Abstract
Poland is a European Community country with a population of almost 39 million people. The main reasons for chronic kidney disease are diabetes, glomerulopathies, and hypertension. Kidney biopsies with full screening for primary and secondary kidney diseases are offered by academic centers and main hospitals. The Polish Society of Nephrology gathers 1100 nephrologists and supports research within the nephrology field. There are about 21,000 patients on dialysis, among them 1000 on peritoneal dialysis. There are public and non-public dialysis centres, both are fully reimbursed by the National Health Fund, offering dialysis to all patients in need. There is an active kidney transplantation program with about 1000 transplants performed per year. The level of funding is currently a major Polish healthcare challenge, and efforts are being made to introduce a program of an integrated care in nephrology that will bring together all levels of renal care in a single centre with bundle payment covering all renal services.
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References
Ostrowski J. Nefrologia. In: Noszczyk W, editor. Dzieje medycyny w Polsce, vol. 3. Warsaw: PZWL; 2016.
Rutkowski B, Czekalski S, Lao M, et al. Development of renal replacement therapy in Poland. J Nephrol. 2006;19(suppl. 10):S159–64.
https://ec.europa.eu/health/state/country_profiles_en. Accessed 30 Jun 2019.
https://www.eea.europa.eu/media/newsreleases/many-europeans-still-exposed-to-air-pollution-2015/premature-deaths-attributable-to-air-pollution. Accessed 30 Jun 2019.
Perkowska-Ptasinska A, Bartczak A, Wagrowska-Danilewicz M, Halon A, Okon K, Wozniak A, Danilewicz M, Karkoszka H, Marszalek A, Kowalewska J, Mroz A, Korolczuk A, Oko A, Debska-Slizien A, Naumnik B, Hruby Z, Klinger M, Ciechanowski K, Myslak M, Sulowicz W, Rydzewski A, Wiecek A, Manitius J, Gregorczyk T, Niemczyk S, Nowicki M, Gellert R, Stompor T, Wieliczko M, Marczewski K, Paczek L, Rostkowska O, Deborska-Materkowska D, Bogdanowicz G, Milkowski A, Durlik M, Polish Society of Nephrology. Clinicopathologic correlations of renal pathology in the adult population of Poland. Nephrol Dial Transplant. 2017;32(suppl_2):ii209–18.
Willey CJ, Blais JD, Hall AK, Krasa HB, Makin AJ, Czerwiec FS. Prevalence of autosomal dominant polycystic kidney disease in the European Union. Nephrol Dial Transplant. 2017;32:1356–63.
Zdrojewski Ł, Zdrojewski T, Rutkowski M, Bandosz P, Król E, Wyrzykowski B, Rutkowski B. Prevalence of chronic kidney disease in a representative sample of the Polish population: results of the NATPOL 2011 survey. Nephrol Dial Transplant. 2016;31(3):433–9.
Zdrojewski Ł, Król E, Rutkowski B, Piotrowski W, Pająk A, Drygas W, Zdrojewski T. Chronic kidney disease in Polish elderly population aged 75+: results of the WOBASZ Senior Survey. Int Urol Nephrol. 2017;49:669–76.
Brück K, Stel VS, Gambaro G, Hallan S, Völzke H, Ärnlöv J, Kastarinen M, Guessous I, Vinhas J, Stengel B, Brenner H, Chudek J, Romundstad S, Tomson C, Gonzalez AO, Bello AK, Ferrieres J, Palmieri L, Browne G, Capuano V, Van Biesen W, Zoccali C, Gansevoort R, Navis G, Rothenbacher D, Ferraro PM, Nitsch D, Wanner C, Jager KJ, European CKD Burden Consortium. CKD prevalence varies across the European general population. J Am Soc Nephrol. 2016;27(7):2135–47.
Dębska-Ślizień A, Rutkowski B, Rutkowski P, Korejwo G, Gellert R. Actual condition of renal replacement therapy in Poland in year 2017. Nefrol Dial Pol. 2018;22:133–40.
Lichodziejewska–Niemierko M, Rutkowski B, Liberek T, Renke M. Peritoneal dialysis in Poland. Results from the national survey, 1995–1996. Perit Dial Int. 1999;19(2):171–3.
Rutkowski B, Lichodziejewska-Niemierko M, Grenda R, et al. Raport o stanie leczenia nerkozastępczego w Polsce - 2011 (Report on the renal replacement therapy in Poland -2011), Gdańsk; 2012.
Lichodziejewska-Niemierko M, Chmielewski M, Wojtaszek E, Suchowierska E, Golembiewska E, et al. Current epidemiology and practice patterns in prevention and treatment of PD-related infections in Poland. Int Urol Nephrol. 2019;51(2):335–41.
Gellert R, editor. Coordinated care over patients with chronic kidney disease. Warsaw: Nefron; 2018. ISBN:078-83-953566-0-5.
Siew ED, Davenport A. The growth of acute kidney injury: a rising tide or just closer attention to detail? Kidney Int. 2015;87:46–61.
Matuszkiewicz-Rowińska J, Zebrowski P, Kościelska M, Małyszko J, Mazur A. The growth of acute kidney injury: Eastern European perspective. Kidney Int. 2015;87:1264.
Harambat J, Van Stralen KJ, Kim JJ, Tizard EJ. Epidemiology of chronic kidney disease in children. Pediatr Nephrol. 2012;27:363–73.
Litwin M, Grenda R, Prokurat S, Abuauba M, Latoszyńska J, Jobs K, Boguszewska-Bączkowska A, Wawer ZT. Patient survival and causes of death in children on hemodialysis and peritoneal dialysis – single center study. Pediatr Nephrol. 2001;16:996–1001.
Harambat J, van Stralen KJ, Verrina E, Groothoff JW, Schaefer F, Jager KJ, ESPN/ERA-EDTA Registry. Likelihood of children with end-stage kidney disease in Europe to live with a functioning kidney transplant is mainly explained by nonmedical factors. Pediatr Nephrol. 2014;29(3):453–9.
Chesnaye NC, Schaefer F, Groothoff JW, Caskey FJ, Heaf JG, Kushnirenko S, Lewis M, Mauel R, Maurer E, Merenmies J, Shtiza D, Topaloglu R, Zaicova N, Zampetoglou A, Jager KJ, van Stralen KJ. Disparities in treatment rates of paediatric end-stage renal disease across Europe: insights from the ESPN/ERA-EDTA registry. Nephrol Dial Transplant. 2015;30(8):1377–85.
Chesnaye N, Bonthuis M, Schaefer F, Groothoff JW, Verrina E, Heaf JG, Jankauskiene A, Lukosiene V, Molchanova EA, Mota C, Peco-Antić A, Ratsch IM, Bjerre A, Roussinov DL, Sukalo A, Topaloglu R, Van Hoeck K, Zagozdzon I, Jager KJ, Van Stralen KJ, ESPN/ERA–EDTA Registry. Demographics of paediatric renal replacement therapy in Europe: a report of the ESPN/ERA-EDTA registry. Pediatr Nephrol. 2014;29(12):2403–10.
Szymczak M, Kaliciński P, Kowalewski G, Markiewicz-Kijewska M, Broniszczak D, Ismail H, Stefanowicz M, Kowalski A, Rubik J, Jankowska I, Piątosa B, Teisseyre J, Grenda R. Combined liver-kidney transplantation in children: single-center experiences and long-term results. Transplant Proc. 2018;50(7):2140–4.
The cell, tissue and organ recovery, storage and transplantation act of July 1st, 2005. The official journal of acts [dziennik ustaw] 05.169.14.
Poltransplant bulletin. 2019:1(27). www.poltransplant.pl/Download/Biuletyn_1_27_2019_www.pdf.
Holems D. Andrzej Więcek: east meets west in nephrology. Lancet. 2015;385:1937.
Kramer A, Pippias M, Noordzij M, Stel VS, Andrusev AM, Aparicio-Madre MI, Arribas Monzón FE, Åsberg A, Barbullushi M, Beltrán P, Bonthuis M, Caskey FJ, de la Nuez PC, Cernevskis H, De Meester J, Finne P, Golan E, Heaf JG, Hemmelder MH, Ioannou K, Kantaria N, Komissarov K, Korejwo G, Kramar R, Lassalle M, Lopot F, Macário F, Mackinnon B, Pálsson R, Pechter Ü, Piñera VC, de Pablos CS, Segarra-Medrano A, Seyahi N, Slon Roblero MF, Stojceva-Taneva O, Vazelov E, Winzeler R, Ziginskiene E, Massy Z, Jage KJ. The European Renal Associations-European Dialysis and Transplant Association (ERA-EDTA) registry annual report 2016: a summary. Clin Kidney J. 2019;12(5):702–20.
https://ec.europa.eu/eurostat/statistics-explained/pdfscache/37382.pdf. Accessed 01 Jul 2019.
Makara-Studzińska M, Załuski M, Tylec A, Panasiuk L. Do Polish doctors suffer from occupational burnout syndrome? An attempt to find an answer - Pilot study. Ann Agric Environ Med. 2019;26:191–7.
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Lichodziejewska-Niemierko, M. et al. (2021). Nephrology in Poland. 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_44
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