Nephrology Dialysis Transplantation, Vol 12, Issue 6 1105-1108, Copyright © 1997 by Oxford University Press
B Ruthkowski, J Puka, M Lao, K Baczyk, W Chrzanowski, F Kokot, A Ksiazek, E Nartowicz, A Poplawski, W Sulowicz and Z Szewczyk
During the era of so-called 'real' socialism, renal replacement therapy was
in a very poor condition in Poland. Here we present data on the influence
that the socioeconomic changes in Poland had on the status of dialysis
therapy. All data are based on analysis of annual questionnaires from all
dialysis and renal transplant units. During the period 1989-1995, the
number of dialysis units increased by 39%, the number of stations by 68%,
and the number of patients by 136%. Not only quantitative but also
qualitative changes occurred in the introduction of new, modern machines,
individualization of dialysis treatment, the start of a peritoneal dialysis
programme, and an increasing number of patients on erythropoietin therapy.
Also, broader criteria for the admission of patients with secondary
nephropathies (especially diabetes) and aged people were adopted. The gross
mortality rate (9.5-10.5%) during the period of observation was
satisfactory and comparable with that of western European countries.
Progress was the result of the implementation of the programme of the
National Committee for the Promotion of Nephrology, approved by the
Ministry of Health and the Parliamentary Health Commission, and supported
by the central funding system. Further consequent development of all
alternative renal replacement therapy methods (among them especially renal
transplantation) is necessary to achieve an acceptance rate comparable with
developed countries by the beginning of the next century.
Keywords: renal failure; haemodialysis; peritoneal
dialysis; development.
DIALYSIS AND TRANSPLANTATION NEWS
Renal replacement therapy in an era of socioeconomic changes - report from the Polish registry
Corresponding author address: Department of Nephrology, Medical University of Gdansk, Debinki 7, Gdansk, Poland
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