Current characteristics of dialysis therapy in Korea: 2016 registry data focusing on diabetic patients
Kidney Research and Clinical Practice
; : 20-29, 2018.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-713371
Responsible library:
WPRO
ABSTRACT
Diabetic nephropathy is the most frequent cause of end-stage renal disease worldwide. Dialysis patients with diabetes mellitus (DM) have more complications and shorter survival duration than non-DM dialysis patients, requiring more clinical attention and difficult management. The registry committee of the Korean Society of Nephrology has collected data about dialysis therapy in Korea through an on-line registry program and analyzed the characteristics of patients. A survey of dialysis patients in 2016 showed that 50.2% of new dialysis patients had DM nephropathy as the cause of end-stage renal disease. The proportion of patients receiving hemodialysis (HD) for more than 5 years was 38% in DM patients and 51% in non-DM patients. The mean pulse pressure in DM HD patients was 71.5 mmHg, compared with 62.6 mmHg in non-DM patients. The proportion of DM patients with native vessel arteriovenous fistula as vascular access for HD was lower than that of non-DM patients (73% vs. 78%). Mean serum creatinine of DM and non-DM dialysis patients was 8.4 mg/dL and 9.5 mg/dL respectively. As vascular access of the DM HD patients was poor, the dialysis adequacy of DM patients was slightly lower than that of non-DM patients. The 5-year survival rate for DM HD patients was 53.9%, which was much lower than that of chronic glomerulonephritis patients (78.2%). The proportion of patients with a full-time job was 17% for DM patients and 28% for non-DM patients.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Blood Pressure
/
Survival Rate
/
Arteriovenous Fistula
/
Renal Dialysis
/
Renal Replacement Therapy
/
Creatinine
/
Diabetes Mellitus
/
Diabetic Nephropathies
/
Dialysis
/
Glomerulonephritis
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Kidney Research and Clinical Practice
Year:
2018
Document type:
Article