Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 최정혜 | - |
dc.date.accessioned | 2021-04-08T06:11:13Z | - |
dc.date.available | 2021-04-08T06:11:13Z | - |
dc.date.issued | 2020-02 | - |
dc.identifier.citation | KOREAN JOURNAL OF INTERNAL MEDICINE, v. 35, no. 5, page. 1210-1219 | en_US |
dc.identifier.issn | 1226-3303 | - |
dc.identifier.issn | 2005-6648 | - |
dc.identifier.uri | https://www.kjim.org/journal/view.php?doi=10.3904/kjim.2018.400 | - |
dc.identifier.uri | https://repository.hanyang.ac.kr/handle/20.500.11754/161283 | - |
dc.description.abstract | Background/Aims: The aim of this study was to investigate incidence, survival, and risk factors of cancer in end-stage renal disease (ESRD) patients with hemodialysis using information from the National Health Information Database (NHID). Methods: Using the NHID, we identified ESRD patients who started maintenance hemodialysis between 2003 and 2005 in Korea. Patients were followed from initiation of hemodialysis to renal transplantation, death, or December 31, 2016, which-ever came first. We calculated the incidence, survival, and risk factors of cancer. Results: Of the total 14,382 ESRD patients, 1,124 (7.82%; men:women, 728:396) were diagnosed with cancer during follow-up. The mean duration from the start of hemodialysis to new cancer identification was 64.40 +/- 41.81 months. Significant risk factors for the development of new cancer were old age, male sex, and liver disease. Conversely, patients with diabetes showed low risk for new cancer. The colorectum (17.31%) was the most common primary site of cancer in men, followed by the liver (15.8%), stomach (14.29%), lung (13.6%), and kidney (10.3%). In women, the colorectum (14.65%) was also the most common primary site of cancer, followed by the breast (12.88%), thyroid (12.63%), stomach (10.86%), and lung (8.08%). According to the primary site of cancer, breast cancer showed the longest median survival duration (130.93 months), followed by thyroid, kidney, colorectum, bladder, stomach, liver, and lung cancer. On multivariate analyses, overall survival was affected by age and diabetes. Conclusions: The cancer incidence of chronic hemodialysis patients was relatively high. Thus, careful monitoring and a specific cancer screening program are needed for chronic hemodialysis patients. | en_US |
dc.description.sponsorship | This study used National Health Insurance Service (NHIS) data (NHIS-2018-1-024) made by NHIS. The authors declare no conflict of interest with NHIS. The authors would like to thank the NHIS for its cooperation. We thank in the Biostatistical Consulting and Research Laboratory at Hanyang University for statistical help with this study. | en_US |
dc.language.iso | en | en_US |
dc.publisher | KOREAN ASSOC INTERNAL MEDICINE | en_US |
dc.subject | Renal dialysis | en_US |
dc.subject | Kidney failure | en_US |
dc.subject | chronic | en_US |
dc.subject | Neoplasms | en_US |
dc.title | Cancer incidence according to the National Health Information Database in Korean patients with end-stage renal disease receiving hemodialysis | en_US |
dc.type | Article | en_US |
dc.identifier.doi | 10.3904/kjim.2018.400 | - |
dc.relation.page | 1-10 | - |
dc.relation.journal | KOREAN JOURNAL OF INTERNAL MEDICINE | - |
dc.contributor.googleauthor | Myung, Jisun | - |
dc.contributor.googleauthor | Choi, Jung Hye | - |
dc.contributor.googleauthor | Yi, Joo Hark | - |
dc.contributor.googleauthor | Kim, Inah | - |
dc.relation.code | 2020048656 | - |
dc.sector.campus | S | - |
dc.sector.daehak | COLLEGE OF MEDICINE[S] | - |
dc.sector.department | DEPARTMENT OF MEDICINE | - |
dc.identifier.pid | jhcmd | - |
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