The Japanese Journal of Clinical Dialysis Vol.34 No.1(2)

Theme Cancer control for dialysis patients
Title Comparative cancer epidemiology in dialysis patients and the general population
Publish Date 2018/01
Author Shigeru Nakai Faculty of Clinical Engineering, School of Health Sciences, Fujita Health University
[ Summary ] Malignancy is the leading cause of death in the Japanese general population, and the third most common cause of death in the Japanese dialysis population. Iseki et al. reported that the standardized mortality ratio for cancer death in the Japanese dialysis population relative to the general population was 2.96. Kaizu et al. reported that the standardized incidence ratio (SIR) for cancer in the Japanese dialysis population relative to the general population was 1.07 for men and 1.41 for women. They also reported that the SIR for renal cancer and multiple myeloma was high in men and that of uterine cancer was high in women. They further reported that the SIR for cancer is highest soon after starting dialysis. It has also been reported that the presence of chronic kidney disease (CKD) and/or acute renal failure (AKI) are risk factors for cancer morbidity.
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