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Prischl, FC; Auinger, M; Säemann, M; Mayer, G; Rosenkranz, AR; Wallner, M; Kramar, R; Austrian Dialysis and Transplant Registry.
Diabetes-related end-stage renal disease in Austria 1965-2013.
Nephrol Dial Transplant. 2015; 30(11):1920-1927 [OPEN ACCESS]
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Autor/innen der Med Uni Graz:
Rosenkranz Alexander
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Abstract:
Diabetic kidney disease (DKD) is the leading cause of end-stage renal disease (ESRD) in Austria, accounting for a high burden of morbidity and mortality. In this nationwide study, we aimed to evaluate the incidence and fate of patients with DKD-ESRD over time. Data (collected annually) from the Austrian Dialysis- and Transplant Registry were analysed for the development of ESRD due to DKD from 1965 to 2013. Over 48 years, 8322 and 22 975 patients with ESRD due to diabetes and non-diabetes, respectively, entered dialysis. While DKD-ESRD-patients were not dialysed until 1974, in 1975 seven type 1- and one type 2-diabetics started dialysis (1.06 per million population-PMP). In the mid-eighties, DKD-ESRD-patients increasingly were accepted for dialysis (1986: 14.53 PMP, 1996: 31.16 PMP). After a peak incidence of 415 diabetic ESRD-patients in 2006 (50.19 PMP), numbers decreased continuously thereafter (2013: 299 patients, 35.73 PMP). Mean age at start of dialysis increased over time and was lower in type 1- and higher in type 2- compared with non-diabetic patients. Five-year-survival-probability in two diabetic ESRD-cohorts, starting in 2007/08 and 10 years earlier was calculated. Five-year-survival was 28% in 1997/98 and 37.5% in 2007/08. Adjusted relative risk reduction was 33% (HR 0.67, CI 95% 0.57-0.78; P < 0.001). Despite a growing prevalence of diabetes, the incidence of diabetic ESRD has decreased after 2006. Five-year-survival-probability has improved over 10 years. Multifactorial therapeutic interventions may have resulted in this improvement. © The Author 2015. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Austria - epidemiology
Diabetes Mellitus, Type 1 - complications
Diabetes Mellitus, Type 1 - physiopathology
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - physiopathology
Diabetic Nephropathies - etiology
Female -
Humans -
Incidence -
Kidney Failure, Chronic - etiology
Male -
Middle Aged -
Prevalence -
Registries -
Renal Dialysis -
Time Factors -

Find related publications in this database (Keywords)
diabetic kidney disease
diabetic nephropathy
end-stage renal disease
incidence
survival probability
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