臨牀透析 Vol.16 No.9(2-1)


特集名 ブラッドアクセス
題名 慢性血液透析用ブラッドアクセスと医療費
発刊年月 2000年 07月
著者 大平 整爾 日鋼記念病院外科・腎センター
著者 辻 寧重 日鋼記念病院外科・腎センター
著者 上泉 洋 岩見沢市立総合病院外科・透析センター
【 要旨 】 血液透析に必須のブラッドアクセス(BA)は当該患者の生命線であり,その作製と維持は円滑な同療法の継続に最重要な要網の一つである.BAの不調は単に患者の死亡率や罹病率に止まらず,透析医療費にも大きな影響を与えるものである.本論では,各種BA形式の比率,合併症発生率,これに関連する入院や修復術の医療費などをわが国と欧米とで比較しつつ,BAを医療経済の側面から概観した.
Theme Blood Access for Chronic Hemodialysis Therapy -- The Present Problems and New Developments
Title Blood access for chronic hemodialysis and medical economics
Author Seiji Ohira Department of Surgery, Kidney Center, Nikko Memorial Hospital
Author Yasushige Tsuji Department of Surgery, Kidney Center, Nikko Memorial Hospital
Author Hirosi Kamiizumi Department of Surgery, Dialysis Center, Iwamizawa Municipal General Hospital
[ Summary ] Blood access, which is essential for heniodialysis therapy, is a lifeline to patients with end stage renal failure.
Establishment and maintenance of blood access are of the most important factors for successful continuation of therapy. Dysfunctions in blood access influence not only morbiditv and mortality rates, but medical economics as well. In this paper, the percentage of various blood access methods used, percentage of complications, hospitalization and surgical costs related to blood access problems, etc. in Japan were compared to Europe and the United States and are discussed from the view point of medical economics.
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