English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

Dr. Carlo Catalano, Istituto di Fisiologia Clinica del CNR, Unità di Metabolismo, Via Savi, 8, I-56100 Pisa (Italy) Dear Sir, Death from suicide and interruption of treatment (‘social’ causes of death) are common in patients on renal replacement therapy in North America and Australia, whilst scarce data are available from Europe [1]. According to the European Registry of Dialysis and Transplantation (EDTA Registry), in 1992, 12,280 known causes of death were recorded and only 444 patients were reported to have died of social causes (3.6%) (courtesy of EDTA Registry). It has recently been reported by the EDTA Registry that death from treatment termination varies widely between Western European countries, being at the highest level in Sweden (9%) and lowest in Italy (2%) [2]. However, large registries may underestimate the true proportion of death due to treatment termination. In fact, it has been shown that causes of death perceived as reflecting badly on the dialysis team are regularly reported under a heading ‘acceptable’ to the team, and, in 1982, it was shown that in a single audit, less than 5% of the cases of dialysis termination were correctly reported [3]. Our clinical impression is that death from suicide and treatment termination is a rare event amongst RRT patients in Italy. However, to our knowledge, it has never been addressed specifically. For this purpose, we reviewed all chronic patients ever treated in the Renal Unit of Reggio-Cala-bria, Italy, from 1972 to 1995. This renal unit opened in 1972 and provides the sole dialysis facility for a population of around 300,000 inhabitants. A dialysis database was set up in 1987 and, in that circumstance, the case notes of all patients ever treated before then were carefully reviewed with particular reference to the causes of death. Table 1. Causes of death in 249 patients who died in Reggio Calabria, Italy, from 1972 to 1995

Death from Suicide and Discontinuation of Renal Replacement Therapy: 23-Years<sup>’</sup> Clinical Experience