EPIDEMIOLOGY OF END-STAGE RENAL-FAILURE IN REUNION-ISLAND (RESULTS FROM THE REGISTRY OF THE INDIAN-OCEAN-SOCIETY-OF-NEPHROLOGY)

Background. End-stage renal disease (ESRD) on long-term dialysis is a substantial problem in Reunion because of the high incidence and preva lence of this disease due to non-insulin-dependent diabetes mellitus ( NIDDM) and systemic arterial hypertension. Subjects and methods. In 19 96 the renal study group of the Indian Ocean Society of Nephrology est ablished a regional registry of end-stage renal failure (ESRD) on long -term dialysis. The present report summarizes data obtained from this registry. Results. In 1996, there were 125 patients who were initiated on long-term dialysis, 657 patients on dialysis with a mean age 52+/- 17 years, and 110 patients with a functioning kidney graft. The incide nce rate of ESRD was 188 per million population (p.m.p.) and the preva lence rate of this pathology was 1155 p.m.p. The sex ratio (F/M) was 1 .4/1. The two most common causes of ESRD were NIDDM in 33.6% and syste mic arterial hypertension in 27.5%. The mean Kt/V value was 1.47+/-0.2 3 and the mortality rate was 8.1% per year. Conclusion, The results de monstrate high incidence and prevalence rates of ESRD mainly as a resu lt of NIDDM and systemic arterial hypertension.