This review of the early history of dialysis registries written 30 yea
rs later addresses the ideas and personalities behind their formation,
the source of funds available for the task and the subsequent course
of their development. As the role of such registries is being evaluate
d, a review of this nature is a timely reminder of the aspirations of
those who created a unique database of value to clinicians, patients,
government and the community. The challenge for today is as ever to av
oid the errors of the past, to build on the successes and to practice
evidence based medicine. The future role of Registries for renal failu
re treatment depends on the interest and influence of the clinicans (m
edical, nursing and others). To maintain the original raison d'etre of
Registries such as the European Dialysis and Transplant Association (
EDTA), there must be involvement of active clinicians in the determina
tion of the content of data collected, its distribution, and the inter
pretation of analyses.