Symposium on renal replacement therapy throughout the world : the registries. Milan ITA, 1993/12/09.
The study of the current status of renal replacement therapy in Japan is based on the analysis of data from the registry reports for regular dialysis therapy and kidney transplantation.
The total number of patients receiving regular dialysis therapy was 129,826 at the end of 1892 : 117,809 (85.1%) on hemodialysis and 6,117 (4.9%) on peritoneal dialysis.
The number of kidney transplant patients in Japan was 8,984 at the end of 1891 : 6,154 (79.4%) received a living donor transplantation and 2,290 (26.8%) received a cadaver donor transplantation.
Overall 5-year survival rates of dialysis patients were 60.4%. The gross mortality rate of dialysis patients was increased in cases of less than 4 hours of the average length of each dialysis session, less than 4% and more than 8% of the average weight loss during each dialysis session, less than 1.0 of Kt/V, and less than 0.8 and more than 1.7 g/kg/d of protein catabolic rate.
Overall 5-year patient and graft survival rates of kidney transplant patients since 1864 were 82.7% and 60.9%. Graft survival rates were superior in cases treated with combined steroid, cyclosporine and azathioprine or mizoribine, to those treated with other immunosuppressive regimens, and they decreased as the number of HLA-A, - B and - DR increased.
Mots-clés Pascal : Insuffisance rénale, Homotransplantation, Rein, Hémodialyse, Traitement, Epidémiologie, Mortalité, Homme, Japon, Asie, Registre, Appareil urinaire pathologie, Rein pathologie, Transplantation, Chirurgie, Epuration extrarénale
Mots-clés Pascal anglais : Renal failure, Homotransplantation, Kidney, Hemodialysis, Treatment, Epidemiology, Mortality, Human, Japan, Asia, Register, Urinary system disease, Renal disease, Transplantation, Surgery, Extrarenal dialysis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0133307
Code Inist : 002B25H. Création : 09/06/1995.