Nephrology Dialysis Transplantation, Vol 12, Issue 5 884-888, Copyright © 1997 by Oxford University Press
T Shinzato, S Nakai, T Akiba, C Yamazaki, R Sasaki, T Kitaoka, K Kubo, T Shinoda, K Kurokawa, F Marumo, T Sato and K Maeda
The prognosis for haemodialysis patients is reported to be more favourable
in Japan than in Europe or North America. Consequently, evaluation of the
death predictors for haemodialysis patients in Japan is of considerable
interest outside Japan. The Patient Registration Committee of the Japanese
Society for Dialysis Therapy annually surveys the individual patient case
mix, laboratory data and important events occurring in the previous years.
Thus, using case mix data and laboratory data (including
Kt/V and protein catabolic rate) from the 1993
questionnaire survey and the individual patients' life/death statistics
from the 1994 questionnaire survey, a logistic regression analysis was
conducted on 53 867 patients. The analysis indicated that important death
risk predictors were: (I) advanced age, (ii) occurrence of diabetes
mellitus, (iii) male sex, (iv) Kt/V lower than 1.8,
(v) haemodialysis time less than 5 h, (vi) protein catabolic rate less than
0.0 g/kg/day, and (vii) percentage body weight decrease less than 4% and
more than 8% during the first haemodialysis session of the week.
Keywords: haemodialysis; renal failure; mortality;
nutrition; diabetes mellitus
ORIGINAL ARTICLES
Survival in long-term haemodialysis patients: results from the annual survey of the Japanese Society for Dialysis Therapy
Correspondence to K Maeda, Patient Registration Committee Headquarters of the Japanese Society for Dialysis Therapy, c/o Nagoya University Branch Hospital, 1-1-20 Daiko-Minami, Higashi-ku, Nagoya 461, Japan
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