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Abstract

In the early 1960s when the first chronic dialysis programs were being set up in the United States and elsewhere, it is doubtful that even the most enthusiastic proponents of the new therapy had any notion of the remarkable extent to which it would grow over the ensuing years. Now, less than four decades later, over one million patients worldwide with end-stage renal disease (ESRD) are being kept alive by chronic dialysis. The incidence and prevalence of treated ESRD has for many years been growing inexorably at rates of 4–8% per annum in the developed world (1). Furthermore, this growth has now extended from the wealthy countries of the developed world to the less wealthy countries of Eastern Europe, Asia and Latin America, where growth rates exceed 10% per annum. The result of this is that ESRD is now a major international public health issue.

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Blake, P.G., Just, P.M. (2004). Economics of dialysis. In: Hörl, W.H., Koch, K.M., Lindsay, R.M., Ronco, C., Winchester, J.F. (eds) Replacement of Renal Function by Dialysis. Springer, Dordrecht. https://doi.org/10.1007/978-1-4020-2275-3_62

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