We present the main descriptive data of patients treated by peritoneal dialysis in France in 2022 in the form of tables and graphs. Patients from DROM-TOM and other French-speaking countries and regions of the RDPLF will be described in a future issue in order to group together regions with similar socio-economic and climatic characteristics.
Since the SARS-Cov2 epidemic in 2020 and the three years that followed, the number of patients treated by peritoneal dialysis in France has decreased by 6.7%, but with significant regional variations ranging from +20% to -30%.
Vascular (23.5%) and diabetic (20.5%) nephropathies are the most numerous.
The average age for CAPD is 70 years and 58 years for APD
36% of patients are assisted by a nurse and 5% by a family member.
The average waiting time for transplant patients was 20 months.
There is a great difference in the technique of catheter placement with a catheter survival of 72% at 5 years.
The purpose of this document is to summarize with graphics ad tables the main descriptive elements obtained from the database of the Peritoneal Dialysis and Home Hemodialysis Registry (RDPLF) in metropolitan France in 2022. No discussion is intended in this report, which is primarily intended to provide background material for readers to illustrate their own work or presentations.
These tables and charts may be freely copied provided that this document is cited with its DOI.
The originals can also be obtained as PowerPoint files from the RDPLF secretariat.
The Réseau Epidemiologie Information en Nephrologie (REIN) is comprehensive for France, it is possible to know the completeness of peritoneal dialysis (PD) patients included in the RDPLF by comparing the number of patients treated on December 31 in each database. According to the 2019 REIN report
Number of prevalent patients in 2022 (treated at least 1 day): 3955 patients
Percentage variations in the number of patients treated with PD in France, in its various regions, between January 2020 and the end of December 2022
Nephropathies of peritoneal dialysis patients in France in 2022
Age distribution of patients treated with PD in France in 2022, in metropolitan France, all methods combined.
- non-dialysed: 3113 (80.4%)
- hemodialysed: 626 (16.2%) (of which 11 in self-dialysis and 2 in home hemodialysis)
- transplantated: 135 (3.4%)
Age distribution of patients treated with APD and CAPD in metropolitan France in 2022
ialysis solutions used in addition to glucose-based solutions
| No other solution than glucose | 24,2% | 16,6% |
| Icodextrine | 57,7% | 52,0% |
| Amino-acids | 2,1% | 3,4% |
| Icodextrine+amino-acids | 15,9% | 28,0% |
diabetic status and treatment of patients treated with PD in metropolitan France in 2022
Autonomy of peritoneal dialysis patients in metropolitan France in 2022
| Autonomous | 2316 | 59% |
| Nurse assisted | 1409 | 36% |
| Family assisted | 203 | 5% |
| Asisted (withou precision) | 21 | 1% |
| Missing data | 8 | <1% |
Autonomy by patient according to age
autonomy by PD modality
Transplant status of patients in metropolitan France treated with PD in 2022
| Pre-transplant assessment not done | 86 | 3,4% |
| Pre-transplant assessment not finished | 395 | 15,7% |
| Registered on waiting list | 665 | 26,5% |
| Not transplantable | 896 | 35,7% |
| Transplantation refused by patient | 213 | 8,5% |
| Temporaly contra-indication | 254 | 10,1% |
. Waiting times since the start of PD for patients transplanted in 2022 in France
Information on catheters in 2022 was provided for 2900 catheters and represents 73% of catheters used during this period in France.
Shapes of the catheters used
| Straight | Straight | 22,8% |
| Swan Neck | Straight | 28,2% |
| Straight | Coil | 24,7% |
| Swan Neck | Coil | 21,7% |
| not registered | Non registered | 2,6% |
Note: 6% of catheters have a weighted tip
- General anesthesia: 87.2
- Local anesthesia: 7.5
- Spinal: 0.3
- TAP block: 5%.
- Laparotomy : 57%.
- Laparoscopy: 41.27%.
- Percutaneous Trocard: 1.37
- Percutaneous peelable dilator: 0.34
Percentage of buried catheters using the Moncrief technique: 4.38%
- not tested: n=2011 (69.3%)
- tested: n=889 (30.7%)
- positive: 15
- negative: 85
(dates are censored at the date of transfer to another method, death or transplantation)
- 12 months: 97% ± 07
- 24 months: 84.8% ± 1%.
- 36 months: 80.7% ± 1.2
- 48 months: 76.7 ± 1.6%.
- 60 months : 72.1± 1.1%.
45% of RDPLF centers participate to the optional data-base module on nursing, the results below represent some of the data available in 2022
96,7 % des patients ont été formés après la pose du cathéter et 3,3 % avant. Parmi ceux formés après la pose du cathéter , le délais entre pose et début de formations est très variable, avec une durée médiane de 19 jours
duration of training of autonomous patients treated by peritoneal dialysis, all methods included.
Nurses who train patients report some degree of visual or manual impairment in patients that requires adaptation of training in 21% of cases
The figures, tables, and figures in this document are raw data extracted from the database, without interpretation, available to readers as a starting point for encouraging future research projects. They have not been subjected to peer.
We warmly thank the medical and nursing teams who regularly register their data in the RDPLF and thanks to whom these data are possible. We are at their disposal to help them in any work they would like to undertake with the database.