The Japanese Journal of Clinical Dialysis Vol.21 No.4(5)

Theme Malignant Tumors in Patients with End-Stage Renal Failures
Title Dialysis introduction for cancer patients
Publish Date 2005/04
Author Noriyoshi Murotani Chiba Social Insurance Hospital
[ Summary ] When the rough mortality rate of the general population of our country and dialysis patients in 2003 is compared, the rate for dialysis patients, is as much as 11.6 times higher. It is reported that the mortality rate for dialysis patients from neoplasms is 3.22 times higher than the general population. Stress levels when cancer patients are obliged to begin dialysis are very high. In our hospital, five cases in which “cancer” was present at the introduction of dialysis were seen, and the patients' cancer and dialysis were both considered. Ito has stated “the state of diseases for patients with cancer is complicated and we cannot carry out set introductory methods. It has been reported that one should provide QOL maintenance for patients and our first priority to do so”. It is important for dialysis medical workers to take a “satisfactory death” approach in promoting team medical treatments by employing all specialists, including psycho-nephrologists, for cancer patients at dialysis introduction.
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