Épidémiologie de la transplantation rénale en France

摘要: Kidney transplantation activity in France is among the most important worldwide: 2011, 2976 transplants have been performed (47.5 per million population), and number of patients living with a functional graft estimated around 30,000, representing 44.7% all (n = 67,270) treated for end-stage renal failure. However, rate preemptive kidney remains very low, only 3.3% incident starting replacement therapy. The analysis demand showed progressive increase recent years, as demonstrated by registration on waiting list, increasing 5% yearly between 2006 2010, but huge differences according to age categories regional areas, reflecting discrepant appreciations indications transplantation. median time increased progressively reaching 22.3 months considerable variations areas teams. activity, while continuously, far cover rising demand, inexorably accumulate list (around 9000 were registered January 2012). This situation consequence insufficient organ procurement activity. deceased remained high: 1572 harvested donors 2011 (24.1 proportion older rose reach 26% than 65 years 2011. after cardiac arrest was reintroduced 2006, slowly: using procured non heart-beating donors. donor has markedly recently: 302 transplantations 10.1% transplantations. Facing predictable candidates, efforts should be put together, supporting promoting