| Theme | Trend in Peritoneal Dialysis Therapy After Implementation of Japanese Society for Dialysis Therapy (JSDT) Peritoneal Dialysis Guideline | |
|---|---|---|
| Title | PD registry in Japan | |
| Publish Date | 2012/05 | |
| Author | Hidetomo Nakamoto | Department of General Internal Medicine, Saitama Medical University |
| [ Summary ] | In recent years, important advances have been made in the treatment of patients with end-stage renal disease (ESRD). Patients with ESRD and their physicians must consider many factors, including age, sex, jobs, quality and length of life, when choosing a treatment regimen. Because of a limited number of donor organs, most patients must undergo dialysis. The distribution of patients with ESRD in the transplantation, hemodialysis (HD) and peritoneal dialysis (PD) therapy population differs dramatically in Japan and other countries. In 2009, a nationwide statistical survey of PD patients in Japan (PD Registry) was started. The aims of the PD registry were first, to investigate trends associated with PD patients in Japan, and secondly, to establish evidence concerning Japanese PD patients. According to the PD registry, in 2009 the total number of dialysis patients in Japan at the end of that year was 290,661, as determined from the facility survey. The number of dialysis patients in Japan at the end of 2008 was 283,421, an increase of 7,240 patients (2.6 %) from the end of 2008. In contrast, according to the facility survey, the number of PD patients was 9858 at the end of 2009, an increase of 558 patients from the 2008 survey (9300 PD patients). The number of non-PD+ catheterized patients was 437. The number of new patients who were began PD in 2009 but were introduced to other therapies in the same year was 196. The total number of these PD-therapy-related patients was 633. These 633 patients were not classified as PD patients in the previous surveys. The sum of these 633 patients and the above mentioned PD patients (i.e. the total number of PD-therapy-related patients) was 10,491. The number of PD patients increased by approximately 500 because in the 2009 survey, non-member facilities that treated only PD patients were included, although they were not included in previous surveys. However, the number of PD patients is very small compared to those in other countries. Within a few years, we will be able to demonstrate data, including survival rates, technical survival rates, incidence of peritonitis, and incidence of EPS in Japanese PD patients. We must renew PD guidelines in relation to data from the PD registry. The PD registry plays an important role in gathering evidence concerning Japaneses PD patients. |
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