Review article
https://doi.org/10.21860/medflum2020_245226
EDITH project – The effect of differing kidney disease treatment modalities and organ donation and transplantation practices on health expenditure and patient outcomes
Mirela Bušić
; Ministarstvo zdravstva Republike Hrvatske, Zagreb, Hrvatska
Marijana Dragović
; Ministarstvo zdravstva Republike Hrvatske, Zagreb, Hrvatska
Stela Živčić-Ćosić
; Zavod za nefrologiju, dijalizu i transplantaciju bubrega, Klinika za internu medicinu, Klinički bolnički centar Rijeka, Rijeka, Hrvatska
Abstract
In Europe, early stages of chronic kidney disease (CKD) are present in nearly 10% of adult persons (75 million). In most of the patients, however, CKD is discovered at an advanced stage, often leading to complications and comorbidity with a strong impact on the quality of life, and an increase in mortality and higher treatment costs. Large variations in practice regarding the frequency of different modalities of renal replacement treatment (RRT) in European countries have been noticed, however comprehensive data on treatment outcomes are often incomplete or missing. The aim of the EDITH EU project is to investigate the factors influencing RRT modality choice in EU Member States and analyse outcomes and treatment costs, to compare the impact of different modalities on patients and healthcare systems. Development of national and common European registries for the long-term follow-up of living kidney donors and kidney recipients will be enhanced and piloted to ensure safeguard and a more accurate assessment of the risks associated with organ donation and transplantation. A comprehensive analysis and comparison of the impact of various RRT methods, measured by outcomes and treatment costs, are the key preconditions for creation of efficient strategies and public-health policies on a national and/or EU level. It is expected that the results will provide a strong stimulus to the professional community, competent authorities and patients’ joint efforts in implementation of effective strategies and sustained funding models for prevention of kidney disease and optimisation of its treatment in the EU member states.
Keywords
dialysis; kidney transplantation; registries; renal insufficiency, chronic; treatment outcome
Hrčak ID:
245226
URI
Publication date:
1.12.2020.
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