Dialysis requirements in Israel

Israel Journal of Medical Sciences
|December 1, 1979
PubMed

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.

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