Kidney Res Clin Pract.
2018 Mar;37(1):20-29. 10.23876/j.krcp.2018.37.1.20.
Current characteristics of dialysis therapy in Korea: 2016 registry data focusing on diabetic patients
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. jindongc@catholic.ac.kr
- 2Department of Internal Medicine, College of Medicine, Konyang University, Daejeon, Korea.
- 3Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
- 4Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
- 5Department of Internal Medicine, Chonbuk National University Medical School, Jeonju, Korea.
- 6Department of Internal Medicine, University of Ulsan College of Medicine, Ulsan, Korea.
- KMID: 2409371
- DOI: http://doi.org/10.23876/j.krcp.2018.37.1.20
Abstract
- Diabetic nephropathy is the most frequent cause of end-stage renal disease worldwide. Dialysis patients with diabetes mellitus (DM) have more complications and shorter survival duration than non-DM dialysis patients, requiring more clinical attention and difficult management. The registry committee of the Korean Society of Nephrology has collected data about dialysis therapy in Korea through an on-line registry program and analyzed the characteristics of patients. A survey of dialysis patients in 2016 showed that 50.2% of new dialysis patients had DM nephropathy as the cause of end-stage renal disease. The proportion of patients receiving hemodialysis (HD) for more than 5 years was 38% in DM patients and 51% in non-DM patients. The mean pulse pressure in DM HD patients was 71.5 mmHg, compared with 62.6 mmHg in non-DM patients. The proportion of DM patients with native vessel arteriovenous fistula as vascular access for HD was lower than that of non-DM patients (73% vs. 78%). Mean serum creatinine of DM and non-DM dialysis patients was 8.4 mg/dL and 9.5 mg/dL respectively. As vascular access of the DM HD patients was poor, the dialysis adequacy of DM patients was slightly lower than that of non-DM patients. The 5-year survival rate for DM HD patients was 53.9%, which was much lower than that of chronic glomerulonephritis patients (78.2%). The proportion of patients with a full-time job was 17% for DM patients and 28% for non-DM patients.
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