title: Overview of regular dialysis treatment in Japan (as of 31 December 2009).
abstract: A nationwide statistical survey of 4196 dialysis facilities was conducted at the end of 2009, and 4133 facilities (98.5%) responded. The number of patients undergoing dialysis at the end of 2009 was determined to be 290 661, an increase of 7240 patients (2.6%) compared with that of 2008. The number of dialysis patients per million at the end of 2009 was 2279.5. The crude death rate of dialysis patients from the end of 2008 to the end of 2009 was 9.6%. The mean age of the new patients introduced into dialysis was 67.3 years old and the mean age of the entire dialysis patient population was 65.8 years old. Primary diseases such as diabetic nephropathy and chronic glomerulonephritis for new dialysis patients, showed a percentage of 44.5% and 21.9%, respectively. Based on the facilities surveyed, 84.2% of the facilities that responded to the questionnaire satisfied the microbiological quality standard for dialysis fluids for the Japanese Society for Dialysis Therapy (JSDT), with an endotoxin concentration of less than 0.05 EU/mL in the dialysis fluid. Similarly, 98.2% of the facilities surveyed satisfied another standard of the society of a bacterial count of less than 100 cfu/mL in the dialysis fluid. The facility survey indicated that the number of patients who were treated by blood purification by both peritoneal dialysis and extracorporeal circulation, such as hemodialysis, was 1720. Among the total number of patients, 24.8% were satisfied with the management target recommended in the treatment guidelines for secondary hyperparathyroidism. These standards are set by the JSDT, based on the three parameters, i.e. serum calcium concentration, serum phosphorus concentration, and serum intact parathyroid hormone concentration. According to the questionnaire, 9.8% of the patients were considered to have a complication of dementia.
authors.affiliation: Committee of Renal Data Registry, Japanese Society for Dialysis Therapy, Tokyo, Japan.
authors.forename: Shigeru
authors.initials: S
authors.lastname: Nakai
authors.forename: Kunitoshi
authors.initials: K
authors.lastname: Iseki
authors.forename: Noritomo
authors.initials: N
authors.lastname: Itami
authors.forename: Satoshi
authors.initials: S
authors.lastname: Ogata
authors.forename: Junichiro James
authors.initials: JJ
authors.lastname: Kazama
authors.forename: Naoki
authors.initials: N
authors.lastname: Kimata
authors.forename: Takashi
authors.initials: T
authors.lastname: Shigematsu
authors.forename: Toshio
authors.initials: T
authors.lastname: Shinoda
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Shoji
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Suzuki
authors.forename: Masatomo
authors.initials: M
authors.lastname: Taniguchi
authors.forename: Kenji
authors.initials: K
authors.lastname: Tsuchida
authors.forename: Hidetomo
authors.initials: H
authors.lastname: Nakamoto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Nishi
authors.forename: Seiji
authors.initials: S
authors.lastname: Hashimoto
authors.forename: Takeshi
authors.initials: T
authors.lastname: Hasegawa
authors.forename: Norio
authors.initials: N
authors.lastname: Hanafusa
authors.forename: Takayuki
authors.initials: T
authors.lastname: Hamano
authors.forename: Naohiko
authors.initials: N
authors.lastname: Fujii
authors.forename: Ikuto
authors.initials: I
authors.lastname: Masakane
authors.forename: Seiji
authors.initials: S
authors.lastname: Marubayashi
authors.forename: Osamu
authors.initials: O
authors.lastname: Morita
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Yamagata
authors.forename: Kenji
authors.initials: K
authors.lastname: Wakai
authors.forename: Atsushi
authors.initials: A
authors.lastname: Wada
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Watanabe
authors.forename: Yoshiharu
authors.initials: Y
authors.lastname: Tsubakihara
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000554:Ambulatory Care Facilities / Q000592:standards / Q000706:statistics & numerical data; D058491:Bacterial Load; D002423:Cause of Death; D002648:Child; D002675:Child, Preschool; D003625:Data Collection; D004731:Endotoxins / Q000032:analysis; D005260:Female; D015312:Hemodialysis Solutions / Q000737:chemistry; D006801:Humans; D007564:Japan / Q000453:epidemiology; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000209:etiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis / Q000592:standards / Q000706:statistics & numerical data; D006435:Renal Dialysis / Q000401:mortality / Q000592:standards / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D004731:Endotoxins; D015312:Hemodialysis Solutions