To: Brumar89 who wrote (7617 ) 7/19/2009 11:47:29 AM From: Alastair McIntosh Read Replies (3) | Respond to of 42652 That article concerning a supposed "dialysis crisis" in the UK was pretty bad even for the mis-named "American Thinker". The article wants you to think that tens of thousands of patients needing dialysis are unable to receive that treatment.More than 100,000 people have kidney disease but only 34,000 are receiving dialysis or have had a kidney transplant. However, Chronic Kidney Disease (CKD) is classified into five stages. Only when a patient reaches Stage 5 is renal replacement therapy required, in the form of either dialysis or a transplant. The goal of therapy is to slow down or halt the otherwise relentless progression of CKD to stage 5en.wikipedia.org Levels of Renal Replacement Therapy (RRT) About 40,000 patients in the UK are receiving dialysis or have functioning kidney transplants, which are grouped together as Renal Replacement Therapy, RRT. The take-on rate for patients onto RRT has risen progressively to about 110 per million population per annum (get the latest statistics from the Renal Registry). In some areas the take-on rate seems to have plateaued in recent years. However the survival of patients already on RRT means that even without further increases in take-on rate, the number of dialysis places needed will continue to rise. In fact take-on rates will need to rise because of the increasing number of elderly individuals in the population (there is a dramatic rise in risk of requiring RRT with age), and because of the age structure of some high-risk groups (diabetes, some racial minorities). Although there continue to be intermittent severe stresses, particularly with adequate growth of haemodialysis provision in some regions, it is now generally true that long term dialysis is available for all those who need it in the UK. It is some decades since the elderly or patients with comorbid conditions were automatically refused, or simply not referred to renal units.renal.org