The EVEREST study: an international collaboration*

Rates of initiation of renal replacement therapy (RRT), use of home modalities of treatment and patient outcomes vary considerably between countries. This paper reports the methods and baseline characteristics of countries participating in the EVEREST study (n = 46), a global collaboration examining...

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Main Authors: Caskey, Fergus J., Stel, Vianda S., Elliott, Robert F., Jager, Kitty J., Covic, Adrian, Cusumano, Ana, Geue, Claudia, Kramer, Anneke, Stengel, Benedicte, MacLeod, Alison M.
Format: Online
Language:English
Published: Oxford University Press 2010
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4421543/
id pubmed-4421543
recordtype oai_dc
spelling pubmed-44215432015-05-06 The EVEREST study: an international collaboration* Caskey, Fergus J. Stel, Vianda S. Elliott, Robert F. Jager, Kitty J. Covic, Adrian Cusumano, Ana Geue, Claudia Kramer, Anneke Stengel, Benedicte MacLeod, Alison M. Special Feature Rates of initiation of renal replacement therapy (RRT), use of home modalities of treatment and patient outcomes vary considerably between countries. This paper reports the methods and baseline characteristics of countries participating in the EVEREST study (n = 46), a global collaboration examining the association between medical and non-medical factors and RRT incidence, modality mix and survival. Numbers of incident and prevalent patients were collected for current (2003–05) and historic (1983–85, 1988–90, 1993–95 and 1998–2000) periods stratified, where available, by age, gender, treatment modality and cause of end stage renal disease (diabetic versus non-diabetic). General population age and health indicators and national-level macroeconomic data were collected from secondary data sources. National experts provided primary data on renal service funding, resources and organization. The median (inter quartile range) RRT incidence per million of the population (pmp) was 130 pmp (102–167 pmp). The general population life expectancy at 60 was 22.1 years (19.7–23.1 years) and 6.9% had diabetes mellitus (5.4–9.0%). Healthcare spending as a percentage of gross domestic product was 8.1% (5.6–9.3%). Countries averaged nine dialysis facilities pmp (4–12 pmp), with 69.0% (43.9–99.0%) owned by the public or private not-for-profit sector. The number of nephrologists ranged from 0.5 to 48 pmp (median 12 pmp). The heterogeneity of EVEREST countries will enable modelling to examine the independent association between medical and non-medical factors on RRT epidemiology. Oxford University Press 2010-02 2009-10-19 /pmc/articles/PMC4421543/ /pubmed/25949402 http://dx.doi.org/10.1093/ndtplus/sfp146 Text en © The Author 2009. Published by Oxford University Press [on behalf of ERA-EDTA]. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Caskey, Fergus J.
Stel, Vianda S.
Elliott, Robert F.
Jager, Kitty J.
Covic, Adrian
Cusumano, Ana
Geue, Claudia
Kramer, Anneke
Stengel, Benedicte
MacLeod, Alison M.
spellingShingle Caskey, Fergus J.
Stel, Vianda S.
Elliott, Robert F.
Jager, Kitty J.
Covic, Adrian
Cusumano, Ana
Geue, Claudia
Kramer, Anneke
Stengel, Benedicte
MacLeod, Alison M.
The EVEREST study: an international collaboration*
author_facet Caskey, Fergus J.
Stel, Vianda S.
Elliott, Robert F.
Jager, Kitty J.
Covic, Adrian
Cusumano, Ana
Geue, Claudia
Kramer, Anneke
Stengel, Benedicte
MacLeod, Alison M.
author_sort Caskey, Fergus J.
title The EVEREST study: an international collaboration*
title_short The EVEREST study: an international collaboration*
title_full The EVEREST study: an international collaboration*
title_fullStr The EVEREST study: an international collaboration*
title_full_unstemmed The EVEREST study: an international collaboration*
title_sort everest study: an international collaboration*
description Rates of initiation of renal replacement therapy (RRT), use of home modalities of treatment and patient outcomes vary considerably between countries. This paper reports the methods and baseline characteristics of countries participating in the EVEREST study (n = 46), a global collaboration examining the association between medical and non-medical factors and RRT incidence, modality mix and survival. Numbers of incident and prevalent patients were collected for current (2003–05) and historic (1983–85, 1988–90, 1993–95 and 1998–2000) periods stratified, where available, by age, gender, treatment modality and cause of end stage renal disease (diabetic versus non-diabetic). General population age and health indicators and national-level macroeconomic data were collected from secondary data sources. National experts provided primary data on renal service funding, resources and organization. The median (inter quartile range) RRT incidence per million of the population (pmp) was 130 pmp (102–167 pmp). The general population life expectancy at 60 was 22.1 years (19.7–23.1 years) and 6.9% had diabetes mellitus (5.4–9.0%). Healthcare spending as a percentage of gross domestic product was 8.1% (5.6–9.3%). Countries averaged nine dialysis facilities pmp (4–12 pmp), with 69.0% (43.9–99.0%) owned by the public or private not-for-profit sector. The number of nephrologists ranged from 0.5 to 48 pmp (median 12 pmp). The heterogeneity of EVEREST countries will enable modelling to examine the independent association between medical and non-medical factors on RRT epidemiology.
publisher Oxford University Press
publishDate 2010
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4421543/
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