Korean Journal of Nephrology 1987;6(1):50-58.

우리나라 투석요법의 현황 - 1985 -

Abstract

In 1981, the Korean Society of Nephrology started annual report on dialysis therapy in Korea. Thereafter, the brief summary of Combined report on hemodialysis in Korea during the period 1981-1984 was reported in 1984. In 1985, the annual number of new patients rose from 17.4 to 20.4 per million, and also the total number of patients on dialysis theraphy rose from 20.7 to 29.1 per million. Total 808 patients (20.0 per million) were being on hemodialysis, 370 patients (9.1 per million) on CAPD and 330 patients (8.2 per million) with functioning renal graft on 31th Dec. 1985. The common causes of renal failure of new patients in order were chronic glomerulonephritis (40.0%), diabetic nephropathy (9.7%), hypertensive nephrosclerosis (6.3%) and so on. The common causes of death in dialytic patients were cardiac (33.7%), vascular (14.1%) and infection (9.8%), and social death due to refuse further treatment or suicide was 20.7% of all. Now the number of patients requiring dialysis therapy is increasing rapidly, largely due to expanded medical insurance coverage and improved economic status. But, dialysis equipment and personnel were increased rela- tively slower than explosion of number of patients requiring renal replacement therapy. Therefore we have to consider counterplan for this rapid growth of patients such as expansion of regular training for dialysis members, establishment of home and satellite dialysis system, and lawful background ready for cadaver renal transplantation.