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Lessons from 30 years' data of Korean end-stage renal disease registry, 1985-2015

Title
Lessons from 30 years' data of Korean end-stage renal disease registry, 1985-2015
Author
한상웅
Keywords
End-stage renal disease; Hemodialysis; Peritoneal dialysis; Registry
Issue Date
2015-09
Publisher
Elsevier
Citation
Kidney Research and Clinical Practice, v. 34, NO 3, Page. 132-139
Abstract
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. © 2015. The Korean Society of Nephrology. Published by Elsevier. All rights reserved.
URI
http://www.sciencedirect.com/science/article/pii/S2211913215300383http://hdl.handle.net/20.500.11754/27296
ISSN
2211-9132; 2211-9140
DOI
10.1016/j.krcp.2015.08.004
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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