대한신장학회

논문분류	춘계학술대회 초록집
제목	Current Renal Replacement Therapy in Korea - Insan Memorial Dialysis Registry, 2014 -
저자	ESRD Registry Committee, Korean Society of Nephrology
출판정보	2015; 2015(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 2014 was as follows: 1) The total number of patients with renal replacement therapy (RRT) was 80,674 (hemodialysis : HD 57,256, peritoneal dialysis : PD 7,423, functioning kidney transplant :KT 15,995). Prevalence of RRT was 1,571.5 patients per million population (pmp). The proportion of RRT was HD 71.0%, PD 9.2%, and renal transplant 19.8%. 2) New RRT patients in 2014 were 13,141 (HD 10,594, PD 867, KT 1,680). Incidence rate was 256.0 pmp in 2014. 3) The most common primary cause of end stage renal diseases was diabetic nephropathy (48.0%), hypertensive nephrosclerosis (21.2%) and chronic glomerulonephritis (8.2%), in order. 4) The number of RRT centers was 739 and total number of HD machines was 21,009. Dialysis patients' individual data were collected from 62.8% of overall RRT centers. 5) Mean age of HD patient was 61.1 years old, of PD was 55.4 years old. Proportion of patients on HD more than 5 years' maintenance was 48%. Mean blood pressure was 100.0 mmHg in HD and 97.9 mmHg in PD patients. Pulse pressure was 65.2 mmHg in HD and 53.7 mmHg in PD patients. Mean hemoglobin of HD patient was 10.5 g/dL(hematocrit 31.7%), PD was 10.4 g/dL (Hct: 31.0%). Mean urea reduction ratio was 68.9% in male HD patients and 75.0% in female HD patients. Mean single pool Kt/V was 1.420 in male patient, 1.693 in female patients. 7) Common causes of death were uremia associated cardiac arrest (14.1%), sepsis (13.6%), unknown cause or not uremia associated cardiac arrest (12.6%), pulmonary infection (9.0%) and cerebrovascular accident (8.5%) in 2014. Overall patient survival of male dialysis patient in 5 years was 68.7%, female patients was 71.8%. HD patient's 5 year survival was 71.0% and PD was 65.5%. Five year survival of diabetic dialysis patients was 60.0%, chronic glomerulonephritis patients 85.3%, hypertensive nephrosclerosis patients 77.5%, respectively. 8) Survey on rehabilitation status of dialysis patients showed that 21% of HD patients have full time job and 9% have part time job. 31% of PD patients have full time job, and 14% have part time job. 9) The number of kidney transplantation was 1,680 (deceased donor 762) in 2014.
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