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Diabetic patients on dialysis: a changing picture
G B Piccoli1, F Quarello, F Bonello
1Nephro-urology Institute of the University, Torino, Italy.
Kidney International. Supplement
|June 1, 1993
Summary
The incidence of diabetic patients requiring dialysis increased from 1981-1990, particularly in elderly males. This trend highlights changing demographics in end-stage renal disease (ESRD) patients and necessitates future dialysis planning.
Area of Science:
- Nephrology
- Epidemiology
- Public Health
Background:
- The prevalence of diabetic patients on dialysis can indicate dialysis acceptance rates, but incidence varies globally due to epidemiological factors.
- Open dialysis acceptance policies do not always correlate with consistent incidence rates of diabetic patients needing treatment.
Purpose of the Study:
- To analyze the changing demographic patterns of diabetic patients with end-stage renal disease (ESRD) accepted for dialysis over a 10-year period (1981-1990).
- To assess the impact of age and sex on the incidence of diabetic ESRD patients undergoing dialysis in Piedmont, Italy.
Main Methods:
- Utilized data from a comprehensive Dialysis and Transplantation Registry covering 100% of patients in 20 dialysis centers in Piedmont, Italy.
- Analyzed incidence rates per million population (p.m.p.) for diabetic patients accepted for dialysis between 1981 and 1990, stratified by age and sex.
Main Results:
- Overall incidence of diabetic patients on dialysis increased from 6 p.m.p. (1981-82) to 11.5 p.m.p. (1989-90).
- Incidence was higher in males (10.4 p.m.p.) with a peak in the 60-69 age group.
- A significant increase was observed in the elderly, particularly males, with incidence rising from 6.23 p.m.p. to 12.88 p.m.p. between 1981-82 and 1989-90.
Conclusions:
- The demographic profile of diabetic ESRD patients accepted for dialysis is evolving, with a notable rise in the elderly population.
- Stable incidence in younger patients suggests effective open acceptance policies for this group.
- The increasing incidence in the elderly likely reflects improved longevity of diabetic patients and necessitates proactive planning for future dialysis resource allocation.