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International comparison of patient survival after start of renal replacement therapy in 12 countries in Europe
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ERA Registry
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ILD36
Recent studies comparing survival of adult patients starting RRT (renal replacement therapy, that is dialysis or kidney transplantation) on a country-level in Europe are scarce Our aim is to compare short- and long term survival of patients starting RRT across European countries. In addition, we would like to study to what extent patient characteristics and transplant rates contribute to the observed differences in survival probabilities. Two-, five- and ten-year survival will be calculated. We will also adjust for differences in patient characteristics (such as age, sex, primary kidney disease and year of start on RRT). We will include adult patients starting RRT between 1/1/2003 and 31/12/2015 in different European countries that provided individual patient data from 2003 onwards. Patients who indicated that their data should not be used for research will be excluded. We anticipate to include about 450.000 patients starting renal replacement therapy between 2003 and 2015 from the participating countries in Europe. This study will generate an overview of differences in patient survival after start of RRT between European countries. This information can be used to increase awareness regarding health care inequalities within Europe among policy makers and in the nephrology community. Secondly these results may be used in future studies to investigate differences in clinical practice that may explain any differences in survival. With this new information we can assist nephrologists to exchange best practice for patients in need of RRT.
06/12/2019