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Dialysis requirements in Israel.

H E Eliahou, A Iaina

    Israel Journal of Medical Sciences
    |December 1, 1979
    PubMed
    Summary

    Chronic dialysis in Israel serves nearly all patients needing treatment. Inadequately managed hypertension significantly impacts long-term survival rates for dialysis patients.

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    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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