وضعيت درمان جايگزيني كليه در ايران

The Status of renal replacement therapy in IRAN

Renal replacement therapy (RRT) is a general term consists of different modalities that are used in the treatment of end stage renal disease (ESRD) patients and composed of hem dialysis, peritoneal dialysis and allograft kidney transplantation. Coming into existence of the modalities as renal replacement therapy in the second half of 20th century led to save patientsʹ life and improve their quality of life. In IRAN, these advancements have been occurred in recent 3 decades. Based on available data in "Management Center for Transplantation and Special Diseasesʹʹ, out of 16467 ESRD patients recorded by March, 20th of 2002 (at the end of 1380 solar year) 52% of them were under hem dialysis treatment, 47% were transplanted and 1% were under peritoneal dialysis. The number of known patients was equal to 253 per million population (PMP) that is far from 476 to 1150 PMP in developed countries from the viewpoint of sanitary status. This difference is mainly due to inappropriate case finding. Forty seven percent of these patients were treated with the best modality, kidney transplantation, in the terms of quality of life and medically related costs. This index is compatible with the same one in developed countries, but the percentages of other modalities were different from other countries. Increasing number of new case finding, founding of transplantation units, quality of life improvement and establishment of cadaver organ transplantation organization in the country represent recent advancements in this regard.