[Development of the treatment of chronic renal insufficiency in children in West Germany].

In a 10 year period from January 1969 through December 1978, 527 children up to 16 years of age with end stage renal disease (ESRD) underwent renal dialysis in the Federal Republic of Germany and 156 renal transplantation. From the year 1969-1974 20,8% of the children with ESRD under 5 years of age were dialysed, 55.4% of the children 5-10 years of age and 72.4% of the children with ESRD in the age group 10-16 years. In contrast from the year 1974 through 1978 50% of the children with ESRD under 5 years of age could be dialysed, 84.8% of the children 5-10 years, and 88.8% of the children 10-16 years of age. According the data published by EDTA, the number of dialysis and renal transplantation in children in FRG (BRD) was lower than in other European countries. The number reported to EDTA from FRG thus far had not been accurate. The number of patients dialysed and transplanted had increased each year and since 1974, the number was comparable to France, Netherlands and Switzerland. However, the overall dialysis rate in Europe had reached a plateau since 1974. The 5 year survival rate for children with home or hospital dialysis in FRG (BRD) was 78%, which was worse than the rate reported by EDTA for home dialysis, which was 87%. However, the 5 year survival rate for renal transplantation was 74% for FRG (BRD) and 72% for EDTA (cadaveric renal transplantation), the results were quite comparable.(ABSTRACT TRUNCATED AT 250 WORDS)