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Diabetic nephropathy in Japan

Y Shigeta1, R Kikkawa

  • 1Third Department of Medicine, Shiga University of Medical Science, Otsu, Japan.

Diabetes Research and Clinical Practice
|October 1, 1994
PubMed
Summary

The number of diabetic patients requiring dialysis for end-stage renal failure in Japan has significantly increased. Early detection and treatment of diabetic nephropathy are crucial for improving outcomes and quality of life for these patients.

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Area of Science:

  • Nephrology
  • Diabetology
  • Public Health

Background:

  • The prevalence of end-stage renal failure (ESRF) in diabetic patients is rising globally.
  • Dialysis therapy is a critical treatment for ESRF, but outcomes for diabetic patients remain suboptimal.
  • Visual impairment significantly impacts the quality of life for diabetic patients undergoing dialysis.

Purpose of the Study:

  • To analyze trends in diabetic patients undergoing dialysis in Japan.
  • To highlight the challenges and unmet needs in managing diabetic nephropathy.
  • To emphasize the importance of early intervention for diabetic nephropathy.

Main Methods:

  • Nation-wide survey of dialysis patients in Japan.
  • Analysis of demographic and clinical data from 1991 and preceding years.
  • Assessment of trends in the percentage of diabetic patients among all dialysis patients.

Main Results:

  • Diabetic patients constituted 28% of all dialysis cases in Japan by 1991, exceeding 6000 cases.
  • A six-fold increase in the number and a three-fold increase in the percentage of diabetic patients on dialysis were observed over a decade.
  • Despite advancements in dialysis, patient prognosis and quality of life remain poor, often due to visual impairment.

Conclusions:

  • The increasing prevalence of diabetic ESRF necessitates urgent attention.
  • Early detection and effective treatment of diabetic nephropathy are paramount.
  • Improving the quality of life for diabetic dialysis patients requires addressing complications like visual impairment.

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