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Current characteristics of dialysis therapy in Korea: 2016 registry data focusing on diabetic patients

Title
Current characteristics of dialysis therapy in Korea: 2016 registry data focusing on diabetic patients
Author
한상웅
Keywords
Diabetes mellitus; Dialysis adequacy; Korea; Renal dialysis; Renal replacement therapy
Issue Date
2018-03
Publisher
ELSEVIER INC
Citation
KIDNEY RESEARCH AND CLINICAL PRACTICE, v. 37, no. 1, page. 20-29
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.
URI
http://www.krcp-ksn.org/journal/view.html?doi=10.23876/j.krcp.2018.37.1.20https://repository.hanyang.ac.kr/handle/20.500.11754/117811
ISSN
2211-9132; 2211-9140
DOI
10.23876/j.krcp.2018.37.1.20
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COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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