Overview of Regular Dialysis Treatment in Japan (as of 31 December 2009)

Shigeru Nakai, Kunitoshi Iseki, Noritomo Itami, Satoshi Ogata, Junichiro James Kazama, Naoki Kimata, Takashi Shigematsu, Toshio Shinoda, Tetsuo Shoji, Kazuyuki Suzuki, Masatomo Taniguchi, Kenji Tsuchida, Hidetomo Nakamoto, Hiroshi Nishi, Seiji Hashimoto, Takeshi Hasegawa, Norio Hanafusa, Takayuki Hamano, Naohiko Fujii, Ikuto MasakaneSeiji Marubayashi, Osamu Morita, Kunihiro Yamagata, Kenji Wakai, Atsushi Wada, Yuzo Watanabe, Yoshiharu Tsubakihara

Research output: Contribution to journalArticle

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Abstract

A nationwide statistical survey of 4196 dialysis facilities was conducted at the end of 2009, and 4133 facilities (98.5%) responded. The number of patients undergoing dialysis at the end of 2009 was determined to be 290661, an increase of 7240 patients (2.6%) compared with that of 2008. The number of dialysis patients per million at the end of 2009 was 2279.5. The crude death rate of dialysis patients from the end of 2008 to the end of 2009 was 9.6%. The mean age of the new patients introduced into dialysis was 67.3years old and the mean age of the entire dialysis patient population was 65.8years old. Primary diseases such as diabetic nephropathy and chronic glomerulonephritis for new dialysis patients, showed a percentage of 44.5% and 21.9%, respectively. Based on the facilities surveyed, 84.2% of the facilities that responded to the questionnaire satisfied the microbiological quality standard for dialysis fluids for the Japanese Society for Dialysis Therapy (JSDT), with an endotoxin concentration of less than 0.05EU/mL in the dialysis fluid. Similarly, 98.2% of the facilities surveyed satisfied another standard of the society of a bacterial count of less than 100cfu/mL in the dialysis fluid. The facility survey indicated that the number of patients who were treated by blood purification by both peritoneal dialysis and extracorporeal circulation, such as hemodialysis, was 1720. Among the total number of patients, 24.8% were satisfied with the management target recommended in the treatment guidelines for secondary hyperparathyroidism. These standards are set by the JSDT, based on the three parameters, i.e. serum calcium concentration, serum phosphorus concentration, and serum intact parathyroid hormone concentration. According to the questionnaire, 9.8% of the patients were considered to have a complication of dementia.

Original languageEnglish
Pages (from-to)11-53
Number of pages43
JournalTherapeutic Apheresis and Dialysis
Volume16
Issue number1
DOIs
Publication statusPublished - 01-02-2012

All Science Journal Classification (ASJC) codes

  • Hematology
  • Nephrology

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    Nakai, S., Iseki, K., Itami, N., Ogata, S., Kazama, J. J., Kimata, N., Shigematsu, T., Shinoda, T., Shoji, T., Suzuki, K., Taniguchi, M., Tsuchida, K., Nakamoto, H., Nishi, H., Hashimoto, S., Hasegawa, T., Hanafusa, N., Hamano, T., Fujii, N., ... Tsubakihara, Y. (2012). Overview of Regular Dialysis Treatment in Japan (as of 31 December 2009). Therapeutic Apheresis and Dialysis, 16(1), 11-53. https://doi.org/10.1111/j.1744-9987.2011.01050.x