South African renal registry annual report 2012
Please cite as follows:
Davids, M. R., Marais, N. & Jacobs, J. C. 2012. South African Renal Registry Annual Report 2012. South African Renal Society, South Africa, Cape Town, 2014.
The original publication is available at http://www.sa-renalsociety.org/Registry.asp
INTRODUCTION: This first report of the new South African Renal Registry provides data on renal replacement therapy (RRT) for patients with end-stage renal disease (ESRD) in South Africa. Our previous registry, the South African Dialysis and Transplantation Registry, last reported data from 1994 and we have had a lack of reliable data on RRT in South Africa for the past two decades. The simple numbers we present here tell a story of many striking changes since 1994. The population of the country has increased by around 12 million people, with certain provinces showing massive increases compared to others. The prevalence of patients on RRT in South Africa is 164 per million population (pmp). There is an uneven distribution of RRT across provinces and large differences in treatment rates between the public and private sectors. Overall, the provision of RRT has increased, but remains below the rates seen in other countries with similar or lesser incomes per capita. The growth in RRT is mainly due to an increase in patients on haemodialysis in the private sector; the provision of RRT in the public sector has not increased substantially since 1994. The numbers of patients with functioning kidney transplants are similar to those reported in 1994. Transplanted patients now constitute less than 20% of the patients on RRT, as compared to more than 50% in 1994.