NDT Advance Access originally published online on May 9, 2008
Nephrology Dialysis Transplantation 2008 23(8):2447-2450; doi:10.1093/ndt/gfn232
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© The Author [2008]. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org
End-stage renal disease (ESRD) and its treatment in Japan
Division of Nephrology and Kidney Center, Shuwa General Hospital, Kasukabe-shi, Japan
Correspondence and offprint requests to: Yusuke Tsukamoto, Division of Nephrology and Kidney Center, Shuwa General Hospital, 1200 Yaharashinden, Kasukabe-shi, Japan. E-mail: tsukamoto@jinzou.net
Keywords: BMI; CKD; dialysis; end-stage renal disease; transplant
| The first 150 words of the full text of this article appear below. |
In Japan, mandatory urine testing to detect kidney diseases and diabetes has been carried out for industrial workers (since 1972), school children (since 1973) and citizens over 40 years of age (since 1982) [1]. Despite these efforts, the prevalence of dialysis patients in Japan reached 264 473 (2069.9 per million) by the end of 2006 [2]. The increase in prevalence is no more exponential than the increase seen uptil 1995, but it has not yet reached its plateau phase. Why is the prevalence of ESRD per population the highest in Japan compared to all other nations (USRDS database: http://www.usrds.org/)? Japan is also known for having very few kidney transplants compared to the prevalence of ESRD. Not only is the total number of transplants low, but living donation is also the predominant choice for kidney transplantation (939 out of 1136 in 2007), which strongly differs from the
| Dialysis therapy in Japan |
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| Kidney transplant in Japan |
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Japanese nephrologists and CKD initiative