Current state of dialysis access management in Korea
- 주제(키워드) Renal replacement therapy , vascular access , peritoneal access , interventional nephrology
- 주제(기타) Peripheral Vascular Disease
- 설명문(일반) [Kim, Yong-Soo] Catholic Univ Korea, Dept Internal Med, Div Nephrol, Seoul St Marys Hosp, 222 Banpo Daero, Seoul 06591, South Korea; [Kim, Yaeni; Shin, Seok Joon] Catholic Univ Korea, Dept Internal Med, Div Nephrol, Incheon St Marys Hosp, Incheon, South Korea; [Lee, Hyung Seok; Kim, Sung Gyun] Hallym Univ, Dept Internal Med, Div Nephrol, Sacred Heart Hosp, Anyang, South Korea; [Cho, Seong] Sungkyunkwan Univ, Dept Internal Med, Div Nephrol, Samsung Changwon Hosp, Chang Won, South Korea; [Na, Ki Ryang] Chungnam Natl Univ Hosp, Dept Internal Med, Div Nephrol, Daejeon, South Korea; [Kim, Jin Kuk] Soonchunhyang Univ, Dept Internal Med, Div Nephrol, Bucheon Hosp, Bucheon, South Korea; [Kim, Seung Jung] Ewha Womans Univ, Dept Internal Med, Div Nephrol, Seoul, South Korea; [Kim, Young Ok] Catholic Univ Korea, Dept Internal Med, Div Nephrol, Uijeongbu St Marys Hosp, Uijongbu, South Korea; [Jin, Dong-Chan] Catholic Univ Korea, Dept Internal Med, Div Nephrol, St Vincent Hosp, Suwon, South Korea
- 후원정보 Asian Pacific Soc Dialysis Access
- 등재 SCIE, SCOPUS
- OA유형 Bronze
- 발행기관 SAGE PUBLICATIONS LTD
- 발행년도 2019
- 회의명 Symposium on Dialysis Access / 2nd Congress of the Asian-Pacific-Society-of-Dialysis-Access (APSDA)
- 개최지 Nagoya, JAPAN
- 일자 OCT 19-20, 2017
- URI http://www.dcollection.net/handler/ewha/000000159928
- 본문언어 영어
- Published As http://dx.doi.org/10.1177/1129729818776913
- PubMed https://pubmed.ncbi.nlm.nih.gov/31032727
초록/요약
The prevalence rate and the incidence rate of hemodialysis and functioning kidney transplant recipients have continuously increased; on the contrary, those of peritoneal dialysis have continuously decreased since 2006. Dialysis patients have been getting older and have been maintained on dialysis longer. Diabetic nephropathy was the leading cause of end stage renal disease. The type of hemodialysis vascular access has been stable during the last 5 years (arteriovenous fistulas 76%, arteriovenous grafts 16%, central venous catheters 8% at 2016). Peritoneal dialysis catheter was mostly inserted surgically (67%), and swan neck straight tip peritoneal dialysis catheter was the most commonly used (48%). Vascular access was managed by radiologists and surgeons, and the management was fragmented among them in the past. However, since the nephrologists became interested in and knowledgeable about the vascular access, they began to play roles in vascular access management. Vascular access has been mostly created by vascular surgeons (approximate to 60%); tunneled central venous hemodialysis catheter insertion and endovascular intervention such as percutaneous transluminal angioplasty (PTA) and thrombectomy have been mostly performed by radiologists (approximate to 70%). Tunneled hemodialysis catheter insertion and endovascular intervention by nephrologists have slowly but consistently increased. Recently, the number of central venous hemodialysis catheter insertion has decreased, and tunneled hemodialysis catheter has been inserted more than non-tunneled hemodialysis catheter, indicating that vascular access has been created timely and the vascular access team has been educated about and following international guidelines.
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