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Dialysis requirements in Israel
Insights
Chronic dialysis in Israel serves nearly all patients needing treatment. Inadequately managed hypertension significantly impacts long-term survival rates for dialysis patients.
Area of Science:
- Nephrology
- Public Health
- Epidemiology
Background:
- Chronic dialysis is widely accessible in Israel.
- Previous estimates of new dialysis patients per year were around 53/million.
- The European Dialysis and Transplant Association (EDTA) has forecasted an equilibrium stage for dialysis patient numbers.
Purpose of the Study:
- To analyze the incidence of new chronic dialysis patients in Israel over a four-year period.
- To project the future prevalence of dialysis patients in Israel.
- To identify factors affecting long-term survival in dialysis patients.
Main Methods:
- Analysis of new chronic dialysis patient data over four years, excluding systemic diseases like diabetes and lupus.
- Comparison with previous study data from 1965-66.
- Calculation of current dialysis patient numbers and projection to the estimated equilibrium stage.
Main Results:
- The mean number of new dialysis patients per year was 44.5 (range, 39.5 to 48.6), excluding systemic diseases.
- Current dialysis patient prevalence is approximately 171/million population.
- The projected equilibrium stage is 261 dialysis patients/million population, expected in 1983.
- Inadequately treated hypertension was identified as a significant factor impacting long-term survival.
Conclusions:
- The incidence of new dialysis patients in Israel is consistent with previous estimates, with minor discrepancies likely due to methodology.
- Israel is approaching the projected equilibrium stage for dialysis patient numbers.
- Effective management of hypertension is crucial for improving long-term survival outcomes in patients undergoing chronic dialysis.
Abstract:
Chronic dialysis is available in Israel to almost all patients who require it. During the last four years the mean number of new patients/million population per year was 44.5 (range, 39.5 to 48.6), excluding patients with systemic diseases such as diabetes mellitus and lupus erythematosus. This number is close to that estimated in a previous study--53/million per year for the years 1965-66--and the discrepancy is probably methodological in nature. The stage of equilibrium for Israel, when the net gain in patients per year approaches zero, as forecast by the European Dialysis and Transplant Association, will be reached in 1983 with 261 dialysis patients/million population. At present, the number is about 171. Inadequately treated hypertension was found to considerably affect long-term survival.
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