A overview of Hemodialysis Therapy in our Insititution Between 1980 and 2008

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  • NAKAMOTO HIROTAKA
    Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine
  • SATOH MICHIKO
    Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine
  • SEKIGUCHI YOSHIMI
    Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine
  • GOUDA TOMOHITO
    Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine
  • IO HIROAKI
    Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine
  • KANEKO KAYO
    Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine
  • KURUSU ATSUSHI
    Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine
  • HASEGAWA TAKAYUKI
    Division of Clinical Engineering Technologists, Juntendo University School of Medicine
  • FUNABIKI KAZUHIKO
    Division of Nephrology, Juntendo Tokyo Koto Geriatric Medical Center
  • MAEDA KUNIMI
    Division of Nephrology, Juntendo University Nerima Hospital
  • HAMADA CHIEKO
    Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine
  • HORIKOSHI SATOSHI
    Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine
  • TOMINO YASUHIKO
    Division of Nephrology, Department of Internal Medicine, Juntendo University School of Medicine

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Other Title
  • 順天堂医院腎・高血圧内科における血液透析療法の検討
  • ジュン テンドウ イインジン コウケツアツ ナイカ ニ オケル ケツエキ トウセキ リョウホウ ノ ケントウ

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In this paper, we estimated trends in 1262 end-stage kidney disease (ESKD) patients who started hemodialysis (HD) therapy at our institution between 1980 and 2008. The number of patients treated at our institution has been increasing and shows a tendency similar to the national average. The mean age of dialysis patients at the end of 1988 was 49.1 years, and that of dialysis patients at the end of 2008 was 67.7 years. With regard to underlying diseases in 1997, diabetic nephropathy (DMN) exceeded chronic glomerulonephritis (CGN) for the first time. Of patients who started dialysis in 2008, DMN was the underlying disease in about 40%. With regard to the main underlying diseases, the mean age of dialysis patients at our institution was less than the national average. DMN is the most frequent cause of ESKD. For a decrease in the number of HD patients, it is important to diagnose DMN in the early stage by detection of microalbuminuria levels, and establish early treatment of DMN by strict blood pressure and blood sugar management.

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