem, Galland Roula, Merle Véronique, Lobbedez Thierry, Lassalle Mathilde
Représentant du registre de dialyse péritonéale de langue française (RDPLF) au CS REIN, Service de Néphrologie groupe hospitalier Pitié /Salpêtrière Paris Sorbonne université
Coordination régionale Rhône-Alpes, Calydial, Irigny, France
Nephrol Ther. 2023 Aug 28;18(S2):25-30. doi: 10.1016/S1769-7255(22)00563-6.
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 prevalence, the following key messages were retained. While chronic kidney disease affects all age groups, there always are more patients to treat in the older age groups, with a median age of 71.1 years (IIQ 60.3-80.0) under dialysis and 58.7 years (IIQ 47.4-68.3) under renal transplant. Despite an increase in transplant activity and improved survival of grafts, the gap between the number of dialysis patients and transplant patients at the end of each year is only moderately reduced. There has been a moderate decrease in the proportion of in-centre haemodialysis that is explained by a significant increase in medicalised dialysis units (out-centre haemodialysis) and a decrease in self-care haemodialysis. Finally, a stable home-based care has been observed despite the ministerial incentives and the recommendations of the French-speaking scientific society (SFNDT-white paper).
在法国肾脏流行病学与信息网络（REIN）成立20周年之际，对法国国家终末期肾病登记处的贡献进行了一项总结工作。关于终末期肾病的患病率问题，得出了以下关键信息。虽然慢性肾脏病影响所有年龄组，但老年组总有更多患者需要治疗，透析患者的中位年龄为71.1岁（四分位间距60.3 - 80.0），肾移植患者的中位年龄为58.7岁（四分位间距47.4 - 68.3）。尽管移植活动增加且移植物存活率提高，但每年年底透析患者与移植患者数量之间的差距仅适度缩小。中心血液透析比例出现适度下降，这是由于医疗化透析单元（中心外血液透析）显著增加以及自我护理血液透析减少所致。最后，尽管有部长级激励措施以及法语科学协会（SFNDT白皮书）的建议，但家庭护理情况一直稳定。
