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Prof. Dr. Willem Kollf (1911 Leyden Netherland )

Prof. Dr. Willem Kollf (1911 Leyden Netherland ) -Emeritus Prof. Dr. Internal Diseases , Surgery , Bioene rgy, Specialist .UTAH. 39 th EDTA Congress- 2002- Copenhag. First Practices in the World. Kollf used firt hemodialysis device in 1940. Dr Scribner used first shunt in 1960

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Prof. Dr. Willem Kollf (1911 Leyden Netherland )

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  1. Prof. Dr. Willem Kollf (1911 Leyden Netherland) -Emeritus Prof. Dr. Internal Diseases,Surgery,Bioenergy, Specialist.UTAH 39thEDTA Congress- 2002-Copenhag

  2. First Practices in the World • Kollf used firt hemodialysis device in 1940. • Dr Scribner used first shunt in 1960 • The First Renal Diseases Union was established in United Kingdom in 1956. The second one was established in France in 1960. Nephrology Sections have been establishing since 1960. • The first hemodialysis center of the world was established in New York in 1956. • 1450 patients treated by Hemodialysis in 1970 by USA Gootschalk Committee. But this number was not enough, because approximately 4100 or 6300 patients had to wait their death. • World’s first ever kidney transplant was successfully performed on monozygote twins in 1954. (Joseph Murray, Boston). • The first cadaveric transplantation was successfully performed in 1963.

  3. Turkish History of Nephrology, A Summary • The first seeds of Turkish Nephrology were firstly sown in our country in 1950s. • . Science of Nephrology rapidly started to develop in 2000s. • Developments increased in 1960s. • The practices accelerated rather fastly in 1970s. • Having displayed in advance a rather slow development as a result of individual endeavor and acts of self-giving. • Nephrology, thanks to the establishment of hemodialysis centers in the 80s made progress. • And managed in the 90s to keep up with world standards.

  4. Turkish History of Nephrology, A Summary • When We Assess Dialysis in a Historical Concept; • The Dialysis performances have been developing parallely with worldwide development. • But the necessity of obtaining tools and devices from abroad. • The difficulties of wasting time for public acceptance in dialysis, insufficiencies of educated staffs, wantonly arguements cause to delay in processes during treatment.

  5. Dialysis and transplantation maintained as monotonous practices until 1980s. And then they became to make progress with new establishing centers. Real acceleration was viewed in 1990s. Recently the numbers of dialysis centers have been raising strikingly. Only 234 dialysis centers existed in 1998 and their quantities reached 391 by the end of 2001. According to the datas of the Ministry of Health the dialysis centers’ quantities reached 472 in 2003. There were 518 dialysis centers in 2004 and 554 in 2005.

  6. Ülkemizde Tarihsel Gelişim İçinde Yıllara göre Hemodiyaliz Merkez Sayısı • 19 centers in 1980. (E.Ertuğ-Bülent Erbay ) • 19 centers, 600-700 patients in 1985 (K.Önen) • 28 centers in 1988 (S. Yeğinboy.) • 256 centers in 1998 (Ministry of Health ) • 472 centers, 25577 patients in 2003 (Ministry of Health ) • 518 centers, 29775 patients in 2004 (Ministry of Health) • 579 centers, 33487 patients in 2005 (Ministry of Health)

  7. The History of Turkish Registration Systems of Nephrology – Dialysis and Transplantation • Turkish Society of Nephrology’s (TSN) Registration Systems • Turkish Society of Nephrology started with İstanbul Registration Systems in 1989. • Afterwards, TSN has started to became to its current situation since 1990. National Dialysis and Transplantation Datas of Ministry of Health Ministry of Health has started to prepare extensive registration system since 1996. Renaliz: Issue:13, Year 5, Page :1, 2003,

  8. Ministry of Health- 2006

  9. Number of Total Kidney Transplantations by the End of 2005 (1975-2005) Total: 8321 Alive: 6120 73.55 % Cadaver: 2201 26.45 % Ministry of Health 2005

  10. World Population and Number of ESRD, HD, PD and RTx Patients TSN, 2004 Registry, Year: 2005.

  11. Annual Growth Rate of World Population and Number of ESRD, HD, PD and RTx TSN, 2004 Registry, Year: 2005.

  12. Gross Mortality Rate in Turkey and World (Nephrol.Dial. Transplant 2002; 17: 2092). a Death range on RRT in Europe (pmp) is 35-89 b HD 18,5 %, CAPD 6, R % , Tx 1,7 %. TSN, 2004 Registry, Year: 2005.

  13. Total RRT Expenses in Turkey, France, Germany, Japan and USA (Erek et al. Nephrology 2004; 9: 33-38). TSN, 2004 Registry, Year: 2005.

  14. Chr. Glomeruloneph. Hypertension Diabetes Mellitus Urologic Reasons Cystic Renal Diseases Interstial Nephritis Other Etyology Unknown 0 5 10 15 20 25 Etiology of Incidence End Stage Renal Disease Patients (2000 ) N:5073 TSN, 2004 Registry, Year: 2005.

  15. Etiology of incident in ESRD patients (2004) 25,3 25,3 Diabetes mellitus Diabetes mellitus 17,2 17,2 Hypertensive renal disease Hypertensive renal disease 13,4 13,4 Chronic glomerulonephritis Chronic glomerulonephritis 5,8 5,8 Urologic disease Urologic disease 4,0 4,0 Chronic interstitial nephritis Chronic interstitial nephritis 3,9 3,9 Cystic renal diseases Cystic renal diseases 6,8 6,8 Miscellaneous Miscellaneous 23,6 23,6 Etiyology unknow Etiyology unknow 0 0 5 5 10 10 15 15 20 20 25 25 30 30 % of patients % of patients Etiology of Incidence End Stage Renal Disease Patients (2004 ) TSN, 2004 Registry, Year: 2005. Etiology of Incidence End Stage Renal Disease Patients (2004 )

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