ツチヤ　ケン   Tsuchiya Ken   土谷　健    所属   医学部 医学科（東京女子医科大学病院）    職種   特任教授
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	Differences in the Characteristics of Dialysis Patients in Japan Compared with Those in Other Countries.
掲載誌名	正式名：Blood purification 略　 称：Blood Purif ISSNコード：1421-9735(Electronic)0253-5068(Linking)
巻・号・頁	40(4),pp.275-279
著者・共著者	Kimata Naoki†, Tsuchiya Ken, Akiba Takashi, Nitta Kosaku
発行年月	2015/11
概要	BACKGROUND:Japanese patients undergoing dialysis have an extremely low mortality rate compared with those in the United States and Europe. As shown in the Dialysis OutcomesBACKGROUND:&BACKGROUND:amp; Practice Patterns Study (DOPPS), certain features of dialysis treatment, such as single treatment time and amount of blood flow, are unique to Japan, but factors contributing to the low mortality risk are unclear. Although DOPPS is a multi-country prospective cohort study, the study results may not entirely reflect the real trend in Japan because the number of Japanese institutions participating in the study is small.SUMMARY:In this article, we review the data reported for Japan and other countries and reveal country-specific differences, particularly in patient age distribution and duration of dialysis. Key Messages: The mean age of prevalent dialysis patients is rising every year in Japan, and the proportion of patients undergoing dialysis for long periods of time is also increasing. In addition, the proportion of dialysis patients with diabetes, one of the primary diseases, has increased to a level similar to that observed in Western countries. However, no significant decline in the crude death rate among prevalent dialysis patients has been observed in Japan, presumably because of technological advances in dialysis treatment, but further studies are needed to elucidate the contributing factors.
DOI	10.1159/000441573
文献番号	26655869