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john-h-kyesterday at 3:33 PM1 replyview on HN

CBS say this then don't publish the data!

The data [https://www.transonic.com/renal-disease-in-us] says that kidney transplants for dialysis patients happen LESS frequently in the USA than in Europe, yet the survival rate is very close - 39% USA vs 41% Europe. This implies that dialysis in the USA is very close or _better_ quality than in Europe - as there is a large difference in transplant rates but only a small difference in survival rates.

Maybe the above data is wrong, but CBS don't seem to provide any better data


Replies

hermanzegermanyesterday at 8:50 PM

Your own link says

Survival rates for ESRD are higher in Europe than the U.S. This could be explained by the inferiority of national standards of care, a higher prevalence of patients with diabetes and differences in practice patterns.

Let's look at actual journals

For those with ESKD onset from 2004 to 2008, unadjusted 5-year survival of all patients with ESKD (treated with dialysis or transplantation) was 41% in the USA, 48% in Europe, and 60% in Japan, despite patients being 2–3 years older on average in Europe and Japan than in the USA, and Japan having very few transplant patients.

https://www.thelancet.com/journals/lancet/article/PIIS0140-6...

The US had a much higher KRT incidence, prevalence, and mortality compared to Europe, and despite a higher kidney transplantation rate, a lower proportion of prevalent patients with a functioning graft.

https://pubmed.ncbi.nlm.nih.gov/38439701/

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