Lessons from 30 years' data of Korean end-stage renal disease registry, 1985-2015.
Lessons from 30 years' data of Korean end-stage renal disease registry, 1985-2015.
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DOI：
10.1016/j.krcp.2015.08.004
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发表时间：
2015-09
影响因子：
3
通讯作者：
Kim YK
中科院分区：
文献类型：
--
作者：
Jin DC;Yun SR;Lee SW;Han SW;Kim W;Park J;Kim YK
韩国肾脏病学会(KSN)在1985年发起了一项全国性的关于透析治疗的官方调查计划。如今，该项目30年来积累的数据已经为透析临床实践、肾脏病学术研究和健康管理政策提供了必要的信息。我们回顾了30年来的数据，以确定重要的变化和对韩国未来透析治疗改进的影响。近年来，韩国的血液透析患者，特别是糖尿病患者和老年患者的数量增长非常迅速。根据美国肾脏数据系统年度数据报告中的国际比较，韩国ESRD患者的患病率约为美国的70%和日本的50%左右。血压控制、贫血控制、透析充分性逐年持续提高。由于长期透析患者的增加，控制钙和磷的重要性也在增加。此外，应密切监测慢性透析并发症，并可能考虑进行透析改进，如血液透析滤过治疗。由于私人诊所和护理医院在透析实践中的增加，透析专家和继续教育的作用被认为是必不可少的。对于不断增加的老年、糖尿病和长期透析患者的严格成本效益透析控制，KSN ESRD患者登记应由KSN和卫生部合作进行，其中应伴随透析费报销。
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.