Nephrology Dialysis Transplantation, Vol 12, Issue 4 684-690, Copyright © 1997 by Oxford University Press
N Ursea, G Mircescu, N Constantinovici and C Verzan
BACKGROUND: In the context of the transformation of the Health Systems of
Central and Eastern European countries, the role of professional
associations is increasing, especially as regards data collection,
analysis, and implementation of programmes for development of nephrology
and renal replacement therapy (RRT). METHODS: The Romanian Renal Registry
sent questionnaires to the heads of Haemodialysis and Nephrology Centres.
The need for renal replacement therapy was deduced from the annual
incidence (127 patients p.m.p.) of chronic renal failure. RESULTS: Although
the rates of increase in the numbers of Nephrology Departments (+82%), HD
Centres (+142%), and total number of patients alive on RRT (+196%) from
1991 to 1995 were higher than the European mean, only 27-30% of the
incident patients (459 of 1000-1200 patients) could be provided with RRT.
Sixty-two percent of the need for RRT in the age group 25-44 years was met,
while only 20% of children (age < 15 years) and people over 55 years
requiring RRT received this treatment. Primary renal diseases in patients
on RRT were glomerulonephritis (49%) or interstitial nephropathies (23%);
diabetic nephropathies, nephroangiosclerosis and systemic diseases were
rare (4, 2, and 1% respectively). Most of the CRF patients (88%) were
treated by HD. Renal transplantation and peritoneal dialysis were seldom
performed (8 and 4%). The cost of HD treatment in Romania (87 USD) is low,
even though dialyser reuse is not common practice. CONCLUSIONS: The
increase in renal replacement therapy in Romania was mainly due to the
expansion of the number of haemodialysis centres. Although a significant
progress was realized, only one-third of the patients needing RRT could be
treated in Romania in 1995.
ORIGINAL ARTICLES
Nephrology and renal replacement therapy in Romania
Carol Davila Teaching Hospital of Nephrology, Bucuresti, Romania.
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