Dialyzation Treatment in the Czech Republic in 1998 and in Future

Overview

1. The number of dialyzation centers has not changed during the past two years. Their steep increase occurred in1990 - 1995. This development made this treatment available without former limitations (on account of diagnosisand age).2. In the dialyzed population during the last five years the number of patients in more advanced age groups isincreasing. More than half the patients are older than 60 years. During this period there was a marked increase ofdiabetic subjects and in 1997 they accounted already for one third of the dialyzed population.3. In the number of patients treated by haemodialysis we still lag behind the countries of the EU. An adverseindicator of the quality of treatment is the high mortality rate.4. It is essential to ensure early dispensarization of patients with a creatinine level above 300 mmoll/l in thepredialyzation ambulatory department.5. Only a very small percentage of patients is treated by peritoneal dialysis as this is not a traditional method inthis country.

Key words:
dialysis therapy, dialyzation centre, chronic renal failure, erythropoietin, anaemia.