Current characteristics of dialysis therapy in Korea: 2016 registry data focusing on diabetic patients
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...
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| Format: | Article |
| Language: | English |
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The Korean Society of Nephrology
2018-03-01
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| Series: | Kidney Research and Clinical Practice |
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| Online Access: | https://doi.org/10.23876/j.krcp.2018.37.1.20 |
| _version_ | 1818493767220461568 |
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| author | Dong-Chan Jin Sung-Ro Yun Seoung Woo Lee Sang-Woong Han Won Kim Jongha Park Yong-Kyun Kim |
| author_facet | Dong-Chan Jin Sung-Ro Yun Seoung Woo Lee Sang-Woong Han Won Kim Jongha Park Yong-Kyun Kim |
| author_sort | Dong-Chan Jin |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-10T17:58:19Z |
| format | Article |
| id | doaj.art-63c8955e906a4a64803784ef11a86897 |
| institution | Directory Open Access Journal |
| issn | 2211-9132 |
| language | English |
| last_indexed | 2024-12-10T17:58:19Z |
| publishDate | 2018-03-01 |
| publisher | The Korean Society of Nephrology |
| record_format | Article |
| series | Kidney Research and Clinical Practice |
| spelling | doaj.art-63c8955e906a4a64803784ef11a868972022-12-22T01:38:52ZengThe Korean Society of NephrologyKidney Research and Clinical Practice2211-91322018-03-01371202910.23876/j.krcp.2018.37.1.20j.krcp.2018.37.1.20Current characteristics of dialysis therapy in Korea: 2016 registry data focusing on diabetic patientsDong-Chan Jin0Sung-Ro Yun1Seoung Woo Lee2Sang-Woong Han3Won Kim4Jongha Park5Yong-Kyun Kim6Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaDepartment of Internal Medicine, College of Medicine, Konyang University, Daejeon, KoreaDepartment of Internal Medicine, Inha University School of Medicine, Incheon, KoreaDepartment of Internal Medicine, Hanyang University College of Medicine, Seoul, KoreaDepartment of Internal Medicine, Chonbuk National University Medical School, Jeonju, KoreaDepartment of Internal Medicine, University of Ulsan College of Medicine, Ulsan, KoreaDepartment of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, KoreaDiabetic 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.https://doi.org/10.23876/j.krcp.2018.37.1.20Diabetes mellitusDialysis adequacyKoreaRenal dialysisRenal replacement therapy |
| spellingShingle | Dong-Chan Jin Sung-Ro Yun Seoung Woo Lee Sang-Woong Han Won Kim Jongha Park Yong-Kyun Kim Current characteristics of dialysis therapy in Korea: 2016 registry data focusing on diabetic patients Kidney Research and Clinical Practice Diabetes mellitus Dialysis adequacy Korea Renal dialysis Renal replacement therapy |
| title | Current characteristics of dialysis therapy in Korea: 2016 registry data focusing on diabetic patients |
| title_full | Current characteristics of dialysis therapy in Korea: 2016 registry data focusing on diabetic patients |
| title_fullStr | Current characteristics of dialysis therapy in Korea: 2016 registry data focusing on diabetic patients |
| title_full_unstemmed | Current characteristics of dialysis therapy in Korea: 2016 registry data focusing on diabetic patients |
| title_short | Current characteristics of dialysis therapy in Korea: 2016 registry data focusing on diabetic patients |
| title_sort | current characteristics of dialysis therapy in korea 2016 registry data focusing on diabetic patients |
| topic | Diabetes mellitus Dialysis adequacy Korea Renal dialysis Renal replacement therapy |
| url | https://doi.org/10.23876/j.krcp.2018.37.1.20 |
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