[How does one explain the very good performance of Spanish nephrology]

Spain is a highly performing country in nephrology with 2000 kidney grafts a year (50 pmp); 42% of end stage renal disease patients have a functioning kidney graft (338 pmp); the highest level worldwide of organ donors (33.9 pmp) and very few living donors and finally one of the lowest level in Europe of "late referral to nephrologists" (18%). Amongst various explanations emerge the fact that the number of nephrologist is high in this 40 millions inhabitants country (more than one thousand) when they are less than the thousand for 60 millions inhabitants in France.