臨牀透析 Vol.23 No.2(1)


特集名 世界の透析・移植事情
題名 全世界の透析・腎移植事情
発刊年月 2007年 02月
著者 田中 寛 住吉クリニック病院
【 要旨 】 2005年末において世界の末期腎不全患者は約190万例で,その増加率は6 %と,人口増加率より高かった.そのうち129万7,000例 (全透析患者の89 %) が血液透析 (HD) を,15万8,000例が腹膜透析 (PD) を受け,44万5,000例は腎移植患者である.約60 %の透析患者は主要な3地域 (米国,EUと日本) で治療を受けている.HD患者の増加率は主要な3地域で3 - 5 %,その他は8 - 10 %であった.2005年に使用されたダイアライザの73 %が合成膜,65 %がハイフラックス膜であった.PD患者の平均増加率は5 - 6 %,APD (自動PD) は8 - 10 %,CAPDは3 - 4 %であった.
Theme Trends of Chronic Dialysis and Kidney Transplantation in the World
Title ESRD patients in 2005 : an introduction
Author Hiroshi Tanaka Sumiyoshi Clinic Hospital
[ Summary ] At the end of 2005, some 1,900,000 patients were undergoing treatments for ESRD, worldwide. There was a 6 % increase in the rate of ESRD patients, which was larger than that seen in the worldwide population. 1,297,000 patients (89 % of dialysis patients) were receiving conventional hemodialysis treatment, 158,000 patients were receiving peritoneal dialysis, and 412,000 patients were living with a functioning renal transplant. 60 % of hemodialysis patients were treated in three major areas of the world, the United States, the EU, and Japan. The annual rate of increase in the number of hemodialysis patients was 3 - 5 % in those three major areas, and 8 - 10 % in other countries. 73 % of dialyzers, which were used in 2005, were made of synthetic membranes, and 65 % were high-flux. The average rate of increase of PD patients in 2005 was 5 - 6 %, while the number of APD patients increased 8 - 10 %, and the number of CAPD cases increased 3 - 4 %.
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