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Survey of chronic haemodialysis in children between 2007 and 2012 in China
Yeping Jiang1, Ying Shen, Keith Kwong Hung Lau
1Department of Nephrology, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Insights
In China, haemodialysis is the preferred chronic dialysis method for children with end-stage renal disease (ESRD). This study provides crucial data for developing future pediatric dialysis services in the region.
Area of Science:
- Pediatric Nephrology
- Renal Replacement Therapy
- Chronic Kidney Disease (CKD)
Background:
- Rising prevalence of pediatric chronic kidney disease (CKD) in China.
- Increasing reliance on renal replacement therapies for children.
- Lack of outcome data hindering strategic development in pediatric nephrology.
Purpose of the Study:
- To survey the outcomes of pediatric end-stage renal disease (ESRD) patients in China.
- To inform the development of pediatric dialysis services.
- To provide a foundation for future planning in pediatric nephrology.
Main Methods:
- Nation-wide survey of children with ESRD (2007-2012).
- Questionnaires distributed to 39 member hospitals of the Chinese Pediatric Nephrology Association.
- Data collected from 28 hospitals providing pediatric dialysis services.
Main Results:
- 1033 children with ESRD were identified.
- 474 patients (45.9%) received chronic dialysis.
- 80.2% of those on dialysis preferred hemodialysis over peritoneal dialysis.
Conclusions:
- Hemodialysis is the predominant dialysis modality for pediatric ESRD in China.
- Outcomes of pediatric dialysis in China are comparable to North American experiences.
- Survey data is foundational for planning and developing pediatric dialysis services in China.
Aim:
The prevalence of chronic kidney disease (CKD) in children has been on the rise in China and more and more paediatric patients are now relying on chronic renal replacement therapies to sustain their lives. However, there is still a lack of literature in China about their outcomes, thus making it difficult, if not impossible for the paediatric nephrology community to develop strategies to guide future developments and to better serve this group of sick children.
Methods:
Our institution has recently conducted a nation-wide survey to obtain data of children with end-stage renal disease (ESRD) between the years 2007 to 2012. Questionnaires were distributed to 39 member hospitals of the Chinese Paediatric Nephrology Association. Only 28 of our member hospitals were actively providing dialysis services to children and their responses were included in this study.
Results:
There were a total of 1033 children with ESRD and within this cohort, 474 patients (45.9%) received chronic dialysis and 380 patients (80.2%) preferred haemodialysis.
Conclusion:
Haemodialysis is far more commonly used than peritoneal dialysis in China and the outcomes were similar to the experiences in North America. The data we gained through this survey provides the foundation for future planning and development of the paediatric dialysis services in China.
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