[Thirty years of nephrology and dialysis in Mantua: results and prospects]

During the thirty years from its birth, the activity of the Department of Nephrology and Dialysis at the Carlo Poma Hospital in Mantova has witnessed the progressive increase in the number of kidney patients (300/year), uraemic patients in RRT, both peritoneal and extracorporeal (>220 patients) and kidney transplants (84). During the same period there has also been an increase in the following activities: from kidney biopsy by echocolordoppler for glomerular illness to metabolic studies for the prevention of kidney stones, therapy and follow-up for hypertension during pregnancy to echo-studies of the renal vascular bed, long-term follow-up of kidney transplant patients to territorial distribution of 4 limited-care dialysis facilities. Vascular access surgery, 100 interventions per year, and home peritoneal dialysis (CAPD and APD (today more than 50 pts in treatment) are increasing. During the last three years there has been a rapid increased in requests for CRRT in the ICU's. After acknowledging the work of all doctors active throughout the years, this presentation ends with a report on the goals for the near future.