Overview of Regular Dialysis Treatment in Japan (as of 31 December 2009)
Overview of Regular Dialysis Treatment in Japan (as of 31 December 2009)
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DOI：
10.1111/j.1744-9987.2011.01050.x
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发表时间：
2012-02-01
影响因子：
1.9
通讯作者：
Tsubakihara, Yoshiharu
中科院分区：
文献类型：
--
作者：
Nakai, Shigeru;Iseki, Kunitoshi;Tsubakihara, Yoshiharu
2009年底，对全国4196家透析机构进行统计调查，回复率为4133家（98.5%）。2009年底接受透析治疗的患者人数确定为290 661人，比2008年增加7240人（2.6%）。2009年底每百万人透析人数为2279.5人。2008年底至2009年底透析患者粗死亡率为9.6%。新入透析患者的平均年龄为67.3岁，整个透析患者人群的平均年龄为65.8岁。新透析患者原发疾病如糖尿病肾病和慢性肾小球肾炎所占比例分别为44.5%和21.9%。调查结果显示，84.2%的受访机构符合日本透析学会（JSDT）透析液微生物质量标准，透析液中内毒素浓度小于0.05 EU/mL。同样，98.2%的受访机构满足透析液中细菌计数低于100 cfu/mL的另一项社会标准。设施调查显示，同时进行腹膜透析和体外循环（如血液透析）血液净化治疗的患者人数为1720人。在所有患者中，24.8%的患者对继发性甲状旁腺功能亢进治疗指南推荐的治疗目标满意。这些标准由JSDT根据血清钙浓度、血清磷浓度和血清完整甲状旁腺激素浓度三个参数制定。根据问卷调查，9.8%的患者被认为有痴呆并发症。
A nationwide statistical survey of 4196 dialysis facilities was conducted at the end of 2009, and 4133 facilities (98.5%) responded. The number of patients undergoing dialysis at the end of 2009 was determined to be 290 661, an increase of 7240 patients (2.6%) compared with that of 2008. The number of dialysis patients per million at the end of 2009 was 2279.5. The crude death rate of dialysis patients from the end of 2008 to the end of 2009 was 9.6%. The mean age of the new patients introduced into dialysis was 67.3 years old and the mean age of the entire dialysis patient population was 65.8 years old. Primary diseases such as diabetic nephropathy and chronic glomerulonephritis for new dialysis patients, showed a percentage of 44.5% and 21.9%, respectively. Based on the facilities surveyed, 84.2% of the facilities that responded to the questionnaire satisfied the microbiological quality standard for dialysis fluids for the Japanese Society for Dialysis Therapy (JSDT), with an endotoxin concentration of less than 0.05 EU/mL in the dialysis fluid. Similarly, 98.2% of the facilities surveyed satisfied another standard of the society of a bacterial count of less than 100 cfu/mL in the dialysis fluid. The facility survey indicated that the number of patients who were treated by blood purification by both peritoneal dialysis and extracorporeal circulation, such as hemodialysis, was 1720. Among the total number of patients, 24.8% were satisfied with the management target recommended in the treatment guidelines for secondary hyperparathyroidism. These standards are set by the JSDT, based on the three parameters, i.e. serum calcium concentration, serum phosphorus concentration, and serum intact parathyroid hormone concentration. According to the questionnaire, 9.8% of the patients were considered to have a complication of dementia.