The Japanese Journal of Clinical Dialysis Vol.34 No.12(2)

Theme Cure and care in dialysis wards heading for the year 2025 / Measures against fl oods and sediment disasters for dialysis wards
Title The future of dialysis considering the "2025 problem"
Publish Date 2018/11
Author Ryoichi Ando Department of Nephrology, Musashino Red Cross Hospital
[ Summary ] The "2025 problem" is the crisis of the growing elderly population in 2025 with the increase in social security expenses such as nursing care and medical expenses alongside a decrease in the population of people of the productive age supporting it. It is an important issue in considering the future of dialysis medicine. The number of dialysis patients has increased year by year, but in the future it is expected that the increase will slow down or decrease. Furthermore, as the aging of dialysis patients progresses, further related complications are expected to increase. Among them, the increase in dialysis patients who need care as a result of a cerebrovascular disorder, dementia, or the frailty due to aging, etc. is the most serious. Furthermore, an increase in malignant tumors and infectious diseases is also a problem. In addition, issues such as securing dialysis medicine due to the local population reduction and an increase in dialysis medical expenses and countermeasures against such problems are expected to become serious.
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