대한신장학회

논문분류	춘계학술대회 초록집
제목	Current Renal Replacement Therapy in Korea - Insan Memorial Dialysis Registry, 2013 -
저자	ESRD Registry Committee, Korean Society of Nephrology
출판정보	2014; 2014(1):
키워드	renal replacement therapy, hemodialysis, peritoneal dialysis, prevalence, incidence, survival, dialy
초록	Registry committee of Korean Society of Nephrology has collected data about dialysis in Korea through on-line registry program in KSN internet web site. The status of renal replacement therapy in Korea at the end of 2013 was as follows: 1)The total number of patients with renal replacement therapy (RRT) was 75,042 (hemodialysis : HD 52,378, peritoneal dialysis : PD 7,540, functioning kidney transplant: KT 15,124). Prevalence of RRT was 1,446.4 patients per million population (pmp). The proportion of RRT was HD 69.8%, PD 10.0%, and renal transplant 20.2%. 2) New RRT patients in 2013 were 12,183 (HD 9,543, PD 884, KT 1,756). Incidence rate was 234.0 pmp in 2013. 3)The most common primary cause of end stage renal diseases was diabetic nephropathy (48.0%), hypertensive nephrosclerosis (19.7%) and chronic glomerulonephritis (8.3%), in order. 4)The number of RRT centers was 709 and total number of HD machines was 19,917. Dialysis patients' individual data were collected from 65.2% of overall RRT centers. 5)Mean age of HD patient was 60.6 years old, of PD was 55.5 years old. Proportion of patients on HD more than 5 years' maintenance was 46%. Mean blood pressure was 100.1 mmHg in HD and 98.4 mmHg in PD patients. Pulse pressure was 64.5 mmHg in HD and 53.5 mmHg in PD patients. Mean hemoglobin of HD patient was 10.4 g/dL (hematocrit 31.4%), PD was 10.3 g/dL (Hct: 30.6%). Mean urea reduction ratio was 68.1% in male HD patients and 74.2% in female HD patients. Mean single pool Kt/V was 1.391 in male patient, 1.657 in female patients. 6)Common causes of death were unknown cause or not uremia associated cardiac arrest (14.2%), uremia associated cardiac arrest (also 14.2%), sepsis (11.9%), cerebrovascular accident (8.7%), pulmonary infection (8.4%) and myocardial infarction (7.5%) in 2013. Overall patient survival of male dialysis patient in 5 years was 71.7%, female patients was 74.2%. HD patient's 5 year survival was 73.7% and PD was 68.4%. Five year survival of diabetic dialysis patients was 63.2%, chronic glomerulonephritis patients 86.5%, hypertensive nephrosclerosis patients 78.1 %, respectively. 7)Survey on rehabilitation status of dialysis patients showed that 22% of HD patients have full time job and 8% have part time job. 29% of PD patients have full time job, and 17% have part time job. 8)The number of kidney transplantation was 1,756 (deceased donor 750) in 2013.
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