Annual dialysis data report 2018, JSDT Renal Data Registry: dialysis fluid quality, hemodialysis and hemodiafiltration,
- PDF / 1,880,185 Bytes
- 16 Pages / 595.276 x 790.866 pts Page_size
- 30 Downloads / 195 Views
REVIEW
Open Access
Annual dialysis data report 2018, JSDT Renal Data Registry: dialysis fluid quality, hemodialysis and hemodiafiltration, peritoneal dialysis, and diabetes Kosaku Nitta1, Masanori Abe2* , Ikuto Masakane1, Norio Hanafusa1, Masatomo Taniguchi1, Takeshi Hasegawa1, Shigeru Nakai1, Atsushi Wada1, Takayuki Hamano1, Junichi Hoshino1, Nobuhiko Joki1, Shunsuke Goto1, Minako Wakasugi1, Keiichi Yamamoto1, Hidetomo Nakamoto1 on behalf of the Japanese Society for Dialysis Therapy Renal Data Registry Committee
Abstract The annual survey questionnaires of the Japanese Society for Dialysis Therapy Renal Data Registry (JRDR) were sent to 4458 dialysis facilities at the end of 2018; 4402 facilities (98.7%) responded to the facility questionnaire, and 4222 facilities (94.7%) responded to the patient questionnaire. This paper reports the results obtained in regard to several issues: dialysis fluid quality, prescription of hemodialysis and hemodiafiltration, current status of peritoneal dialysis, and glycemic indices and treatment of diabetic patients. Keywords: Dialysis fluid, Diabetes, Dialysis modality, Glycemic control, Hemodialysis, Peritoneal dialysis
Introduction The 2018 Japanese Society for Dialysis Therapy (JSDT) surveys inquired about the management of dialysis fluid quality, prescription of hemodialysis (HD) and hemodiafiltration (HDF), peritoneal dialysis (PD), and diabetic patients on dialysis. The chapter on the management of dialysis fluid quality reports the results of the investigation of the frequency of measurements of endotoxin (ET) level and total viable microbial count (TVC) in dialysis fluid on a facility basis. The rates of achievement of ultrapure dialysis fluid (UPD) and standard dialysis fluid were then calculated. The data for sources of dialysis water, i.e., tap water, groundwater, or both, and the frequency of measurement of residual * Correspondence: [email protected] 2 Division of Nephrology, Hypertension and Endocrinology, Department of Internal Medicine, Nihon University School of Medicine, 30-1, Oyaguchi Kami-cho, Itabashi-ku, Tokyo 173-8610, Japan Full list of author information is available at the end of the article
chlorine and chemical contaminations of dialysis fluid are also reported. The chapter on the prescription of HD and HDF and the current status of HDF in Japan reports the results of an analysis of the data obtained in the 2018 survey. The HDF modes include online HDF, offline HDF, push/pull HDF, acetate-free biofiltration (AFBF), and intermittent infusion hemodiafiltration (IHDF). The patient characteristics of the HD group and HDF group were compared, and dialysis treatment time per session and blood flow rate in the HD group and HDF group are compared. The chapter on peritoneal dialysis (PD) reports the numbers of new and existing cases on PD, types of dialysis fluids, and incidence rates of peritonitis. The chapter on diabetic patients on dialysis reports the results of the survey of the current status of diabetes patients on HD and PD. The indicators o
Data Loading...
