The study explores the importance of providing RRT rates for patients over 75 years to more accurately reflect the rapid changes in RRT provision that are occurring in this age group. The study identifies variation, and potential inequality, in the provision of RRT by age, gender and geographical location. The gender difference in haemodialysis rates in the very elderly is particularly marked and emphasises the value of calculating age and gender specific rates of RRT rather than using one combined age-standardised rate to represent all those over 75 years.
Significant numbers of very elderly patients who are currently not receiving RRT may wish to have this as the elderly population increases, and as technology improves survival and quality of life on RRT. The study also suggests that if technologies that are more effective were developed, which had a lower impact on quality of life, there might be up to a 17% increase in demand for RRT in those aged over 75 years, and given current patterns of treatment, around 90% of this increase in demand would be for haemodialysis.
We would like to acknowledge the support of a large number of renal physicians and data managers in different NHS Trusts in Wales and England. We would also like to acknowledge Health Commission Wales who commissioned the analysis in conjunction with the South Wales Renal Managed Clinical Network. No funding was provided to the authors of the study.
JW, MH and HvW designed the study, and collated the results; MH and JM analysed the data using a SQL database; HvW drafted the paper, which was then approved by all the authors.
Email: Hugo C van Woerden* - email@example.com ; Jane Wilkinson - firstname.lastname@example.org ; Martin Heaven - email@example.com ; Jason Merrifield - firstname.lastname@example.org
* Corresponding author
BMC Nephrology © 2007 van Woerden et al; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The author(s) declare that they have no competing interests.
Cite this: The Effect of Gender, Age, and Geographical Location on the Incidence and Prevalence of Renal Replacement Therapy in Wales - Medscape - Jan 11, 2007.