The Effect of Gender, Age, and Geographical Location on the Incidence and Prevalence of Renal Replacement Therapy in Wales

Hugo C van Woerden; * Jane Wilkinson; Martin Heaven; Jason Merrifield


BMC Nephrology 

In This Article


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.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.