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Overview of regular dialysis treatment in Japan (as of 31 December 2009)

Shigeru Nakai1, Kunitoshi Iseki, Noritomo Itami

  • 1Committee of Renal Data Registry, Japanese Society for Dialysis Therapy, Tokyo, Japan.

Therapeutic Apheresis and Dialysis : Official Peer-Reviewed Journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy
|January 18, 2012
PubMed

Insights

Dialysis patient numbers increased in 2009, with diabetic nephropathy as a primary cause. Most facilities met microbiological standards for dialysis fluids, but patient satisfaction with secondary hyperparathyroidism management varied.

Area of Science:

  • Nephrology
  • Public Health
  • Epidemiology

Background:

  • The number of patients requiring dialysis is increasing globally.
  • Understanding the demographics, primary diseases, and quality of care in dialysis facilities is crucial for public health.
  • The Japanese Society for Dialysis Therapy (JSDT) sets standards for dialysis fluid quality and treatment targets.

Purpose of the Study:

  • To present a nationwide statistical overview of dialysis patients and facilities in Japan at the end of 2009.
  • To analyze the characteristics of new and existing dialysis patients, including primary diseases and age.
  • To assess the adherence of dialysis facilities to microbiological standards and patient satisfaction with secondary hyperparathyroidism management.

Main Methods:

  • A nationwide statistical survey of dialysis facilities in Japan was conducted.
  • Data collected included the number of dialysis patients, patient demographics, primary diseases, and facility adherence to JSDT standards.
  • Patient satisfaction with secondary hyperparathyroidism management and complication rates were also assessed.

Main Results:

  • In 2009, 290,661 patients underwent dialysis, a 2.6% increase from 2008. The crude death rate was 9.6%.
  • Diabetic nephropathy (44.5%) and chronic glomerulonephritis (21.9%) were leading causes for new dialysis patients, with a mean age of 67.3 years.
  • 84.2% of facilities met microbiological standards for dialysis fluids; 24.8% of patients were satisfied with secondary hyperparathyroidism management targets.

Conclusions:

  • The dialysis patient population in Japan continues to grow, with significant contributions from diabetic nephropathy.
  • While most facilities adhere to microbiological standards for dialysis fluids, there is room for improvement in patient satisfaction with secondary hyperparathyroidism management.
  • Ongoing monitoring and quality improvement initiatives are essential for the dialysis patient population.

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