| [ Summary ] |
The Japanese Society for Dialysis Therapy has investigated and published its list of conditions for Adequacy of Dialysis. The percentage of patients undergoing hemodialysis in compliance with these conditions at Japanese medical institutions has been investigated. In only 13.2% of patients has a single dialysis session lasted the requisite time of over 5 hours, and the condition of more than 1.6Kt/V has been met in no more than 16.3% of cases. These findings indicate that, due to social factors, institutions are not providing the best treatment, and that there is ample room for improvement. In home dialysis, these points must also be improved and the best possible therapy provided. Moreover, the following functions are required : easy operation by the patient him- or herself; automatic purification and sterilization; data communications; just the press of a button to a center in case of sudden hypotension; and ability to obtain infusion of a fixed amount of supplementary fluid. |