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Trends in kidney transplantation rate across Europe: study from the ERA Registry

ABSTRACT Background The aim of this study was to identify trends in total, deceased donor (DD) and living donor (LD) kidney transplantation (KT) rates in European countries. Methods The European Renal Association (ERA) Registry and the Global Observatory on Donation and Transplantation (GODT) databa...

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Published in:Nephrology, dialysis, transplantation dialysis, transplantation, 2023-05, Vol.38 (6), p.1528-1539
Main Authors: Boenink, Rianne, Kramer, Anneke, Tuinhout, Rosalie E, Savoye, Emilie, Åsberg, Anders, Idrizi, Alma, Kerschbaum, Julia, Ziedina, Ieva, Ziginskiene, Edita, Farrugia, Emanuel, Garneata, Liliana, Zakharova, Elena V, Bell, Samira, Arnol, Miha, Segelmark, Mårten, Ioannou, Kyriakos, Hommel, Kristine, Rosenberg-Ots, Mai, Vazelov, Evgueniy, Helve, Jaakko, Mihály, Sándor, Pálsson, Runólfur, Nordio, Maurizio, Gjorgjievski, Nikola, de Vries, Aiko P J, Seyahi, Nurhan, Magadi, Winnie A, Resić, Halima, Kalachyk, Aleh, Rahmel, Axel O, Galvão, Ana A, Naumovic, Radomir, Lundgren, Torbjörn, Arici, Mustafa, de Meester, Johan M, Ortiz, Alberto, Jager, Kitty J, Stel, Vianda S
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cited_by cdi_FETCH-LOGICAL-c595t-d6a5d7f331ad5d868851ea045e4cdf32de7a7cc8c6d932426539c0ff4fa543603
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container_end_page 1539
container_issue 6
container_start_page 1528
container_title Nephrology, dialysis, transplantation
container_volume 38
creator Boenink, Rianne
Kramer, Anneke
Tuinhout, Rosalie E
Savoye, Emilie
Åsberg, Anders
Idrizi, Alma
Kerschbaum, Julia
Ziedina, Ieva
Ziginskiene, Edita
Farrugia, Emanuel
Garneata, Liliana
Zakharova, Elena V
Bell, Samira
Arnol, Miha
Segelmark, Mårten
Ioannou, Kyriakos
Hommel, Kristine
Rosenberg-Ots, Mai
Vazelov, Evgueniy
Helve, Jaakko
Mihály, Sándor
Pálsson, Runólfur
Nordio, Maurizio
Gjorgjievski, Nikola
de Vries, Aiko P J
Seyahi, Nurhan
Magadi, Winnie A
Resić, Halima
Kalachyk, Aleh
Rahmel, Axel O
Galvão, Ana A
Naumovic, Radomir
Lundgren, Torbjörn
Arici, Mustafa
de Meester, Johan M
Ortiz, Alberto
Jager, Kitty J
Stel, Vianda S
description ABSTRACT Background The aim of this study was to identify trends in total, deceased donor (DD) and living donor (LD) kidney transplantation (KT) rates in European countries. Methods The European Renal Association (ERA) Registry and the Global Observatory on Donation and Transplantation (GODT) databases were used to obtain the number of KTs in individual European countries between 2010 and 2018. General population counts were obtained from Eurostat or the national bureaus of statistics. The KT rate per million population (p.m.p.) and the average annual percentage change (APC) were calculated. Results The total KT rate in the 40 participating countries increased with 1.9% annually  [95%  confidence  interval  (CI) 1.5, 2.2] from 29.6 p.m.p. in 2010 to 34.7 p.m.p. in 2018, reflecting an increase of 3.4 p.m.p. in the DD-KT rate (from 21.6 p.m.p. to 25.0 p.m.p.; APC 1.9%; 95% CI 1.3, 2.4) and of 1.5 p.m.p. in the LD-KT rate (from 8.1 p.m.p. to 9.6 p.m.p.; APC 1.6%; 95% CI 1.0, 2.3). The trends in KT rate varied widely across European countries. An East–West gradient was observed for DD-KT rate, with Western European countries performing more KTs. In addition, most countries performed fewer LD-KTs. In 2018, Spain had the highest DD-KT rate (64.6 p.m.p.) and Turkey the highest LD-KT rate (37.0 p.m.p.). Conclusions The total KT rate increased due to a rise in the KT rate from DDs and to a lesser extent from LDs, with large differences between individual European countries. Graphical Abstract Graphical Abstract
doi_str_mv 10.1093/ndt/gfac333
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Methods The European Renal Association (ERA) Registry and the Global Observatory on Donation and Transplantation (GODT) databases were used to obtain the number of KTs in individual European countries between 2010 and 2018. General population counts were obtained from Eurostat or the national bureaus of statistics. The KT rate per million population (p.m.p.) and the average annual percentage change (APC) were calculated. Results The total KT rate in the 40 participating countries increased with 1.9% annually  [95%  confidence  interval  (CI) 1.5, 2.2] from 29.6 p.m.p. in 2010 to 34.7 p.m.p. in 2018, reflecting an increase of 3.4 p.m.p. in the DD-KT rate (from 21.6 p.m.p. to 25.0 p.m.p.; APC 1.9%; 95% CI 1.3, 2.4) and of 1.5 p.m.p. in the LD-KT rate (from 8.1 p.m.p. to 9.6 p.m.p.; APC 1.6%; 95% CI 1.0, 2.3). The trends in KT rate varied widely across European countries. An East–West gradient was observed for DD-KT rate, with Western European countries performing more KTs. In addition, most countries performed fewer LD-KTs. In 2018, Spain had the highest DD-KT rate (64.6 p.m.p.) and Turkey the highest LD-KT rate (37.0 p.m.p.). Conclusions The total KT rate increased due to a rise in the KT rate from DDs and to a lesser extent from LDs, with large differences between individual European countries. Graphical Abstract Graphical Abstract</description><identifier>ISSN: 0931-0509</identifier><identifier>ISSN: 1460-2385</identifier><identifier>EISSN: 1460-2385</identifier><identifier>DOI: 10.1093/ndt/gfac333</identifier><identifier>PMID: 36610723</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Clinical Medicine ; Europe ; Europe - epidemiology ; Humans ; Kidney ; Kidney Transplantation ; Klinisk medicin ; Living Donors ; Medical and Health Sciences ; Medicin och hälsovetenskap ; Original ; Registries ; trends ; Urologi och njurmedicin ; Urology and Nephrology</subject><ispartof>Nephrology, dialysis, transplantation, 2023-05, Vol.38 (6), p.1528-1539</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the ERA. 2023</rights><rights>The Author(s) 2023. 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Methods The European Renal Association (ERA) Registry and the Global Observatory on Donation and Transplantation (GODT) databases were used to obtain the number of KTs in individual European countries between 2010 and 2018. General population counts were obtained from Eurostat or the national bureaus of statistics. The KT rate per million population (p.m.p.) and the average annual percentage change (APC) were calculated. Results The total KT rate in the 40 participating countries increased with 1.9% annually  [95%  confidence  interval  (CI) 1.5, 2.2] from 29.6 p.m.p. in 2010 to 34.7 p.m.p. in 2018, reflecting an increase of 3.4 p.m.p. in the DD-KT rate (from 21.6 p.m.p. to 25.0 p.m.p.; APC 1.9%; 95% CI 1.3, 2.4) and of 1.5 p.m.p. in the LD-KT rate (from 8.1 p.m.p. to 9.6 p.m.p.; APC 1.6%; 95% CI 1.0, 2.3). The trends in KT rate varied widely across European countries. An East–West gradient was observed for DD-KT rate, with Western European countries performing more KTs. In addition, most countries performed fewer LD-KTs. In 2018, Spain had the highest DD-KT rate (64.6 p.m.p.) and Turkey the highest LD-KT rate (37.0 p.m.p.). Conclusions The total KT rate increased due to a rise in the KT rate from DDs and to a lesser extent from LDs, with large differences between individual European countries. Graphical Abstract Graphical Abstract</description><subject>Clinical Medicine</subject><subject>Europe</subject><subject>Europe - epidemiology</subject><subject>Humans</subject><subject>Kidney</subject><subject>Kidney Transplantation</subject><subject>Klinisk medicin</subject><subject>Living Donors</subject><subject>Medical and Health Sciences</subject><subject>Medicin och hälsovetenskap</subject><subject>Original</subject><subject>Registries</subject><subject>trends</subject><subject>Urologi och njurmedicin</subject><subject>Urology and Nephrology</subject><issn>0931-0509</issn><issn>1460-2385</issn><issn>1460-2385</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>3HK</sourceid><recordid>eNp9kstv1DAQxi0EokvhxB35hJCqUD9iO-aCqmp5SCuBqnK2JrazDd21g52A9r-vo90t9FAOfsjzfT-PZgah15S8p0Tz8-DG83UHlnP-BC1oLUnFeCOeokWJ0ooIok_Qi5x_EkI0U-o5OuFSUqIYX6Dv18kHl3Ef8G3vgt_hMUHIwwbCCGMfA04wegw2xZzxckpx8B9wHie3w12KWzzeeLy8usBXft3nMe1eomcdbLJ_dThP0Y9Py-vLL9Xq2-evlxerygotxspJEE51nFNwwjWyaQT1QGrha-s6zpxXoKxtrHSas5pJwbUlXVd3IGouCT9F1Z6b__hhas2Q-i2knYnQm8PTbbl5I2tSM1X0-lH9kKL7azoaqWCMaU548a4e9W6moay2rNlDVMO0IMx4aJWpZacNOC-NBmiJbOuWASu4j3tcYW29sz6Umm8eZvQgEvobs46_DSUlIdbMBLwn2FSK3gcTYoISbgQru2z4LHl3-CTFX5PPo9n22fpNaayPUzZMSaqbmVikZ0daaXLy3X0qlJh5xEwZMXMYsaJ-82_299rjTBXB270gltL8j3QHd-nbsA</recordid><startdate>20230531</startdate><enddate>20230531</enddate><creator>Boenink, Rianne</creator><creator>Kramer, Anneke</creator><creator>Tuinhout, Rosalie E</creator><creator>Savoye, Emilie</creator><creator>Åsberg, Anders</creator><creator>Idrizi, Alma</creator><creator>Kerschbaum, Julia</creator><creator>Ziedina, Ieva</creator><creator>Ziginskiene, Edita</creator><creator>Farrugia, Emanuel</creator><creator>Garneata, Liliana</creator><creator>Zakharova, Elena V</creator><creator>Bell, Samira</creator><creator>Arnol, Miha</creator><creator>Segelmark, Mårten</creator><creator>Ioannou, Kyriakos</creator><creator>Hommel, Kristine</creator><creator>Rosenberg-Ots, Mai</creator><creator>Vazelov, Evgueniy</creator><creator>Helve, Jaakko</creator><creator>Mihály, Sándor</creator><creator>Pálsson, Runólfur</creator><creator>Nordio, Maurizio</creator><creator>Gjorgjievski, Nikola</creator><creator>de Vries, Aiko P J</creator><creator>Seyahi, Nurhan</creator><creator>Magadi, Winnie A</creator><creator>Resić, Halima</creator><creator>Kalachyk, Aleh</creator><creator>Rahmel, Axel O</creator><creator>Galvão, Ana A</creator><creator>Naumovic, Radomir</creator><creator>Lundgren, Torbjörn</creator><creator>Arici, Mustafa</creator><creator>de Meester, Johan M</creator><creator>Ortiz, Alberto</creator><creator>Jager, Kitty J</creator><creator>Stel, Vianda S</creator><general>Oxford University Press</general><scope>TOX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>3HK</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AGCHP</scope><scope>AOWAS</scope><scope>D8T</scope><scope>D95</scope><scope>ZZAVC</scope></search><sort><creationdate>20230531</creationdate><title>Trends in kidney transplantation rate across Europe: study from the ERA Registry</title><author>Boenink, Rianne ; Kramer, Anneke ; Tuinhout, Rosalie E ; Savoye, Emilie ; Åsberg, Anders ; Idrizi, Alma ; Kerschbaum, Julia ; Ziedina, Ieva ; Ziginskiene, Edita ; Farrugia, Emanuel ; Garneata, Liliana ; Zakharova, Elena V ; Bell, Samira ; Arnol, Miha ; Segelmark, Mårten ; Ioannou, Kyriakos ; Hommel, Kristine ; Rosenberg-Ots, Mai ; Vazelov, Evgueniy ; Helve, Jaakko ; Mihály, Sándor ; Pálsson, Runólfur ; Nordio, Maurizio ; Gjorgjievski, Nikola ; de Vries, Aiko P J ; Seyahi, Nurhan ; Magadi, Winnie A ; Resić, Halima ; Kalachyk, Aleh ; Rahmel, Axel O ; Galvão, Ana A ; Naumovic, Radomir ; Lundgren, Torbjörn ; Arici, Mustafa ; de Meester, Johan M ; Ortiz, Alberto ; Jager, Kitty J ; Stel, Vianda S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c595t-d6a5d7f331ad5d868851ea045e4cdf32de7a7cc8c6d932426539c0ff4fa543603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Clinical Medicine</topic><topic>Europe</topic><topic>Europe - epidemiology</topic><topic>Humans</topic><topic>Kidney</topic><topic>Kidney Transplantation</topic><topic>Klinisk medicin</topic><topic>Living Donors</topic><topic>Medical and Health Sciences</topic><topic>Medicin och hälsovetenskap</topic><topic>Original</topic><topic>Registries</topic><topic>trends</topic><topic>Urologi och njurmedicin</topic><topic>Urology and Nephrology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boenink, Rianne</creatorcontrib><creatorcontrib>Kramer, Anneke</creatorcontrib><creatorcontrib>Tuinhout, Rosalie E</creatorcontrib><creatorcontrib>Savoye, Emilie</creatorcontrib><creatorcontrib>Åsberg, Anders</creatorcontrib><creatorcontrib>Idrizi, Alma</creatorcontrib><creatorcontrib>Kerschbaum, Julia</creatorcontrib><creatorcontrib>Ziedina, Ieva</creatorcontrib><creatorcontrib>Ziginskiene, Edita</creatorcontrib><creatorcontrib>Farrugia, Emanuel</creatorcontrib><creatorcontrib>Garneata, Liliana</creatorcontrib><creatorcontrib>Zakharova, Elena V</creatorcontrib><creatorcontrib>Bell, Samira</creatorcontrib><creatorcontrib>Arnol, Miha</creatorcontrib><creatorcontrib>Segelmark, Mårten</creatorcontrib><creatorcontrib>Ioannou, Kyriakos</creatorcontrib><creatorcontrib>Hommel, Kristine</creatorcontrib><creatorcontrib>Rosenberg-Ots, Mai</creatorcontrib><creatorcontrib>Vazelov, Evgueniy</creatorcontrib><creatorcontrib>Helve, Jaakko</creatorcontrib><creatorcontrib>Mihály, Sándor</creatorcontrib><creatorcontrib>Pálsson, Runólfur</creatorcontrib><creatorcontrib>Nordio, Maurizio</creatorcontrib><creatorcontrib>Gjorgjievski, Nikola</creatorcontrib><creatorcontrib>de Vries, Aiko P J</creatorcontrib><creatorcontrib>Seyahi, Nurhan</creatorcontrib><creatorcontrib>Magadi, Winnie A</creatorcontrib><creatorcontrib>Resić, Halima</creatorcontrib><creatorcontrib>Kalachyk, Aleh</creatorcontrib><creatorcontrib>Rahmel, Axel O</creatorcontrib><creatorcontrib>Galvão, Ana A</creatorcontrib><creatorcontrib>Naumovic, Radomir</creatorcontrib><creatorcontrib>Lundgren, Torbjörn</creatorcontrib><creatorcontrib>Arici, Mustafa</creatorcontrib><creatorcontrib>de Meester, Johan M</creatorcontrib><creatorcontrib>Ortiz, Alberto</creatorcontrib><creatorcontrib>Jager, Kitty J</creatorcontrib><creatorcontrib>Stel, Vianda S</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>NORA - Norwegian Open Research Archives</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SWEPUB Lunds universitet full text</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SWEPUB Lunds universitet</collection><collection>SwePub Articles full text</collection><jtitle>Nephrology, dialysis, transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boenink, Rianne</au><au>Kramer, Anneke</au><au>Tuinhout, Rosalie E</au><au>Savoye, Emilie</au><au>Åsberg, Anders</au><au>Idrizi, Alma</au><au>Kerschbaum, Julia</au><au>Ziedina, Ieva</au><au>Ziginskiene, Edita</au><au>Farrugia, Emanuel</au><au>Garneata, Liliana</au><au>Zakharova, Elena V</au><au>Bell, Samira</au><au>Arnol, Miha</au><au>Segelmark, Mårten</au><au>Ioannou, Kyriakos</au><au>Hommel, Kristine</au><au>Rosenberg-Ots, Mai</au><au>Vazelov, Evgueniy</au><au>Helve, Jaakko</au><au>Mihály, Sándor</au><au>Pálsson, Runólfur</au><au>Nordio, Maurizio</au><au>Gjorgjievski, Nikola</au><au>de Vries, Aiko P J</au><au>Seyahi, Nurhan</au><au>Magadi, Winnie A</au><au>Resić, Halima</au><au>Kalachyk, Aleh</au><au>Rahmel, Axel O</au><au>Galvão, Ana A</au><au>Naumovic, Radomir</au><au>Lundgren, Torbjörn</au><au>Arici, Mustafa</au><au>de Meester, Johan M</au><au>Ortiz, Alberto</au><au>Jager, Kitty J</au><au>Stel, Vianda S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in kidney transplantation rate across Europe: study from the ERA Registry</atitle><jtitle>Nephrology, dialysis, transplantation</jtitle><addtitle>Nephrol Dial Transplant</addtitle><date>2023-05-31</date><risdate>2023</risdate><volume>38</volume><issue>6</issue><spage>1528</spage><epage>1539</epage><pages>1528-1539</pages><issn>0931-0509</issn><issn>1460-2385</issn><eissn>1460-2385</eissn><abstract>ABSTRACT Background The aim of this study was to identify trends in total, deceased donor (DD) and living donor (LD) kidney transplantation (KT) rates in European countries. Methods The European Renal Association (ERA) Registry and the Global Observatory on Donation and Transplantation (GODT) databases were used to obtain the number of KTs in individual European countries between 2010 and 2018. General population counts were obtained from Eurostat or the national bureaus of statistics. The KT rate per million population (p.m.p.) and the average annual percentage change (APC) were calculated. Results The total KT rate in the 40 participating countries increased with 1.9% annually  [95%  confidence  interval  (CI) 1.5, 2.2] from 29.6 p.m.p. in 2010 to 34.7 p.m.p. in 2018, reflecting an increase of 3.4 p.m.p. in the DD-KT rate (from 21.6 p.m.p. to 25.0 p.m.p.; APC 1.9%; 95% CI 1.3, 2.4) and of 1.5 p.m.p. in the LD-KT rate (from 8.1 p.m.p. to 9.6 p.m.p.; APC 1.6%; 95% CI 1.0, 2.3). The trends in KT rate varied widely across European countries. An East–West gradient was observed for DD-KT rate, with Western European countries performing more KTs. In addition, most countries performed fewer LD-KTs. In 2018, Spain had the highest DD-KT rate (64.6 p.m.p.) and Turkey the highest LD-KT rate (37.0 p.m.p.). Conclusions The total KT rate increased due to a rise in the KT rate from DDs and to a lesser extent from LDs, with large differences between individual European countries. Graphical Abstract Graphical Abstract</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>36610723</pmid><doi>10.1093/ndt/gfac333</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record>
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source NORA - Norwegian Open Research Archives; Oxford Journals Online
subjects Clinical Medicine
Europe
Europe - epidemiology
Humans
Kidney
Kidney Transplantation
Klinisk medicin
Living Donors
Medical and Health Sciences
Medicin och hälsovetenskap
Original
Registries
trends
Urologi och njurmedicin
Urology and Nephrology
title Trends in kidney transplantation rate across Europe: study from the ERA Registry
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