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Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in...
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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Renal replacement therapy in Korea, 2012.

Dong Chan Jin1, Jin Suk Han2

  • 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Kidney Research and Clinical Practice
|February 16, 2016
PubMed
Summary
This summary is machine-generated.

The Korean Society of Nephrology

Keywords:
End-stage renal diseaseHemodialysisKoreaPeritoneal dialysis

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Area of Science:

  • Nephrology
  • Public Health
  • Epidemiology

Background:

  • The Korean Society of Nephrology established an end-stage renal disease (ESRD) patient registry in 1985.
  • An online registry program was implemented in 2001 and updated in 2013 to collect dialysis therapy data.
  • The ESRD Registry Committee of KSN manages this data collection via the KSN website.

Purpose of the Study:

  • To describe the status of renal replacement therapy in Korea as of the end of 2012.
  • To analyze the prevalence, incidence, and primary causes of ESRD in the Korean population.
  • To report on dialysis adequacy and survival rates for patients undergoing renal replacement therapy.

Main Methods:

  • Data collection through the KSN online ESRD patient registry.
  • Analysis of patient demographics, treatment modalities (hemodialysis, peritoneal dialysis, kidney transplantation), and primary ESRD causes.
  • Calculation of prevalence, incidence rates, urea reduction ratio, Kt/V, and survival rates.

Main Results:

  • In 2012, Korea had 70,211 ESRD patients (1,353.3 PMP prevalence).
  • Hemodialysis (HD) was the predominant therapy (69.1%), followed by kidney transplantation (KT) (20.2%) and peritoneal dialysis (PD) (10.8%).
  • Diabetic nephropathy (50.6%) was the leading cause of ESRD, followed by hypertensive nephrosclerosis (18.5%) and chronic glomerulonephritis (18.1%).

Conclusions:

  • The study provides a comprehensive overview of ESRD and renal replacement therapy in Korea for 2012.
  • Diabetic nephropathy remains the primary driver of ESRD, highlighting the need for diabetes management.
  • Dialysis adequacy and survival rates indicate the effectiveness of current treatment strategies.