Abstract
Denmark was one of the first countries to introduce dialysis and transplant treatment. It is a relatively small country (5.7 million), and nephrology treatment is concentrated in 15 specialist nephrology departments, including three transplantation centres. Treatment is universal and free of charge, being financed by public taxation. The epidemiology of renal disease is similar to other European countries. Notable features of nephrology care in Denmark include a high prevalence of home dialysis therapies (28% of dialysis patients): peritoneal dialysis (21%) and home haemodialysis (7%). The country has a high scientific activity, in particular in the fields of renal epidemiology and diabetic nephropathy.
Uraemia prophylaxis has been widely practiced for many years, and the incidence of end-stage renal disease among patients >60 years has been falling since 2000. As a corollary, the prevalence of diabetic nephropathy among end-stage renal disease patients is relatively low (17%).
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References
Healthcare in Denmark - an overview. Danish Ministry of Health. 2017. https://www.sum.dk/English/~/media/Filer%20-%20Publikationer_i_pdf/2016/Healthcare-in-dk-16-dec/Healthcare-english-V16-dec.ashx.
Iversen P, Brun C. Aspiration biopsy of the kidney. Am J Med. 1951;11:324–30.
Danish Society of Nephrology annual report 2017. www.nephrology.dk; 2018.
Gasparini A, Evans M, Coresh J, et al. Prevalence and recognition of chronic kidney disease in Stockholm healthcare. Nephrol Dial Transplant. 2016;31:2086–94.
Sørensen SS, Heaf JJ, Hansen A. Increased incidence and improved prognosis of glomerulonephritis in adults: a national 30 year study. Copenhagen: ERA-EDTA Congress; 2018.
Heaf JG, Wehberg S. Reduced incidence of end stage renal disease among the elderly in Denmark: an observational study. BMC Nephrol. 2012;13:131.
Kamper AL, Strandgaard S, Leyssac PP. Effect of enalapril on the progression of chronic renal failure. A randomized controlled trial. Am J Hypertens. 1992;5:423–30.
Gaede P, Vedel P, Parving HH, Pedersen O. Intensified multifactorial intervention in patients with type 2 diabetes mellitus and microalbuminuria: the Steno type 2 randomised study. Lancet. 1999;353:617–22.
Carlson N, Hommel K, Olesen JB, et al. Trends in one-year outcomes of dialysis-requiring acute kidney injury in Denmark 2005–2012: a population-based nationwide study. PLoS One. 2016;11:e0159944.
Dansk Intensiv Database. Årsrapport 2017/2018. 2018. https://www.sundhed.dk/content/cms/12/4712_did_aarsrapport_2018.pdf.
Susantitaphong P, Cruz DN, Cerda J, et al. World incidence of AKI: a meta-analysis. Clin J Am Soc Nephrol. 2013;8:1482–93.
Carlson N, Hommel K, Olesen JB, et al. Dialysis-requiring acute kidney injury in Denmark 2000–2012: time trends of incidence and prevalence of risk factors-a nationwide study. PLoS One. 2016;11:e0148809.
Toft P, Felding M, Tonnesen EK. Continuous venovenous hemodiafiltration in critically ill patients with acute renal failure. Ugeskr Laeger. 2000;162:2868–71.
Carlson N. Dialysis-requiring acute kidney injury in Denmark: epidemiological studies. Copenhagen: Faculty of Health Sciences, University of Copenhagen; 2019.
Povlsen JV, Ivarsen P. How to start the late referred ESRD patient urgently on chronic APD. Nephrol Dial Transplant. 2006;21(Suppl 2):ii56–9.
Ivarsen P, Povlsen JV. Can peritoneal dialysis be applied for unplanned initiation of chronic dialysis? Nephrol Dial Transplant. 2014;29:2201–6.
Povlsen JV, Ivarsen P. Assisted peritoneal dialysis: also for the late referred elderly patient. Perit Dial Int. 2008;28:461–7.
Povlsen JV, Sorensen AB, Ivarsen P. Unplanned start on peritoneal dialysis right after PD catheter implantation for older people with end-stage renal disease. Perit Dial Int. 2015;35:622–4.
Crabtree JH, Shrestha BM, Chow KM, et al. Creating and maintaining optimal peritoneal dialysis access in the adult patient: 2019 update. Perit Dial Int. 2019;39:414–36.
Bechade C, Lobbedez T, Ivarsen P, Povlsen JV. Assisted peritoneal dialysis for older people with end-stage renal disease: the French and Danish experience. Perit Dial Int. 2015;35:663–6.
Ibsen KK. Børnelægeri 100 år. publ Nordtryk, Frederikshavn, Denmark; 2008. p 1–304.
Wittenhagen P, Thiesson HC, Baudier F, Pedersen EB, Neland M. Long-term experience of steroid-free pediatric renal transplantation: effects on graft function, body mass index, and longitudinal growth. Pediatr Transplant. 2014;18:35–41.
Becherucci F, Roperto RM, Materassi M, Romagnani P. Chronic kidney disease in children. Clin Kidney J. 2016;9:583–91.
Heaf J. Current trends in European renal epidemiology. Clin Kidney J. 2017;10:149–53.
Heaf J. The Danish nephrology registry. Clin Epidemiol. 2016;8:621–7.
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Heaf, J., Carlson, N., Povlsen, J.V., Sørensen, S.S., Wittenhagen, P. (2021). Nephrology in Denmark. In: Moura-Neto, J.A., Divino-Filho, J.C., Ronco, C. (eds) Nephrology Worldwide. Springer, Cham. https://doi.org/10.1007/978-3-030-56890-0_38
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