#2249 Trends in dialysis population in Albania over the last 5 years: rising age and increased mortality among diabetic patients

Abstract Background and Aims The dialysis population in Albania has experienced significant changes in recent years, with an aging patient demographic and an increasing prevalence of diabetes among individuals with end-stage renal disease (ESRD). These trends are of concern due to the association between diabetes and higher mortality rates in dialysis patients. This study aims to examine the demographic and clinical shifts within the dialysis population in Albania over the past five years, with a focus on the rising age of patients and the disproportionately higher mortality rate among diabetics. Method A retrospective cohort study was conducted using data from five dialysis centers in Albania between 2020 and 2024. We analyzed patient demographics, comorbidities (particularly diabetes), treatment modalities, and mortality rates. The study specifically assessed changes in the average age of dialysis patients and the mortality rates among those with diabetes. Results The average age of dialysis patients in Albania has increased over the last five years, with a notable rise in patients aged 65 and above. The mean age of our dialysis population in January 2020 was 59.9 years old and in December 2024 was 63.1 years old.Diabetic patients have shown a particularly significant rise, constituting a growing proportion of the dialysis population, from 23.5% in 2020 in 30.0% in 2024. The mortality rate for diabetic dialysis patients was found to be significantly higher compared to non-diabetic patients, with an observed increase of more than 10% in deaths among diabetics during the study period. Diabetes-related complications, including cardiovascular disease and poor glycemic control, were identified as major contributors to the increased mortality rate in this group. Conclusion The dialysis population in Albania has shifted over the past five years, with an increasing average age and a growing proportion of diabetic patients. This trend is associated with a concerning rise in mortality rates, particularly among diabetic individuals, underscoring the need for targeted interventions. Enhanced diabetes management, early identification of comorbid conditions, and individualized care plans are essential to improving survival and quality of life for this high-risk group.