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Lessons from 30 years' data of Korean end-stage renal disease registry, 1985-2015.

Jin DC, Yun SR, Lee SW, Han SW, Kim W, Park J, Kim YK - Kidney Res Clin Pract (2015)

Bottom Line: The blood pressure control, anemia control, and dialysis adequacy have continuously improved year by year.In addition, chronic dialysis complications should be closely monitored and dialysis modifications, such as hemodiafiltration therapy, might be considered.Because of the increase of private clinics and nursing hospitals in dialysis practice, the role of dialysis specialists and continuing education are thought to be essential.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, The Catholic University of Korea, Seoul, Korea.

ABSTRACT
The Korean Society of Nephrology (KSN) launched a nationwide official survey program about dialysis therapy in 1985. Nowadays, the accumulated data for 30 years by this "Insan Prof. Min Memorial end-stage renal disease (ESRD) Registry" program have been providing the essential information for dialysis clinical practice, academic nephrology research, and health management policy. We reviewed 30 years of data to identify important changes and implications for the future improvement of dialysis therapy in Korea. Hemodialysis patients, especially diabetics and elderly patients have increased in number very rapidly during recent years in Korea. The Korean prevalence rate of ESRD patients was about 70% of the United States and about 50% of Japan according to the international comparisons in the annual data report of United States Renal Data System. The blood pressure control, anemia control, and dialysis adequacy have continuously improved year by year. The importance of calcium and phosphorus control has also been increasing because of the increase in long-term dialysis patients. In addition, chronic dialysis complications should be closely monitored and dialysis modifications, such as hemodiafiltration therapy, might be considered. Because of the increase of private clinics and nursing hospitals in dialysis practice, the role of dialysis specialists and continuing education are thought to be essential. For strict cost-effective dialysis control of increasing elderly, diabetic, and long-term dialysis patients, the KSN ESRD patient registration should be run by the KSN and health ministry in cooperation, in which the dialysis fee reimbursement should be accompanied.

No MeSH data available.


Related in: MedlinePlus

Dialysis adequacy, rehabilitation, and survival. (A) Distribution of URR in HD patients. (B) Distribution of patient numbers according to nPCR and single-pool Kt/V in HD patients. (C) Rehabilitation status of HD and PD patients. (D) Patient survival according to underlying diseases since 2001.DM, diabetic nephropathy; GN, glomerulonephritis; HD, hemodialysis; HTN, hypertensive nephrosclerosis; Misc, miscellaneous; nPCR, normalized protein catabolic rate; PD, peritoneal dialysis; URR, urea reduction ratio.
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f0015: Dialysis adequacy, rehabilitation, and survival. (A) Distribution of URR in HD patients. (B) Distribution of patient numbers according to nPCR and single-pool Kt/V in HD patients. (C) Rehabilitation status of HD and PD patients. (D) Patient survival according to underlying diseases since 2001.DM, diabetic nephropathy; GN, glomerulonephritis; HD, hemodialysis; HTN, hypertensive nephrosclerosis; Misc, miscellaneous; nPCR, normalized protein catabolic rate; PD, peritoneal dialysis; URR, urea reduction ratio.

Mentions: The overall urea reduction ratio of HD patients was 71.4±7.0 in 2014. The average urea reduction ratio of male HD patients was 68.9±6.4%, and that of female patients was 75.0±6.1%, which had been steadily increasing from 63.6% and 70.4% in male and female patients in 2001 (Fig. 3A). The normalized protein catabolic rate of HD patients had minimal interval change during 2001–2014 (men, from 0.90 to 0.91; women, from 1.05 to 1.02), but single-pool Kt/V had steadily increased (men, from 1.05 to 1.42; women, from 1.53 to 1.69) (Fig. 3B).


Lessons from 30 years' data of Korean end-stage renal disease registry, 1985-2015.

Jin DC, Yun SR, Lee SW, Han SW, Kim W, Park J, Kim YK - Kidney Res Clin Pract (2015)

Dialysis adequacy, rehabilitation, and survival. (A) Distribution of URR in HD patients. (B) Distribution of patient numbers according to nPCR and single-pool Kt/V in HD patients. (C) Rehabilitation status of HD and PD patients. (D) Patient survival according to underlying diseases since 2001.DM, diabetic nephropathy; GN, glomerulonephritis; HD, hemodialysis; HTN, hypertensive nephrosclerosis; Misc, miscellaneous; nPCR, normalized protein catabolic rate; PD, peritoneal dialysis; URR, urea reduction ratio.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4608874&req=5

f0015: Dialysis adequacy, rehabilitation, and survival. (A) Distribution of URR in HD patients. (B) Distribution of patient numbers according to nPCR and single-pool Kt/V in HD patients. (C) Rehabilitation status of HD and PD patients. (D) Patient survival according to underlying diseases since 2001.DM, diabetic nephropathy; GN, glomerulonephritis; HD, hemodialysis; HTN, hypertensive nephrosclerosis; Misc, miscellaneous; nPCR, normalized protein catabolic rate; PD, peritoneal dialysis; URR, urea reduction ratio.
Mentions: The overall urea reduction ratio of HD patients was 71.4±7.0 in 2014. The average urea reduction ratio of male HD patients was 68.9±6.4%, and that of female patients was 75.0±6.1%, which had been steadily increasing from 63.6% and 70.4% in male and female patients in 2001 (Fig. 3A). The normalized protein catabolic rate of HD patients had minimal interval change during 2001–2014 (men, from 0.90 to 0.91; women, from 1.05 to 1.02), but single-pool Kt/V had steadily increased (men, from 1.05 to 1.42; women, from 1.53 to 1.69) (Fig. 3B).

Bottom Line: The blood pressure control, anemia control, and dialysis adequacy have continuously improved year by year.In addition, chronic dialysis complications should be closely monitored and dialysis modifications, such as hemodiafiltration therapy, might be considered.Because of the increase of private clinics and nursing hospitals in dialysis practice, the role of dialysis specialists and continuing education are thought to be essential.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, The Catholic University of Korea, Seoul, Korea.

ABSTRACT
The Korean Society of Nephrology (KSN) launched a nationwide official survey program about dialysis therapy in 1985. Nowadays, the accumulated data for 30 years by this "Insan Prof. Min Memorial end-stage renal disease (ESRD) Registry" program have been providing the essential information for dialysis clinical practice, academic nephrology research, and health management policy. We reviewed 30 years of data to identify important changes and implications for the future improvement of dialysis therapy in Korea. Hemodialysis patients, especially diabetics and elderly patients have increased in number very rapidly during recent years in Korea. The Korean prevalence rate of ESRD patients was about 70% of the United States and about 50% of Japan according to the international comparisons in the annual data report of United States Renal Data System. The blood pressure control, anemia control, and dialysis adequacy have continuously improved year by year. The importance of calcium and phosphorus control has also been increasing because of the increase in long-term dialysis patients. In addition, chronic dialysis complications should be closely monitored and dialysis modifications, such as hemodiafiltration therapy, might be considered. Because of the increase of private clinics and nursing hospitals in dialysis practice, the role of dialysis specialists and continuing education are thought to be essential. For strict cost-effective dialysis control of increasing elderly, diabetic, and long-term dialysis patients, the KSN ESRD patient registration should be run by the KSN and health ministry in cooperation, in which the dialysis fee reimbursement should be accompanied.

No MeSH data available.


Related in: MedlinePlus